Re: Re: Frequency of bloodwork and general monitoring

[Guest guest]

drink water.

Preferably before this happens.

When sweating stops you can die in an hour or so from heat stroke if

it is hot.

On May 28, 2008, at 4:46 AM, constellationmike wrote:

> Val,

>

> I get a headache and stop perspiring when I'm dehydrated.

>

> Mike

>

> Dr. Grim,

>

> What is the recommended treatment protocol for this condition? Is it

> in one of your papers?

>

> Thanks,

>

> Mike

[Guest guest]

I've been wondering lately if I'm dehydrated because my urine's a little

dark. If I drink any more than about 50 oz/day, I'm up and down all night.

Even on 50 oz, I'm up once or twice anyway. I'm on 150 mg of spiro and my

bp is running 120/75.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of constellationmike

I get a headache and stop perspiring when I'm dehydrated.

Mike

Dr. Grim,

What is the recommended treatment protocol for this condition? Is it

in one of your papers?

Thanks,

Mike

[Guest guest]

I would let thirst drive my drinking (water etc).

50 oz is a lot a day.

How many quarts is that.

The purpose of the kidney is to excrete a concentrated urine.

On May 28, 2008, at 11:12 AM, Valarie wrote:

> I've been wondering lately if I'm dehydrated because my urine's a

> little

> dark. If I drink any more than about 50 oz/day, I'm up and down all

> night.

> Even on 50 oz, I'm up once or twice anyway. I'm on 150 mg of spiro

> and my

> bp is running 120/75.

>

> Val

>

> From: hyperaldosteronism

> [mailto:hyperaldosteronism ] On Behalf Of

> constellationmike

>

> I get a headache and stop perspiring when I'm dehydrated.

>

> Mike

>

> Dr. Grim,

>

> What is the recommended treatment protocol for this condition? Is it

> in one of your papers?

>

> Thanks,

>

> Mike

>

>

[Guest guest]

Gee, that's good. I always thought I wasn't drinking enough water. I guess

I've had unconcentrated urine for so long I don't know what normal is. 50

oz = about 1.56 qts. = 1.48 liter

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

I would let thirst drive my drinking (water etc).

50 oz is a lot a day.

How many quarts is that.

The purpose of the kidney is to excrete a concentrated urine.

[Guest guest]

Guess 50oz is not so much.

Clarence E. Grim, BS, MS, MD

On Wednesday, May 28, 2008, at 09:16PM, " Valarie " <val@...> wrote:

>Gee, that's good. I always thought I wasn't drinking enough water. I guess

>I've had unconcentrated urine for so long I don't know what normal is. 50

>oz = about 1.56 qts. = 1.48 liter

>

>Val

>

>From: hyperaldosteronism

>[mailto:hyperaldosteronism ] On Behalf Of Clarence Grim

>

>

>I would let thirst drive my drinking (water etc).

>

>50 oz is a lot a day.

>

>How many quarts is that.

>

>The purpose of the kidney is to excrete a concentrated urine.

>

>

>

>

>

[Guest guest]

Given all the reading I've done, I don't think anyone can accurately look at

CT results and conclude much about PA. If you are over 40, it is very

likely you have benign lumps and bumps on your adrenals. The only way to

tell if one or both adrenals is over-producing is to get AVS. I think

someone should test you for GRA.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of constellationmike

After Dr Ball looked at my CT scan from last year he called me and gave his

opinion that

with both glands affected that the AVS isn't worth the trouble. Keep in mind

that my bp

on Spiro has settled to around 110/60. I just have many side effects.

I do have a family history of Adrenal problems. In the 1970's, my Dad had

adrenal

problems. I was very young at the time. My Mom used to say that he had

's and I

do remember that he took Cortisone pills. I did find out from one of my

older siblings

that he also took spiro. Is it possible that PA was teated with Cortisone in

addition to

spiro?? He had a massive heart attack at 48 and had another in his 50's. It

was after the

second that they said he had adrenal issues. He died in 1984 at age 65 from

congestive

heart failure.

[Guest guest]

Will see who I know in the area tonight.

On May 30, 2008, at 6:58 PM, constellationmike wrote:

> Dr Grim,

>

> Thanks for the info. I live in central Pa near Penn State

> University. If you can recommend

> someone it would be great. I have been reading your info on DASH.

> None of the Doctors

> involved in my care have ever brought this up associated with the

> PA. They talked about

> before I was diagnosed but I was told not to worry about it after I

> was diagnosed. I'm

> DASHing now!

>

> The Nephro that I was seeing did ask me about licorice. I don't eat

> any. What's really

> frustrating is that throughout the last 20 years that I have been

> treated for HBP, I was

> telling all of the Doctors that my Dad had adrenal issues and they

> told me that " it's so rare

> that there's no way you have it " . Finally, as a last resort, they

> tested me.

>

> Mike

>

> >

> > You need to find a Dr who is experienced in treating PA and this is

> > not often an Endo or a Nepho but someone who specializes in

> > Hypertension. Where do you live? I might be able to find someone I

> > know to send you to.

> >

> > If BP and K are controlled I would begin by doing a 24 hr urine for

> > Na and K to see how well you are DASHing.

> >

> > By DASHing to the max you can minimze the need for spiro or

> > eplerenone and therefore side effects.

> >

> > You can out salt both spiro and Inspra.

> >

> > I will be happy to speak or email correspond with your PCP if he is

> > willing to do so. But prob should find and expert who can also see

> > you from time to time.

> >

> > The only things that need to be monitored are BP and serum K and if

> > doing well this needs to be done only every 3 months or longer.

> >

> > I assume they have recommended the DASH as well.

> >

> > Did anyone you have seen yet asked if you eat licorice? If not you

> > have not really been seen by a HTN expert.

> >

> > IMHO.

> >

> >

>

>

[Guest guest]

deoderant stops under arms not elsewhere. If you get hot you need to

sweat.

On May 31, 2008, at 1:58 PM, mmcandmcc wrote:

> I thought this was just a side effect of the Spiro. I don't sweat

> anymore and gave up wearing deoderant months ago since I don't

> perspire. Should I be freaking out about now?

>

>

>

>

> >

> > > Val,

> > >

> > > I get a headache and stop perspiring when I'm dehydrated.

> > >

> > > Mike

> > >

> > > Dr. Grim,

> > >

> > > What is the recommended treatment protocol for this condition? Is

> it

> > > in one of your papers?

> > >

> > > Thanks,

> > >

> > > Mike

> >

> >

> >

> >

[Guest guest]

s is a different disease if this is what your father had.

On May 30, 2008, at 6:58 PM, constellationmike wrote:

> Dr Grim,

>

> Thanks for the info. I live in central Pa near Penn State

> University. If you can recommend

> someone it would be great. I have been reading your info on DASH.

> None of the Doctors

> involved in my care have ever brought this up associated with the

> PA. They talked about

> before I was diagnosed but I was told not to worry about it after I

> was diagnosed. I'm

> DASHing now!

>

> The Nephro that I was seeing did ask me about licorice. I don't eat

> any. What's really

> frustrating is that throughout the last 20 years that I have been

> treated for HBP, I was

> telling all of the Doctors that my Dad had adrenal issues and they

> told me that " it's so rare

> that there's no way you have it " . Finally, as a last resort, they

> tested me.

>

> Mike

>

> >

> > You need to find a Dr who is experienced in treating PA and this is

> > not often an Endo or a Nepho but someone who specializes in

> > Hypertension. Where do you live? I might be able to find someone I

> > know to send you to.

> >

> > If BP and K are controlled I would begin by doing a 24 hr urine for

> > Na and K to see how well you are DASHing.

> >

> > By DASHing to the max you can minimze the need for spiro or

> > eplerenone and therefore side effects.

> >

> > You can out salt both spiro and Inspra.

> >

> > I will be happy to speak or email correspond with your PCP if he is

> > willing to do so. But prob should find and expert who can also see

> > you from time to time.

> >

> > The only things that need to be monitored are BP and serum K and if

> > doing well this needs to be done only every 3 months or longer.

> >

> > I assume they have recommended the DASH as well.

> >

> > Did anyone you have seen yet asked if you eat licorice? If not you

> > have not really been seen by a HTN expert.

> >

> > IMHO.

> >

> >

>

>