AD, is fatal.  AD, can be fatal. You should learn as much about AD as you 
can.  This is most important if you are having episodes of this condition. 
Bowel and Bladder can be blamed for most of it, but other conditions can bring 
on AD.

But since you have mentioned that you have had issues with bladder and 
bowel, I will go with that direction.  You should drive plenty of good water 
each day and your bladder should be completely voided or emptied each 4-6 
hours, with no exceptions.  Depending on your diet and how much you consume, 
you 
may wish to consider a daily bowel program, either digital or with 
supplements.

Now you stated that you have been a Quad for a number of year and I'm sure 
that both bladder management and bowel programs were discussed with you at 
sometime in the past.  If this is so, its time to get back to basics with 
both programs.

Your bowel and bladder, both have nerves and muscle.  Taking any form of 
muscle relaxant with affect all of your muscles and nerves, including your 
bowel and bladder.  If you are mixing spirits and other drugs, along with your 
RX meds you will have problems.

Based on what you have written, you might consider a clean sweep of your 
bowels.  You might ask your doctor about having your bladder examined and 
ultra sound to determine any abnormalities.

Bowel and Bladder Management is important to your health.  When done 
properly, under normal conditions, you should have fewer episodes of AD, and 
better health.
I wish you the best.

Best Wishes</HTML>

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