Sweating

[Guest guest]

Dr. Grim,

I had one of those sweating incidents yesterday and just happened to

take my bp just before it started. My bp was 169/74 Pulse 78.

The " hot flash " started just before the bp monitor finished reading.

I checked my bp about 10 minutes later and it ws 168/74. That is at

least the third time I have noticed that. If I start checking my bp

when the hot flash starts, it is usually good. It seems like the bp

jumps up then goes down when the hot flash starts. I have them

several times a day and at night. I can't tolerate heat and keep my

house at about 66 deg in the daytime and am usually quite comfortable

in a tee shirt. At night, I turn my heat up to about 68 because my

bedroom and bath are in the NW corner of the house and colder than

the rest of the house. I always sleep with the ceiling fan on and

when I get hot at night, I turn on a second fan that is blowing

directly on my head. Sometimes at night, they will last an hour or

more. Warmer temp-ereratures make the hot flashes happen more

frequently. Sometimes in warm weather, I have to hold a cold wet

cloth to the back of my head to get them to stop. I do not have

headaches with them. When I am off of spiro, they are more frequent

and severe and I do feed my heart pounding. My latest aldo level is

20 and renin is .9 and I know you think that I have PA but I don't.

My also is suppressed by saline and I was told that meant it wasn't

caused by a tumor, but no one told me what could be causeing it. I

asked this new endo what could cause it and he said sometimes it is

caused by diuretics. That makes sense to me because regular

diuretics (even potassium-sparing) make my bp jump up. Also, when I

had my first BP crisis, both K and NA were at the bottom of the

range. Spiro does not control my bp but when I am off of it, BP is

much worse. Every time my aldo is tested, it is after I was taken

off of spiro and given other diuretics. The endo referred me to a

surgeon and I have an appointment for Apr 26. Before I do any more

testing, I will have PTH surgery and see what that cures.

Fran