Re: new here and just had testing

[Guest guest]

No likely to confuse accessory spleen. All adrenal adenomas start as one cell "tumors". Indeed start thAt wAy. Only when they get big enough can they be seen. But the bichemicAl changes begin immediately and build up. See my article on evolution of PA and take to ur dr. If u have PA Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 13, 2009, at 1:29 PM, shepelec2002 <pscs@...> wrote:

Hi

I am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.

I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).

Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".

An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.

She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.

I will have results on Monday.

If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.

How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??

I am hoping that it isn't any tumor, because I am petrified of surgery.

I will know more on Monday with my bloodwork.

[Guest guest]

So are you saying that the radiologist was correct in reading my CT Scan with contrast correctly? That this really is an accessory spleen?

But if my blood tests come back positive for PA, she said she is going to send me for an abdominal MRI. So something new could have popped up since 2007? Would an abdominal MRI or CT Scan now show an adrenal adenoma? Is that how they are found?

BUT, I did have low potassium AND high blood pressure in 2007 as well. They attributed my low potassium then(level of 3.5) to me being severely ill.(I was throwing up and not eating for days).

I have an excellent Dr. and as soon as I mentioned PA to her she immediately agreed to Urine and Blood test. She is very thorough and I am thankful for this. She seemed to have been quite well versed on it. She only stated about my Accessory Spleen diagnosis as "something to just keep in the back of my mind".

She is doubtful I have PA, but nonetheless, wanted to check for it.

I will have blood results on Monday.

Thank you

In a message dated 11/13/2009 7:34:48 P.M. Eastern Standard Time, lowerbp2@... writes:

No likely to confuse accessory spleen. All adrenal adenomas start as one cell "tumors". Indeed start thAt wAy. Only when they get big enough can they be seen. But the bichemicAl changes begin immediately and build up. See my article on evolution of PA and take to ur dr.

If u have PA

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 1:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

In a message dated 11/13/2009 7:34:48 P.M. Eastern Standard Time, lowerbp2@... writes:

No likely to confuse accessory spleen. All adrenal adenomas start as one cell "tumors". Indeed start thAt wAy. Only when they get big enough can they be seen. But the bichemicAl changes begin immediately and build up. See my article on evolution of PA and take to ur dr.

If u have PA

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 1:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

In a message dated 11/14/2009 10:50:55 A.M. Eastern Standard Time, val@... writes:

Hi calcium can be indicative of hyperparathyroidism. You need calcium and parathyroid hormone tested out of the same blood draw. I've had a parathyroid adenoma removed and also have PA. I don't think they're related.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

[Guest guest]

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

Hi calcium can be indicative of hyperparathyroidism. You need calcium and parathyroid hormone

tested out of the same blood draw.

I've had a parathyroid adenoma removed and also have PA. I don't think they're related.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of pscs@...

Would having a high Calcium

count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it

have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to

drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray,

neg for lung cancers, mammogram, negative for breast cancers, and I am only 42.

And GFR Blood test normal for Kidney function.

[Guest guest]

That is good. Over

time, high calcium is awful!

Regarding your urine test, I believe it should be a 24-hour urine and

include catecholamines,

aldosterone, sodium, cortisol, etc?

I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now

normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as

well for thyroid.

Not sure why it showed

high on Tuesday(11.2), but all is normal now.

[Guest guest]

This was the first time it has ever been high. All my other bloodwork for Ca++ has been normal. And the number they got this time, was just about the same as the other number they got in 2008(9.6 which is normal).

What would be your explanation then? Keep in mind, had thyroid tested. Waiting on those results on Monday. I have no signs of Cancer that I am aware of, (A;ready had mammo and chest Xray)so if you are trying to scare me you are doing a good job of it :-(

In a message dated 11/14/2009 1:21:46 P.M. Eastern Standard Time, lowerbp2@... writes:

That is not a good explantion for a high Ca++

is this the first time it was high?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

Because it showed blood in my urine and that was a concern to them. They did not ask if I had my period or not. Plus, it was not a clean catch sample. It was therefore, full of bacteria. Again, the Dr on call stated that it was a "dirty" sample and he would have been treating me for a UTI not knowing what I just said to him. They are repeating the urinalysis when I am done menstruating.

In a message dated 11/14/2009 1:52:48 P.M. Eastern Standard Time, lowerbp2@... writes:

I am not sure what the Are testing that menstruation would change much. At least to do with the RAAS

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

Well, they do say that your labs can very from day to day, so I don't know. It was not a concern to the ER docs when they tested me and gave me the results, nor to my own Dr even though she retested me. I was on HCTZ which can raise calcium levels, but when I was retested I was still on HCTZ. But that was the first and only time my Ca levels were raised.

In a message dated 11/14/2009 1:56:30 P.M. Eastern Standard Time, lowerbp2@... writes:

Either lab error or mixup. Sounds like to me. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 9:01 AM, pscs@... wrote:

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

In a message dated 11/14/2009 10:50:55 A.M. Eastern Standard Time, val@... writes:

Hi calcium can be indicative of hyperparathyroidism. You need calcium and parathyroid hormone tested out of the same blood draw. I've had a parathyroid adenoma removed and also have PA. I don't think they're related.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

[Guest guest]

That is not a good explantion for a high Ca++is this the first time it was high?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

I am pleased to say that with only .05 mg of lisinoprol, I have had terrific BP all day, averaging 133/80 to 124/82. This is down from average of 157/94- 140/92.

YAY!!

In a message dated 11/14/2009 2:25:10 P.M. Eastern Standard Time, lowerbp2@... writes:

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

Speaking of urine testing I have an old way to test your own urine for Cl which because most Cl comes from NaCl can be used to test for DASH adherence. It requires one to tAke an aliquot of urine and the and a few drops of one solution and then add another a drop at a time until the color changes. The number of drops is the converted into how much salt u have been eAting. Sort of like testing pool Chemicals.Would be interested how many would use such a test if I could put the solutions together and mail them to you. Don't know cost yet. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 14, 2009, at 10:51 AM, Valarie <val@...> wrote:

That is good. Over

time, high calcium is awful!

Regarding your urine test, I believe it should be a 24-hour urine and

include catecholamines,

aldosterone, sodium, cortisol, etc?

I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now

normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as

well for thyroid.

Not sure why it showed

high on Tuesday(11.2), but all is normal now.

[Guest guest]

I don't know, but only time will tell. But I can tell you that I have not had any brain chugs, or tingling lips all day. I was attributing this to my withdrawal from Effexor XR back at the end of July. But if diuretic is still in system and BP creeps up, then I know I need diuretic to keep under control.

Hoping not PA, but bloodwork will tell for sure.

I am sort of DASHing, I fall off the wagon sometimes. I do not use table salt any longer, and never touch junk food.

My downfall is sugar :-(

In a message dated 11/14/2009 6:37:44 P.M. Eastern Standard Time, lowerbp2@... writes:

Suggests u do not have PA OR DIuretic effects still present.

Or r u DASHING AS WELL?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:34 PM, pscs@... wrote:

I am pleased to say that with only .05 mg of lisinoprol, I have had terrific BP all day, averaging 133/80 to 124/82. This is down from average of 157/94- 140/92.

YAY!!

In a message dated 11/14/2009 2:25:10 P.M. Eastern Standard Time, lowerbp2mac writes:

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

I am not sure what the Are testing that menstruation would change much. At least to do with the RAASTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

Either lab error or mixup. Sounds like to me. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 14, 2009, at 9:01 AM, pscs@... wrote:

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

In a message dated 11/14/2009 10:50:55 A.M. Eastern Standard Time, val@... writes:

Hi calcium can be indicative of hyperparathyroidism. You need calcium and parathyroid hormone tested out of the same blood draw. I've had a parathyroid adenoma removed and also have PA. I don't think they're related.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

[Guest guest]

time of day was different. In the Emergency room it was 7:30 at night, the Ca level was 11.2 . Next blood draw was 3 days later at 12:00 noon and level was norm 9.6. I had not eaten yet the day it was normal. The day in the ER I had eaten a large late lunch around 1:30, consisting of a verggie ommellette , wheat toast and OJ. So maybe that is why?

In a message dated 11/14/2009 6:39:11 P.M. Eastern Standard Time, lowerbp2@... writes:

Chart it up to biological variation. Were u fasting sometimes or did time of daydiffer?

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:10 PM, pscs@... wrote:

Well, they do say that your labs can very from day to day, so I don't know. It was not a concern to the ER docs when they tested me and gave me the results, nor to my own Dr even though she retested me. I was on HCTZ which can raise calcium levels, but when I was retested I was still on HCTZ. But that was the first and only time my Ca levels were raised.

In a message dated 11/14/2009 1:56:30 P.M. Eastern Standard Time, lowerbp2mac writes:

Either lab error or mixup. Sounds like to me. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 9:01 AM, pscs@... wrote:

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

In a message dated 11/14/2009 10:50:55 A.M. Eastern Standard Time, val@... writes:

Hi calcium can be indicative of hyperparathyroidism. You need calcium and parathyroid hormone tested out of the same blood draw. I've had a parathyroid adenoma removed and also have PA. I don't think they're related.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

[Guest guest]

He said it was "dirty". I have no symptoms of a UTI unless one is coming on...LOL. Will do mid stream next time.

In a message dated 11/14/2009 6:42:13 P.M. Eastern Standard Time, lowerbp2@... writes:

Well it was either dirty or u have a bad UTI. would have been best to ask u first if u had sx or menses. From now on always do at least mid stream catch.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:06 PM, pscs@... wrote:

Because it showed blood in my urine and that was a concern to them. They did not ask if I had my period or not. Plus, it was not a clean catch sample. It was therefore, full of bacteria. Again, the Dr on call stated that it was a "dirty" sample and he would have been treating me for a UTI not knowing what I just said to him. They are repeating the urinalysis when I am done menstruating.

In a message dated 11/14/2009 1:52:48 P.M. Eastern Standard Time, lowerbp2mac writes:

I am not sure what the Are testing that menstruation would change much. At least to do with the RAAS

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

Yes, I know that Ca++ stand for Calcium but you were scaring me that my normal level is not really true, or that my high level before should be of a great concern to my Dr. Afraid of cancer. but level is now good.

In a message dated 11/14/2009 6:44:01 P.M. Eastern Standard Time, lowerbp2@... writes:

Not trying to scare Ca++ stands for calcium ion in med lingo. Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:02 PM, pscs@... wrote:

This was the first time it has ever been high. All my other bloodwork for Ca++ has been normal. And the number they got this time, was just about the same as the other number they got in 2008(9.6 which is normal).

What would be your explanation then? Keep in mind, had thyroid tested. Waiting on those results on Monday. I have no signs of Cancer that I am aware of, (A;ready had mammo and chest Xray)so if you are trying to scare me you are doing a good job of it :-(

In a message dated 11/14/2009 1:21:46 P.M. Eastern Standard Time, lowerbp2mac writes:

That is not a good explantion for a high Ca++

is this the first time it was high?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 11:17 AM, pscs@... wrote:

Well, I had my period (the end)so they cannot repeat anything until I am done with that

She just called me and told me the rest if my bloodwork should be back on Monday.

She thinks calcium was high because I may have not had enough to drink that day.

In a message dated 11/14/2009 12:56:59 P.M. Eastern Standard Time, val@... writes:

That is good. Over time, high calcium is awful! Regarding your urine test, I believe it should be a 24-hour urine and include catecholamines, aldosterone, sodium, cortisol, etc? I'm not sure what she's doing with a simple sample.

Val

From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of pscs@...

My calcium is now normal. 9.6. So I am good in that dept. But I had bloodwork run on Friday as well for thyroid.

Not sure why it showed high on Tuesday(11.2), but all is normal now.

[Guest guest]

U only need to drink when u r thirsty. CE grim MD Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 13, 2009, at 11:12 PM, pscs@... wrote:

Would having a high Calcium count(11.2) norm range 8.0-10.6 have anything to do with PA? Or, would it have anything to do with the 12.5 mg of HCTZ I was on? Dr. thinks I need to drink more water. Dehydrated cause calcium increase? FTR, I had chest X-Ray, neg for lung cancers, mammogram, negative for breast cancers, and I am only 42. And GFR Blood test normal for Kidney function.

In a message dated 11/13/2009 7:34:48 P.M. Eastern Standard Time, lowerbp2mac writes:

No likely to confuse accessory spleen. All adrenal adenomas start as one cell "tumors". Indeed start thAt wAy. Only when they get big enough can they be seen. But the bichemicAl changes begin immediately and build up. See my article on evolution of PA and take to ur dr.

If u have PA

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 1:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

I have not seen the xrays myself. Being from Mo I can't comment till I have seen them. They will show adenoma only if it is big enough to be seen. Most can't be seen. Please read my evoluton article in our files and take to ur dr We are here to help u teach them how to better manage ur HTN and, if u have it PA. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 13, 2009, at 11:08 PM, pscs@... wrote:

So are you saying that the radiologist was correct in reading my CT Scan with contrast correctly? That this really is an accessory spleen?

But if my blood tests come back positive for PA, she said she is going to send me for an abdominal MRI. So something new could have popped up since 2007? Would an abdominal MRI or CT Scan now show an adrenal adenoma? Is that how they are found?

BUT, I did have low potassium AND high blood pressure in 2007 as well. They attributed my low potassium then(level of 3.5) to me being severely ill.(I was throwing up and not eating for days).

I have an excellent Dr. and as soon as I mentioned PA to her she immediately agreed to Urine and Blood test. She is very thorough and I am thankful for this. She seemed to have been quite well versed on it. She only stated about my Accessory Spleen diagnosis as "something to just keep in the back of my mind".

She is doubtful I have PA, but nonetheless, wanted to check for it.

I will have blood results on Monday.

Thank you

In a message dated 11/13/2009 7:34:48 P.M. Eastern Standard Time, lowerbp2mac writes:

No likely to confuse accessory spleen. All adrenal adenomas start as one cell "tumors". Indeed start thAt wAy. Only when they get big enough can they be seen. But the bichemicAl changes begin immediately and build up. See my article on evolution of PA and take to ur dr.

If u have PA

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 1:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

I have had lip tingling since July, because it was when I came off of my anti-depressent Effexor XR. So I chocked it up to that. I also had brain chugs.

What other reasons would cause Low Potassium other then Thiazides(only 3 weeks) and PA? I can say that I have/had a VERY poor diet, and seriously never ate ANYTHING with Potassium in it very much. The only thing I would ever eat would be a baked potato but that was very rare because I was doing a low carb diet/weight watchers for a while. Stayed away from starches. Ate mainly chicken and rice, or steak and corn, maybe have a whole wheat english muffin and eggs.And salads. When going out to eat I would have Steak or fish. Maybe steamed broccoli.

In a message dated 11/14/2009 7:13:29 P.M. Eastern Standard Time, lowerbp2@... writes:

Tingling of lips goes along with low K but don't recAll many here having that Sx or if it got better with K getting better?

Should we add to Sx list in our questionnaire?

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:42 PM, pscs@... wrote:

I don't know, but only time will tell. But I can tell you that I have not had any brain chugs, or tingling lips all day. I was attributing this to my withdrawal from Effexor XR back at the end of July. But if diuretic is still in system and BP creeps up, then I know I need diuretic to keep under control.

Hoping not PA, but bloodwork will tell for sure.

I am sort of DASHing, I fall off the wagon sometimes. I do not use table salt any longer, and never touch junk food.

My downfall is sugar :-(

In a message dated 11/14/2009 6:37:44 P.M. Eastern Standard Time, lowerbp2mac writes:

Suggests u do not have PA OR DIuretic effects still present.

Or r u DASHING AS WELL?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:34 PM, pscs@... wrote:

I am pleased to say that with only .05 mg of lisinoprol, I have had terrific BP all day, averaging 133/80 to 124/82. This is down from average of 157/94- 140/92.

YAY!!

In a message dated 11/14/2009 2:25:10 P.M. Eastern Standard Time, lowerbp2mac writes:

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

yes, my bad. I stink at Math..LOL. It is 5 mg. Sorry....I need to go back to elementary math again. HA HA..

In a message dated 11/14/2009 7:13:44 P.M. Eastern Standard Time, lowerbp2@... writes:

That seems like a very small dose.

May have decimal in wrong plAce I suspect. Starting dose here would be 5 mg so suspect u are getting 0.05 grams not mgs. These are the units errors that can kill people.

Look at label again.

Or

Maybe they talk in stones or pebbles there;-)

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:34 PM, pscs@... wrote:

I am pleased to say that with only .05 mg of lisinoprol, I have had terrific BP all day, averaging 133/80 to 124/82. This is down from average of 157/94- 140/92.

YAY!!

In a message dated 11/14/2009 2:25:10 P.M. Eastern Standard Time, lowerbp2mac writes:

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.

[Guest guest]

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

Hi

I am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.

I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).

Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".

An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.

She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.

I will have results on Monday.

If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.

How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??

I am hoping that it isn't any tumor, because I am petrified of surgery.

I will know more on Monday with my bloodwork.

[Guest guest]

hmm, like brain zaps. Very common when withdrawing from and SSNRI or SSRI. Effexor is infamous for this when coming off of it. It is like... if I look to the left or right with my eyes, it feels like the noise of a "chug". in my head. I never had this until going off of my Effexor. But have not had any today. If I did, I have not noticed. I usually get them in the mornings. Any particular reason for asking?

My problem is that I do to much reading, and to much reading into these things. I like to be educated, but sometimes education can be scary from what you read on the internet. :-)

In a message dated 11/14/2009 9:34:33 P.M. Eastern Standard Time, lowerbp2@... writes:

Please describe what u mean by brain chugTiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 5:23 PM, pscs@... wrote:

yes, my bad. I stink at Math..LOL. It is 5 mg. Sorry....I need to go back to elementary math again. HA HA..

In a message dated 11/14/2009 7:13:44 P.M. Eastern Standard Time, lowerbp2mac writes:

That seems like a very small dose.

May have decimal in wrong plAce I suspect. Starting dose here would be 5 mg so suspect u are getting 0.05 grams not mgs. These are the units errors that can kill people.

Look at label again.

Or

Maybe they talk in stones or pebbles there;-)

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 14, 2009, at 4:34 PM, pscs@... wrote:

I am pleased to say that with only .05 mg of lisinoprol, I have had terrific BP all day, averaging 133/80 to 124/82. This is down from average of 157/94- 140/92.

YAY!!

In a message dated 11/14/2009 2:25:10 P.M. Eastern Standard Time, lowerbp2mac writes:

As I mentioned if BP DOES not get better with lisinopril it can be considered a good screening test that u have PA. KEEP US POSTED.

Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Nov 13, 2009, at 2:29 PM, shepelec2002 <pscs@...> wrote:

HiI am 42 yo an have nypertension. Average is around 145/95. I was just taken off HCTZ 12.5 and will be starting a new medication,liprosil(SP?) tomorrow. .05 mg.I had some blood work done on Tuesday for un related reasons. And my potassium was 3.1(3.5-5.0 is normal), and elevated calcium of 11.2(high is 10.6).Three years ago, I had a kidney stone, and while doing a routine CT Scan for it, they found a mass on my right kidney. They did a CT Scan with contrast, and determined it was an accessory spleen. It was not attached to my kidney. But now my Dr is thinking maybe this was not an accessroy spleen but "maybe" an adrenal gland tumor, but feels highly unlilely and will "keep it in the back of her mind".An IV with contrast. Wouldn't the contrast have shown up in the adrenal gland tumor if there was one? This "accessory spleen" did not light up, therefore was not attached to my kidney in that way.She did a full blood workup again today to test for PA. Including urine sample, Thyroid, etc. another Potassium screen, Kidney function.I will have results on Monday.If they come back abnormal, I will assume she will send me for another Abdominal CT Scan or MRI.How would the Radioligists make a mistake and say it is an excessory spleen, and not a adrenal gland tumor? Wouldn't they know the difference??I am hoping that it isn't any tumor, because I am petrified of surgery.I will know more on Monday with my bloodwork.