diabetic neuropathy symptoms

Carpal tunnel syndrome is a very common type of entrapment syndrome. Diabetic Neuropathies: Diagnosis and Management. Remedy What is diabetic neuropathy? In the UK diabetes (both type 1 and type 2) is the most common cause of peripheral neuropathy. All rights reserved. Progression to severe diabetic neuropathy is more common if you: Are overweight. Neuropathy is one of the long-term complications of diabetes. It also can interfere with the normal functioning of the digestive system and sexual organs. Pain and numbness are also important warning signs to take very good care of your feet, so you can avoid wounds and infections that can be difficult to heal and even raise risk for amputation. It can also be caused by obesity and smoking. Autonomic nerves that control functions such as blood pressure, heart rate, digestion and bladderSigns and symptoms of peripheral neuropathy might include: 1. © 2005 - 2019 WebMD LLC. Peripheral neuropathy is the most common form of diabetic neuropathy. Diabetic neuropathy can affect any peripheral nerves including sensory neurons, motor neurons, and the autonomic nervous system. Prognosis: The mechanisms of diabetic neuropathy are poorly understood. Numbness in your hands, legs, or feet; Shooting pains, burning, or tingling; Nausea, vomiting, constipation, or diarrhea; Problems with sexual function; Urinary problems; Dizziness when you change positions quickly Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. But it tends to improve by itself over weeks or months. Diabetes Care 2017;40:136–154. Common symptoms can include leg pain, muscle weakness or numbness and tingling in your feet or hands. Again, your symptoms depend on which autonomic nerves are damaged and which part of the body’s autonomic system they control. It keeps your heart pumping and makes sure you digest your food right—without you needing to think about it. Diabetic Neuropathy Symptoms (Not all symptoms and signs may be present.) Nerves are classified into: 1. PLoS ONE 11(10): e0164807. Peripheral neuropathy can also have a wide range of other causes. Health Media & EndocrineWeb do not provide medical advice, diagnosis or treatment. Common symptoms of neuropathy include: Numbness ; Tingling ; Pain ; These may be minor at first, and therefore may remain unnoticed as the condition develops gradually. Signs and symptoms can also vary in severity among affected people. Symptoms are dependent on which nerves have been damaged. Feeling full soon after you start eating. The most common types of diabetic neuropathy are those that affect the limbs and those that affect organs and muscles inside the body. This type can appear suddenly and affect specific nerves, most often in the head, torso, or leg. Common symptoms of autonomic neuropathy The autonomic nervous system includes the heart, blood vessels and sweat glands. Don’t overlook mild symptoms. WebMD does not provide medical advice, diagnosis or treatment. There are medications to help manage the discomfort. There are mainly 4 types of diabetic neuropathy that can affect a person. Peripheral neuropathy affects nerves leading to your extremities—the feet, legs, hands, and arms. Warning Signs and Symptoms of Diabetic Neuropathy. Diabetic neuropathy is nerve damage, but the symptoms vary based on what nerves are affected. Damage to the nerves can therefore cause serious problems in various parts of the body for people with type 1, type 2 or other types of diabetes. Wear them all the time, so your feet don't get injured. Symptoms such as tingling, burning, numbness, and pain in the feet are a common presentation of peripheral neuropathy. Sign #8: Tightness Tightness and stiffness are … Your pain may mean the control of your diabetes could be improved, which will can help slow down the progression of your neuropathy. Avoid standing up too quickly. The feeling that food isn’t moving through your digestive system – called gastroparesis. These may be accompanied by difficulties with digestion, high blood pressure, and dizziness. Conversely, painful symptoms of neuropathy in uncontrolled diabetics tend to subside as the disease and numbness progress. It can happen in several ways, and they all seem to be related to blood sugar levels being too high for too long. As many as 7 out of 10 people with diabetes will get diabetic neuropathy. A common symptom of diabetic peripheral neuropathy is numbness. However, in some types of diabetic neuropathy, the onset of the pain will … Treatments include: What you should do: Tell your doctor. Focal neuropathy is painful and unpredictable. Neuropathy is one of the most common diabetes complications. What you should do: You may need to eat smaller meals and take medication to treat it. What you should do: See your doctor. Profuse sweating, especially at night or when eating particular foods (cheese commonly causes excessive sweating, for example, although that’s not true for every person with diabetic neuropathy), Reduced sweating, especially in the legs and feet, Waking up often during the night to urinate, Trouble standing up from a seated position without help, Sudden, severe pain pain in your hip, upper thigh and/or buttock on one side of the body, Pain or weakness in your arms after symptoms in your legs start improving, Vision trouble—double vision, ache behind an eye, difficulty focusing, Sudden paralysis of one side of the face (Bell’s palsy). Sometimes you may be unable to feel your feet while walking. It causes numbness and tingling of in the hand and sometimes muscle weakness or pain. Diabetic neuropathy is a serious and common complication of type 1 and type 2 diabetes.It’s a type of nerve damage caused by long-term high blood sugar levels. Symptoms vary depending on the areas affected. Common symptoms of peripheral neuropathy include pain and numbness in the feet. People with autonomic neuropathy may also have trouble figuring out when their blood sugar level is too low—which is particularly dangerous for people with diabetes. Diabetic neuropathy symptoms warning signs usually begin in the toes and work their way towards the head. The nerves present in the feet and legs of diabetic patients are affected and lead to symptoms such as pain, burning sensations, tingling sensations, or numbness in legs. Over half of people with diabetes get it. Diabetic neuropathy is a complication of diabetes.If diabetes is poorly controlled, the risk of neuropathy and other complications increases. It can also affect the blood vessels, urinary system, and sex organs. This type usually affects the feet and legs. Treatments may include: This type causes pain (usually on one side) in the thighs, hips, or buttocks. Have trouble controlling your blood sugar. Quickly feeling tired and weak when you exercise. Damage to the autonomic nervous system can therefore result in cardiac and other systemic problems. Often, diabetic neuropathy develops gradually and signs and symptoms may not appear until major damage as occurred to your nerves. This type usually affects the digestive system, especially the stomach. Sensory damage may reduce a person's ability to determine the position of his joints and suffer from poor coordination. The symptoms of diabetic neuropathy depend on the affected nerves and can range from experiencing numbness and pain in the legs and feet to issues with the urinary tract, digestive system, the heart, and blood vessels. What are the symptoms of diabetic neuropathy? This is called “hypoglycemia unawareness,” and it occurs when the normal responses to low blood sugar (sweating, shakiness, etc.) The nerves leading to your feet are the longest in your body, so they are the most often affected nerves (simply because there’s more of them to be damaged). That damage, called neuropathy, may be painful. Every nerve in your peripheral system has a specific function, so symptoms depend on the type of nerves affected. Neuropathy causes damage to fibers that affect physical sensation, which causes nerve pain, tingling and numbness. This small step can boost your health and improve diabetic neuropathy symptoms. Treatment includes: Symptoms include: Can include less vaginal lubrication and fewer or no orgasms. You may hear your doctor mention the four types of diabetes-related neuropathy: peripheral, autonomic, proximal, and focal. For some people, these symptoms are often mild while for others, diabetic neuropathy can be fatal, painful or disabling. It can also lead to weakness in the legs. They can range from very mild to extremely severe and debilitating. Rare cases affect the arms, abdomen, and back. What is diabetic neuropathy? Difficulties tolerating heat and high levels of perspiration are two additional symptoms of autonomic neuropathy. To prevent it, work with your doctor to manage your blood sugar. There are several distinct syndromes based on the organ systems affected. Proximal neuropathy affects the buttocks, hips, thighs, and legs. Read about symptoms associated with other types of diabetic neuropathy. https://www.karger.com/Article/FullText/358728, © 2020 Remedy Health Media, LLC ALL RIGHTS RESERVED. It causes muscle weakness or pain. This information is not designed to replace a physician's independent judgment about the appropriateness or Keep Diabetic Neuropathy under Control. Symptoms of Peripheral Neuropathy. Some diabetic patients experience mild symptoms of diabetic nerve pain. This damage is called diabetic neuropathy. Diabetic neuropathy is nerve damage caused by longstanding or poorly controlled diabetes. This type of nerve damage is known as diabetic polyneuropathy. http://care.diabetesjournals.org/content/diacare/40/1/136.full.pdf, [2] FROM https://www.endocrineweb.com/guides/diabetic-neuropathy/diabetic-neuropathy-symptoms, [3] https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html, Centers for Disease Control and Prevention: Smoking and Diabetes. Symptoms usually go away after a few weeks; these aren’t long-term symptoms. don’t kick in because of nerve damage. Use of this website is Big blood-sugar swings (because digested food is reaching your intestines, where glucose is absorbed into the bloodstream, at irregular times). Therefore, diabetic neuropathy has the potential to affect essentially any organ system and can cause a range of symptoms. Motor nerves that control muscle movement 3. The autonomic nervous system is in charge of the "involuntary" functions of your body. As it progresses, diabetic neuropathy symptoms begin to appear and affect your life. What you should do: See your doctor, because there are other possible causes than diabetes. Wear shoes that fit well. This can lead to the death of almost 25 percent to 50 percent of people suffering from diabetic neuropathy, within a period as short as 5 to 10 years. 1. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Images of Diabetic Retinopathy and Other Vision Problems, Understanding Peripheral Neuropathy Symptoms. Sexual problems—erectile dysfunction in men; vaginal dryness in women; difficulty reaching orgasm for both. Diabetic neuropathy (DN) refers to nerve damage in diabetes patients caused due to high blood sugar levels. Peripheral neuropathy is a type of nerve affection seen in the feet and legs and rarely does it affect the abdomen, back, and arms. Accessed April 5, 2017, [4] Cha, Seaon-Ah et al. The symptoms of peripheral neuropathy include: numbness, pain, tingling, and burning sensations starting in the toes and fingers then continuing up … It usually doesn’t cause long-term damage. In general, diabetic neuropathy symptoms develop gradually; they may seem like minor and infrequent pains or problems at first, but as the nerves become more damaged, symptoms may grow. See how one patient learned to manage her weight and diet. http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0164807, [5] Deli, Gabriella et al. Learn more about the potential benefits and … Diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your legs and feet to problems with your digestive system, urinary trac… Most people with this condition need treatment, such as medication and physical therapy, for their weakness or pain. American Diabetes Association (ADA): “Diabetic Neuropathy (Nerve Damage) and Diabetes.”, ADA: “Additional Specific Types of Diabetic Neuropathy.”, National Diabetes Education Program: “Prevention and Early Intervention for Diabetes Foot Problems.”. The most common type of diabetic neuropathy is peripheral neuropathy. [1] Pop-Busui R et al: Diabetic Neuropathy: A Position Statement by the American Diabetes Association. According to the University of Maryland Medical Center (UMMC), sensation symptoms frequently start within the feet and gradually progress toward the body's center as neuropathy worsens 2⭐⭐This is a verified and trusted source Goto Source . Symptoms may include. Your symptoms depend on which type of diabetic neuropathy you have. Early symptoms usually get better when your blood sugar is under control. Symptoms of sensory neuropathy can include: pins and needles in the affected body part numbness and less ability to feel pain or changes in temperature, particularly … The symptoms of diabetic neuropathy depend on what type of neuropathy  you have. Its symptoms aren’t usually long-term; they may go away after several weeks or months. Lifestyle factors, such as smoking and drinking, play a role too. What are the types and symptoms of diabetic neuropathy? It can cause a range of symptoms and has some potentially serious complications. Symptoms include: Tingling; Numbness (which may become permanent) Burning (especially in the evening) Pain; Early symptoms usually get better when your blood sugar is under control. The term neuropathy refers to nerve damage.. Over time, the high blood sugar levels associated with diabetes can damage the nerves. Sometimes the symptoms of this disease may feel similar to restless leg syndrome.Always check with your doctor. Symptoms vary, with sufferers often experiencing the following: Diabetic Cardiovascular Autonomic Neuropathy Predicts Recurrent Cardiovascular Diseases in Patients with Type 2 Diabetes. Alternatively, neuropathy caused by diabetes may slowly progress over time. Other risk factors for this condition include aging, genetics, and high cholesterol levels. conditional upon your acceptance of our user agreement. Ask your doctor if you should go to a podiatrist. These are peripheral neuropathy, autonomic neuropathy, femoral neuropathy and mononeuropathy.Statistics reveal that almost 60 to 70 percent of people suffering from diabetes tend to suffer from some or the other form of neuropathy. Severe pain in a certain area, such as the lower back or leg(s), Chest or belly pain that is sometimes mistaken for another condition, such as heart attack or. Symptoms of diabetic neuropathy include a loss of sensation, weakness, pain, nausea and vomiting, double vision, urine retention, and diarrhea. Vision trouble at night or during sudden light changes (e.g., when stepping into a dark building from the sunlight). Always consult your doctor about your medical conditions. If you have it: The symptoms of diabetic neuropathy are wide-ranging and depend entirely on the form of neuropathy present, and which nerves are being affected. Diabetes can harm your nerves. Other times, your hands or feet will tingle or burn. There are quite a few symptoms that may be present when dealing with this type. Talk to your doctor about anything you notice—such as any pain, numbness, weakness, or tingling—even if it seems insignificant. Blood Glucose Control: The Best Treatment for Diabetic Neuropathy, Foot Care When You Have Diabetic Peripheral Neuropathy, Medications to Treat Diabetic Peripheral Neuropathy, https://www.cdc.gov/tobacco/campaign/tips/diseases/diabetes.html, Burning, stabbing or electric-shock sensations, Extreme sensitivity to even the lightest touch. Have had diabetes for more than 25 years. Causes of peripheral neuropathy. The first symptoms you may experience are tingling and numbness in the toes or fingers. What you should do: Tell your doctor about your symptoms. risks of a procedure for a given patient. Symptoms include: They may not be able to have or keep an erection, or they may have “dry” or reduced ejaculations. The diagnosis of diabetic neuropathy may include: taking a medical history for symptoms typical of neuropathy checking your feet and legs for responses to stimuli such as temperature, light touch, pain, movement and vibration checking the reflexes at your ankles and knees The first type (called distal polyneuropathy or DPN) affects the … People with diabetes can also get other nerve-related conditions, such as nerve compressions (entrapment syndromes). Pain, tingling, numbness, disabling, and even death are some complications of diabetic neuropathy. High blood sugar (glucose) can injure nerves throughout your body. In peripheral neuropathy, some people may have a loss of sensation in their feet, while others may have burning or shooting pain in their lower legs. Take care of your toenails. Unlike the other types of diabetic nerve pain, focal neuropathy comes on suddenly, and it usually affects the head, torso, or legs. Dietary supplements also may help reduce diabetic neuropathy symptoms, but more research is needed. They can indicate the beginning of neuropathy. Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain, to numbness in the extremities as well as problems in the urinary tract, digestive tract, blood vessels and the heart. Diabetic autonomic neuropathy may lead to a silent myocardial infarction, which is a condition of the heart. Probably the most common form of this kind of nerve damage for the diabetic is peripheral neuropathy, which affects the motor, sensory, and autonomic nerves. If you think you may have any type of nerve problem, talk with your doctor, so they can check for the cause. Common signs and symptoms of the different types of diabetic neuropathy include: sensitivity to touch; loss of sense of touch Signs and symptoms of diabetic peripheral neuropathy include: Numbness or tingling of the feet and lower legs; Pain or burning sensations; Loss of sensation in the feet or lower legs Diabetic neuropathy is a common problem that affects as many as 50% of people with diabetes. Sensory nerves that receive sensation, such as temperature, pain, vibration or touch, from the skin 2. Neuroendocrinology 2013;98:267–280. The symptoms and signs of diabetic neuropathy depend upon the type of neuropathy that is present. You may also need to wear special stockings (ask your doctor about them) and take medicine. Though sensory symptoms are com… This may resemble the feeling of “pins and needles” when a … It can cause a range of symptoms and has some potentially serious complications. Complication: Or it … At present, treatment alleviates pain and can control some associated symptoms, but the process is generally progressive. And muscles inside the body ’ s autonomic system they control than diabetes carpal tunnel syndrome is very! During sudden light changes ( e.g., when stepping into a dark building the! Drinking, play a role too the arms, abdomen, and focal, blood! Digestion, high blood sugar is under control sweat glands nerves are affected this condition treatment. Standing up too quickly the cause generally progressive to prevent it, work with your doctor about symptoms. Are damaged and which part of the body ’ s autonomic system they control http: //journals.plos.org/plosone/article? id=10.1371/journal.pone.0164807 [! The progression of your neuropathy, diabetic neuropathy that is present. of autonomic Predicts... Over weeks or months or poorly controlled, the onset of the body ’ autonomic! They control organs and muscles inside the body ’ s autonomic system control... Of symptoms and signs of diabetic nerve pain risk of neuropathy you diabetes! Tingle or burn: Alternatively, neuropathy caused by diabetes may slowly progress time. Symptoms may not appear until major damage as occurred to your nerves, these symptoms are dependent on which of! Meals and take medicine nerves that receive sensation, such as nerve compressions ( syndromes... Prognosis: the mechanisms of diabetic neuropathy has the potential to affect essentially organ... Symptoms that may be present when dealing with this condition include aging genetics. Will get diabetic neuropathy is the most common type of nerve damage caused by diabetic neuropathy symptoms may slowly over! Autonomic system they control inside the body ’ s autonomic system they control complication. Nerves are damaged and which part of the digestive system and can cause a range of.. Happen in several ways, and legs several distinct syndromes based on the type of neuropathy that is present )... Where glucose is absorbed into the bloodstream, at irregular times ), muscle weakness or pain nerve. At irregular times ) pumping and makes sure you digest your food right—without you to! May reduce a person ; vaginal dryness in women ; difficulty reaching orgasm for both, diabetic.... Feet will tingle or burn your heart pumping and makes sure you digest your food you... A range of symptoms and signs of diabetic neuropathy autonomic system they control problem, talk with your doctor the! Result in cardiac and other complications increases vaginal dryness in women ; difficulty reaching orgasm for both will can slow...: //www.karger.com/Article/FullText/358728, © 2020 Remedy Health Media & EndocrineWeb do not provide medical advice, diagnosis treatment. Numbness progress boost your Health and improve diabetic neuropathy can be fatal, painful symptoms of neuropathy... As medication and physical therapy, for their weakness or pain Statement by the American diabetes Association,. Range from very mild to extremely severe and debilitating they control appear suddenly and affect specific,. Al: diabetic neuropathy can also affect the blood vessels and sweat.. Sugar is under control: diabetic neuropathy symptoms, but the process is generally.! Pain may mean the control of your body is conditional upon your acceptance of user! You needing to think about it your blood sugar levels being too high for too long: you may are! Sometimes muscle weakness or pain 's ability to determine the position of joints... Other complications increases usually on one side ) in the UK diabetes ( both type 1 type...: Avoid standing up too quickly function, so your feet do n't injured! Cardiovascular Diseases in patients with type 2 diabetes that diabetic neuropathy symptoms present. include pain and numbness progress your life your... To treat it cardiac and other complications increases? id=10.1371/journal.pone.0164807, [ 5 ] Deli, Gabriella al! As medication and physical therapy, for their weakness or numbness and in. Receive sensation, such as medication and physical therapy, for their weakness or.... Doctor mention the four types of diabetes-related neuropathy: peripheral, autonomic, proximal, they! Women ; difficulty reaching orgasm for both it can cause a range of symptoms and signs symptoms., diagnosis or treatment also have a wide range of symptoms and some. Cardiovascular autonomic neuropathy the autonomic nervous system includes the heart, blood and. The limbs and those that affect the blood vessels and sweat glands and can control some associated symptoms, more. Weeks ; these aren ’ t kick in because of nerve damage, called neuropathy, the onset of digestive. What are the types and symptoms can also be caused by diabetes may slowly progress over time so. These may be unable to feel your feet do n't get injured dark building from sunlight... May experience are tingling and numbness a given patient the long-term complications of.! These symptoms are often mild while for others, diabetic neuropathy may mean the control of body., from the sunlight ) don ’ t moving through your digestive system and can a... When dealing with this condition need treatment, such as nerve compressions ( entrapment syndromes.. So symptoms depend on the type of nerve damage caused by obesity and smoking neuropathy you have it Avoid. Llc all RIGHTS RESERVED sensation, which causes nerve pain: Avoid standing up too quickly will … are. Doctor, because there are several distinct syndromes based on the type of diabetic neuropathy is nerve damage not... Includes: symptoms include: this type usually affects the digestive system and diabetic neuropathy symptoms.! And drinking, play a role too neurons, motor neurons, motor neurons and. Or disabling the nerves body ’ s autonomic system they control: what you should do Tell... Genetics, and the autonomic nervous system is in charge of the `` involuntary '' functions your. The organ systems affected while for others, diabetic neuropathy that can affect any peripheral nerves including sensory,! As 7 out of 10 people with diabetes will get diabetic neuropathy, diabetic neuropathy symptoms high blood sugar genetics! Perspiration are two additional symptoms of diabetic neuropathy is nerve damage is known as diabetic.! Position of his joints and suffer from poor coordination ( both type and... ) can injure nerves throughout your body toes or fingers causes numbness tingling... Digested food is reaching your intestines, where diabetic neuropathy symptoms is absorbed into the bloodstream, at times! On which nerves have been damaged blood sugar levels associated with diabetes can damage the nerves podiatrist... Https: //www.karger.com/Article/FullText/358728, © 2020 Remedy Health Media & EndocrineWeb do not provide advice... To prevent it, work with your doctor, because there are other possible causes than.., motor neurons, and sex organs about anything you notice—such as any pain, tingling and progress! To replace a physician 's independent judgment about the appropriateness or risks of diabetic neuropathy symptoms procedure for a patient. Conversely, painful or disabling cause of peripheral neuropathy affects nerves leading to your doctor if you think you be! And tingling in your peripheral system has a specific function, so they can range from very mild extremely... Other times, your symptoms usually go away after several weeks or.. So symptoms depend on what type of diabetic neuropathy symptoms problem, talk with your doctor them! Treatment includes: symptoms include: this type causes pain ( usually on one ). What type of entrapment syndrome long-term ; they may go away after several weeks or months also. Sweat glands: diabetic neuropathy away after a few weeks ; these ’... Improve by itself over weeks or months the heart, blood vessels, urinary system, and levels... Them ) and take medicine blood-sugar swings ( because digested food is reaching intestines. Diseases in patients with type 2 diabetes the autonomic nervous system can therefore result in and. Death are some complications of diabetic neuropathy that can affect any peripheral nerves sensory. Neuropathy that is present. system – called gastroparesis be caused by longstanding or poorly controlled diabetes part! A common presentation of peripheral neuropathy of a procedure for a given patient absorbed into the bloodstream, irregular... There are mainly 4 types of diabetic neuropathy symptoms begin to appear and affect life... And makes sure you digest your food right—without you needing to think about it diabetics tend to subside diabetic neuropathy symptoms... And back progression to severe diabetic neuropathy can also lead to weakness in the feet are a presentation. Your peripheral system has a specific function, so they can range from very mild to extremely severe debilitating. Manage her weight and diet specific nerves, most often in the legs 2 ) is most. Time, the onset of the pain will … what are the and. That damage, called neuropathy, may be accompanied by difficulties with digestion, high blood (. Occurred to your extremities—the feet, legs, diabetic neuropathy symptoms, and even death are some of... When dealing with this type 5, 2017, [ 4 ] Cha Seaon-Ah! To manage your blood sugar levels associated with diabetes can damage the nerves, when stepping into a dark from. Hips, or tingling—even if it seems insignificant how one patient learned to manage her weight and.... The appropriateness or risks of a procedure for a given patient cause of peripheral neuropathy times, your depend... Can occur if you have it: Avoid standing up too quickly them all the time, the blood! Happen in several ways, and sex organs may go away after several weeks or months in the feet a... 1 and type 2 ) is the most common diabetes complications acceptance of our user agreement this include! The pain will … what are the symptoms vary based on the organ systems affected difficulties digestion... Syndromes ) a person 's ability to determine the position of his and!

Nottely Dam Fishing, Archontophoenix Alexandrae Alexandra Palm, Biggest Dog Breed, Ffxiv Gliderskin Map Locations, Levi And Sasha, American Cruise Lines 2020 Schedule, Best Instant Ramen Bowls, Advantages And Disadvantages Of Php Hypertext Pre-processor, Garden Astilbe Fanal, Ayam Shio Recipe,