mercredi 18 novembre 2015

Autonomic dsyreflexia

T-4 complete, 35 years post-injury.

I was never bothered with AD until this year. Then, boom, I started getting it. I've had a cystoscopy and urodynamics study done in August which found nothing. During the course of the past year it has struck at seemingly random times. On bowel care days, off them, full bladder, nearly empty bladder, naked, clothed, after meals, before meals, morning, noon and night. I had a colonoscopy and AD wasn't triggered (and it indicated I'm in fine shape).

I went to the Dallas VAMC SCI Clinic just nine days ago. I was given a KUB, EKG, blood and urine workups. The doctor called back that afternoon to tell me they found no stones and things looked "fine." My "unconfirmed copy" of my EKG says "Sinus tachycardia, Left posterior fasicular block, Abnormal ECG." I requested the EKG after complaining about an irregular heartbeat: When using my Ozeri CardioTech Digital Blood Pressure Monitor w/Arm Cuff it would skip one or two beeps when reflecting my heart rate. While I understand that the Ozeri is not medical-grade equipment, it does indicate that periodically my heart rate seems a bit irregular. When I was first injured I was diagnosed with a BPVC, but that spontaneously resolved.

I have gone through three months this year with no AD; I've gone though a couple of months with only a single episode. Then there are months where I hit the jackpot and have several episodes, typically spaced days apart. On only two occasions have I been able to determine a probable cause; once removed, the BP lowered to my normal value.

I am a vegetarian, drink distilled water (with a dollop of lemon juice and D-Mannose) and exercise regularly. I don't smoke, don't drink and I get a good night's sleep. I use no prescription medication apart from nitro ointment.

Earlier this year my doctor prescribed nitrogylcerin ointment for treating the elevated BP and that has kept me out of the ER (and Baylor Grapevine does not know how serious AD is, despite patient explanations). That ointment just knocked down my 161/110 to a more reasonable 118/75 in a little over 30 minutes.

I have tried hard to determine the cause of my AD but I am completely baffled.


Autonomic dsyreflexia

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