Re: Re: A number of questions as I start this game/ DASH

[Guest guest]

How soon should one see a drop in BP if DASH is going to work?

Increasing sodium makes you urinate out potassium right?

Phyllis

On 6/15/2012 12:07 PM, Bingham wrote:

I am assuming your DASHing though and keeping your

sodium intake below 1500 a day so your not just in

a vicious cycle of dumping your potassium due to

the high sodium intake and what you take in is

just being urinated out. It does seem like an

awful lot to be barely changing your K levels.

From: pnb60 <pnb60@...>

Subject: Re: A number of

questions as I start this game

hyperaldosteronism

Date: Friday, June 15, 2012, 8:49 AM

My K levels were 3.2. On 9000 mg, it

goes up to 3.8 tops. That's the maximum

I've ever taken. Normally, I'm relying

on diet. IF I get cramps or heart

palpitations, I will open the K bottle.

I exercise a lot, so that's happening

more frequently.

> > > >

> > > > I recently switched

from a HTN specialist to a nephrologist

because

> > > the HTN specialists

advice was lifelong medication because

the spiro

> > > "works so well for you".

I guess it should, shouldn't it?

> > > >

> > > > I also was unhappy

that he ordered a ct scan without

contrast only,

> > > despite the literature

and advice from NIH that with and

without

> > > contrast is preferable to

be able to differentiate aldo tumors

from

> > > fatty deposits. I did not

keep that appt, and am waiting to see

the

> > > nephrologist at

University of Chicago before going

further with testing.

> > > Should I stop the high K

diet and any K supplements prior to

testing?

> > > >

> > > > Now, from what I'm

reading on this thread, I am newly

concerned with

> > > the news that if I am

found to have a tumor and have an

adrenalectomy, I

> > > potentially have a future

of further tumors on the other adrenal

and

> > > then more medication. Can

anyone offer an educated opinion as to

why

> > > this is so? Does anyone

have any information from academia or

research

> > > indicating why the tumors

form in the first place? Would I not be

better

> > > off with my HTN's advice

the, and keep both adrenals, albeit with

tumors

> > > potentially, and on

lifelong meds? This is a worst case

scenario

> > > question, as I don't know

yet what will be found from the CT scan.

> > > >

> > > > If I could please

ask for responses to be in full

sentences without

> > > abbreviations, as I have

diminished capacity due to PTSD and I

don't

> > > always understand what

everyone is talking about here. Dr.

Grim, I

> > > especially find your

responses difficult to understand as you

> > > communicate in a sort of

short hand many times. Don't get me

wrong, I am

> > > grateful to find this

group and be able to "talk" to you all!

I'm just

> > > struggling.

> > > >

> > > > a

> > > > Hypertension since

2005 or earlier

> > > > Initially on Bet

blocker and aldactizide

> > > > Diagnosed with

hypokalemia 3/2011

> > > > 25 mg Spiro

> > > > BP on Spiro ranges

from 111/96 to 128/98

> > > > Thrive Diet (I have

many allergies to grains, so DASH was

not

> > > preferable)

> > > > Type II diabetic

> > > > 192 lbs, 5'9"

> > > > Awaiting diagnosis

at U of C in July

> > > >

> > >

> >

>

[Guest guest]

No thumbnail so cannot answer.CE Grim MDOn Jun 15, 2012, at 1:02 PM, Phyllis wrote: How soon should one see a drop in BP if DASH is going to work? Increasing sodium makes you urinate out potassium right? Phyllis On 6/15/2012 12:07 PM, Bingham wrote: I am assuming your DASHing though and keeping your sodium intake below 1500 a day so your not just in a vicious cycle of dumping your potassium due to the high sodium intake and what you take in is just being urinated out. It does seem like an awful lot to be barely changing your K levels. From: pnb60 <pnb60@...> Subject: Re: A number of questions as I start this game hyperaldosteronism Date: Friday, June 15, 2012, 8:49 AM My K levels were 3.2. On 9000 mg, it goes up to 3.8 tops. That's the maximum I've ever taken. Normally, I'm relying on diet. IF I get cramps or heart palpitations, I will open the K bottle. I exercise a lot, so that's happening more frequently. > > > > > > > > I recently switched from a HTN specialist to a nephrologist because > > > the HTN specialists advice was lifelong medication because the spiro > > > "works so well for you". I guess it should, shouldn't it? > > > > > > > > I also was unhappy that he ordered a ct scan without contrast only, > > > despite the literature and advice from NIH that with and without > > > contrast is preferable to be able to differentiate aldo tumors from > > > fatty deposits. I did not keep that appt, and am waiting to see the > > > nephrologist at University of Chicago before going further with testing. > > > Should I stop the high K diet and any K supplements prior to testing? > > > > > > > > Now, from what I'm reading on this thread, I am newly concerned with > > > the news that if I am found to have a tumor and have an adrenalectomy, I > > > potentially have a future of further tumors on the other adrenal and > > > then more medication. Can anyone offer an educated opinion as to why > > > this is so? Does anyone have any information from academia or research > > > indicating why the tumors form in the first place? Would I not be better > > > off with my HTN's advice the, and keep both adrenals, albeit with tumors > > > potentially, and on lifelong meds? This is a worst case scenario > > > question, as I don't know yet what will be found from the CT scan. > > > > > > > > If I could please ask for responses to be in full sentences without > > > abbreviations, as I have diminished capacity due to PTSD and I don't > > > always understand what everyone is talking about here. Dr. Grim, I > > > especially find your responses difficult to understand as you > > > communicate in a sort of short hand many times. Don't get me wrong, I am > > > grateful to find this group and be able to "talk" to you all! I'm just > > > struggling. > > > > > > > > a > > > > Hypertension since 2005 or earlier > > > > Initially on Bet blocker and aldactizide > > > > Diagnosed with hypokalemia 3/2011 > > > > 25 mg Spiro > > > > BP on Spiro ranges from 111/96 to 128/98 > > > > Thrive Diet (I have many allergies to grains, so DASH was not > > > preferable) > > > > Type II diabetic > > > > 192 lbs, 5'9" > > > > Awaiting diagnosis at U of C in July > > > > > > > > > >