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

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