I was experiencing some severe fatigue problems over the last three or four weeks and I now believe it's because my blood pressure has been spiking up and I wasn't aware of it. Earlier this week I got a slight headache, so I decided to have my PCA checked the BP and it was 140/94, but it ended up going out to 160/103.
The problem is I knew my bladder was okay and my bowels had just been indeed the night before, so we checked the skin, look for any possible infection sites, made sure I had no ingrown toenails or any other thing that causes autonomic dysreflexia (AD). After being totally flummoxed, I had the PCA but the nitrogen gel on me to lower the BP and then we irrigated the bladder. The blood pressure stayed up for a while and then eventually dropped. The main problem is my BP continues to spike every morning and I have gotten to the point where I don't even have a headache any longer when my BP is pretty high. I went in to see the doctor and explained what was going on. He was thinking that this might be the same thing I thought, bladder stones. I have had a history of bladder stones, so I had called in earlier trying to get a sonogram schedule. Well, the sonogram was today and it showed no stones in the bladder, gallbladder and a very small calcification in the left kidney, but it's not obstructing anything. I probably forgot to mention that I am having bladder discomfort, but is not associated with a UTI (they discounted this during the Tuesday clinic visit) or bladder stones. I have a suprapubic and normally have no problem with it, however, lately I have been having a lot more discharge around the stoma and even a little bit of blood every other day or so. My bowels do cause me discomfort, but I don't think it's enough to actually put me into AD. They have in the past caused AD, but I have pretty good sensation in the bowels and the bladder. Anyway, I would like to hear any of your thoughts about what might be causing my BP to spike every morning. I have occasionally had problems in the wheelchair, but thankfully it's not producing AD. Thanks for your feedback, Quadius

