What autonomic symptoms do you encounter in patients with ALS?

In my experience, autonomic symptoms are not typical in ALS and we do not routinely ask screening questions for dysautonomia. A recent study from Europe (see below) suggests that the only sign of autonomic dysfunction is mildly increased heart rate at rest (which may also be attributed to other fact...

Autonomic symptoms during the early phases of ALS are uncommon and the literature is limited. Saying that I have a few patients with excessive sensitivity to temperature (mostly cold) that weren't present before disease onset (not sure what this is from). Also, I have a few patients on long-term ven...