Confusing AD??? HELP

[DOREEN]

Someone I know has been experiencing AD for quite some time. It usually happens when he lays down in bed......chills, sweating, clammy and blotchy. There's no UTI, no pressures sores......??? Any ideas?? He is a c4/5 quadriplegic and has a suprapubic catheter. Thanks

Doreen

[justadildo]

welcome to the world of sci.....ad does'nt need a reason

[SCI-Nurse]

Most AD is from a reason...if you look hard enough.

Also, many people with have mild AD from something chronic (wrong cushion, catheter not draining right, etc.) but will only notice bad symptoms when laying down. This is because their usual orthostatic hypotesnion when sitting keeps the worst symptoms at bay...until they lay down.

Has he been evaluated for stones? Is his catheter properly inserted? Has he been evaluated for gall bladder problems? What is this person laying on? What is his blood pressure just before laying down and once he has the bad symptoms?

(KLD)

[justadildo]

smack me!....bad me!....my comment should have been: MY ad doesn't seem to need a reason to rear up, BUT, can be the 1st sign of a real problem.....and ACTUALLY, i should not have responded to the question at all, as it was'nt directed toward anyone but the sci nurses, my apologies....

[SCI-Nurse]

No problem at all responding to this. Your input is valued.

(KLD)

[rollin64]

also you could check for ingrown toenails. ;)

[paws2ink]

Please forgive me for asking, :o . What is AD?:confused: I'm rather new at this, and haven't run across this before. (I feel stupid asking, but I want to know).

[SCI-Nurse]

AD = Autonomic dysreflexia.

Virtually all people with SCI who get this have spinal cord lesions at or above T7. It has been reported as low as T10, and it can occur in people with MS who have significant spinal cord lesions. While 80% get their first episode during their first year, I have seen several people who were 8-10 years post injury before they had their first attack.

The booklet from the Consortium for Spinal Cord Medicine is the best resource:
http://www.pva.org/cgi-bin/pvastore/products.cgi?id=1

You can also look at these:
http://calder.med.miami.edu/pointis/automatic.html

http://www.apparelyzed.com/autonomic.html

http://www.northeastrehab.com/Articles/dysreflexia.htm

http://www.spinalcord.org/html/facts...ysreflexia.php

http://www.spinalcord.uab.edu/show.asp?durki=21426

http://www.sci-info-pages.com/ad.html

(KLD)

[Broknwing]

AD = Autonomic dysreflexia.
Virtually all people with SCI who get this have spinal cord lesions at or above T7. It has been reported as low as T10, and it can occur in people with MS who have significant spinal cord lesions. While 80% get their first episode during their first year, I have seen several people who were 8-10 years post injury before they had their first attack.


There are a few of us here with T12/L1 level injuries that have experienced AD symptoms as well....It's been discussed a few times as to how low an injury can really be and experience AD, b/c there are a few of us that aren't "supposed" to get it that seem to have some issues as well....

[keps]

AD = Autonomic dysreflexia.

Virtually all people with SCI who get this have spinal cord lesions at or above T7. It has been reported as low as T10, and it can occur in people with MS who have significant spinal cord lesions. While 80% get their first episode during their first year, I have seen several people who were 8-10 years post injury before they had their first attack.


(KLD)


I met a c5/c6 quad in rehab. He was an old patient, who had come back for some treatment. He told me he had had his first attack of ad 10 years after his injury!

I had my first attack 6 months after injury.

[paws2ink]

AD = Autonomic dysreflexia.


You can also look at these:
http://www.sci-info-pages.com/ad.html

(KLD)


KLD, THANK YOU for this great information. Scary! One more thing to worry about.