Re: Re: not sure dx is correct

[Guest guest]

Wondering because if it is PA then HCTZ had a tendency to tank your potassium. Every time I "humored" the docs, or my wife (who would tell me to just do what the doctor says and quit doctoring myself - and yet it was the docs that were killing me ) and I tried HCTZ again, I would end up in the hospital as it always worsened my potassium

From: martyd3811 <nitt@...>Subject: Re: not sure dx is correcthyperaldosteronism Date: Thursday, July 5, 2012, 10:27 AM

feel fine now, starting to feel more like myself. felt horrible on phenoxybenzamine. dr also had to discontinue toprol because it made me so tired.> > > From: martyd3811 <nitt@...>> Subject: not sure dx is correct> hyperaldosteronism > Date: Thursday, July 5, 2012, 9:02 AM> > > > Â > > > > female> age: 43> current weight: 118lbs ( lost about 20 lbs since Feb 2012)> height: 5'2"> current dx = hyperaldosteronism> > untreated htn in Jan 2012> no symptoms...no night time urination; no brain fog; no fatigue> > 1.Jan 2012> high blood pressure readings at dr's office: 200/110> > 2.Feb 2012> ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"> > 3.mri w/o contrast: adrenal mass on left side-> elevated cathecholamines - possible pheo???> prescribed phenoxybenzamine (did not

help blood pressure - still was 160/99) > > 4. repeated mri w contrast-> report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland> > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012> > 6. Jan 2012 potassium 4.4> Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8> March 22,2012 potassium 4.0 > 7.endo sends me for saline suppression test- April 2012> Aldo: 93.7 @ 7:30am> 23.2@ 9:45am> 11.0 @ 11:55am> I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that

potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.> > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...> > Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????>

[Guest guest]

UNLESS YOU EAT A LOT OF SALT and/or have PA.CE Grim MDOn Jul 5, 2012, at 11:28 AM, martyd3811 wrote: I take amiloride/hctz combo ( 1 pill). The amiloride is a potassium sparring diuretic ... so i would guess that it counteracts the potassium lost from HCTZ????? > > > > > > From: martyd3811 <nitt@> > > Subject: not sure dx is correct > > hyperaldosteronism > > Date: Thursday, July 5, 2012, 9:02 AM > > > > > > > >  > > > > > > > > female > > age: 43 > > current weight: 118lbs ( lost about 20 lbs since Feb 2012) > > height: 5'2" > > current dx = hyperaldosteronism > > > > untreated htn in Jan 2012 > > no symptoms...no night time urination; no brain fog; no fatigue > > > > 1.Jan 2012 > > high blood pressure readings at dr's office: 200/110 > > > > 2.Feb 2012 > > ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland" > > > > 3.mri w/o contrast: adrenal mass on left side- > > elevated cathecholamines - possible pheo??? > > prescribed phenoxybenzamine (did not help blood pressure - still was 160/99) > > > > 4. repeated mri w contrast- > > report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland > > > > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012 > > > > 6. Jan 2012 potassium 4.4 > > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8 > > March 22,2012 potassium 4.0 > > 7.endo sends me for saline suppression test- April 2012 > > Aldo: 93.7 @ 7:30am > > 23.2@ 9:45am > > 11.0 @ 11:55am > > I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test. > > > > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions... > > > > Wondering if diverticulem could be manipulating gland to overproduce aldosterone????? > > >

[Guest guest]

What are the normal ranges for that lab?What did 24 hr urine collected on same day show?What drugs, supplements,sodium intake were you on when tested each time?Renin appears lowish so not likely RAS.But need details above to be able to interpret.CE Grim MDOn Jul 5, 2012, at 11:42 AM, Francis Bill SUSPECTED PA wrote: Did they do aldosterone as well in Apr? > > > > > > female > > > age: 43 > > > current weight: 118lbs ( lost about 20 lbs since Feb 2012) > > > height: 5'2" > > > current dx = hyperaldosteronism > > > > > > untreated htn in Jan 2012 > > > no symptoms...no night time urination; no brain fog; no fatigue > > > > > > 1.Jan 2012 > > > high blood pressure readings at dr's office: 200/110 > > > > > > 2.Feb 2012 > > > ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland" > > > > > > 3.mri w/o contrast: adrenal mass on left side- > > > elevated cathecholamines - possible pheo??? > > > prescribed phenoxybenzamine (did not help blood pressure - still was 160/99) > > > > > > > > > 4. repeated mri w contrast- > > > report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland > > > > > > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012 > > > > > > 6. Jan 2012 potassium 4.4 > > > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8 > > > March 22,2012 potassium 4.0 > > > 7.endo sends me for saline suppression test- April 2012 > > > Aldo: 93.7 @ 7:30am > > > 23.2@ 9:45am > > > 11.0 @ 11:55am > > > I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test. > > > > > > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions... > > > > > > Wondering if diverticulem could be manipulating gland to overproduce aldosterone????? > > > > > >

[Guest guest]

Any family Hx of low K or HTN. TRY TO put complete story with all the numbers. Always include meds etc with every test. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 7:24, Francis Bill SUSPECTED PA <georgewbill@...> wrote:

Don't see any Renin numbers Neet to have them to give a clue as to PA.

Why were they looking for renal artery stenonis?

Need lab ranges to see what that lab uses an adnornal numbers.

amiloride/hctz should not be first choice as treatment for hyperaldosteronism.

>

> female

> age: 43

> current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> height: 5'2"

> current dx = hyperaldosteronism

>

> untreated htn in Jan 2012

> no symptoms...no night time urination; no brain fog; no fatigue

>

> 1.Jan 2012

> high blood pressure readings at dr's office: 200/110

>

> 2.Feb 2012

> ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"

>

> 3.mri w/o contrast: adrenal mass on left side-

> elevated cathecholamines - possible pheo???

> prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

>

>

> 4. repeated mri w contrast-

> report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland

>

> 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012

>

> 6. Jan 2012 potassium 4.4

> Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> March 22,2012 potassium 4.0

> 7.endo sends me for saline suppression test- April 2012

> Aldo: 93.7 @ 7:30am

> 23.2@ 9:45am

> 11.0 @ 11:55am

> I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.

>

> I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...

>

> Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????

>

[Guest guest]

In one your age gender and body habitus I usually make the dx of RAS in 70% by listening carefully for renal artery bruits in the upper abd below rib cAfe and in back over kidneys. Many fail to hear these in my experience. But then again that is what I get paid for. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 8:27, martyd3811 <nitt@...> wrote:

feel fine now, starting to feel more like myself. felt horrible on phenoxybenzamine. dr also had to discontinue toprol because it made me so tired.

>

>

> From: martyd3811 <nitt@...>

> Subject: not sure dx is correct

> hyperaldosteronism

> Date: Thursday, July 5, 2012, 9:02 AM

>

>

>

> Â

>

>

>

> female

> age: 43

> current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> height: 5'2"

> current dx = hyperaldosteronism

>

> untreated htn in Jan 2012

> no symptoms...no night time urination; no brain fog; no fatigue

>

> 1.Jan 2012

> high blood pressure readings at dr's office: 200/110

>

> 2.Feb 2012

> ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"

>

> 3.mri w/o contrast: adrenal mass on left side-

> elevated cathecholamines - possible pheo???

> prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

>

> 4. repeated mri w contrast-

> report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland

>

> 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012

>

> 6. Jan 2012 potassium 4.4

> Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> March 22,2012 potassium 4.0

> 7.endo sends me for saline suppression test- April 2012

> Aldo: 93.7 @ 7:30am

> 23.2@ 9:45am

> 11.0 @ 11:55am

> I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.

>

> I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...

>

> Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????

>

[Guest guest]

We used to call the fundus or divertic the intern's adrenal mass. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 8:27, martyd3811 <nitt@...> wrote:

feel fine now, starting to feel more like myself. felt horrible on phenoxybenzamine. dr also had to discontinue toprol because it made me so tired.

>

>

> From: martyd3811 <nitt@...>

> Subject: not sure dx is correct

> hyperaldosteronism

> Date: Thursday, July 5, 2012, 9:02 AM

>

>

>

> Â

>

>

>

> female

> age: 43

> current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> height: 5'2"

> current dx = hyperaldosteronism

>

> untreated htn in Jan 2012

> no symptoms...no night time urination; no brain fog; no fatigue

>

> 1.Jan 2012

> high blood pressure readings at dr's office: 200/110

>

> 2.Feb 2012

> ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"

>

> 3.mri w/o contrast: adrenal mass on left side-

> elevated cathecholamines - possible pheo???

> prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

>

> 4. repeated mri w contrast-

> report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland

>

> 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012

>

> 6. Jan 2012 potassium 4.4

> Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> March 22,2012 potassium 4.0

> 7.endo sends me for saline suppression test- April 2012

> Aldo: 93.7 @ 7:30am

> 23.2@ 9:45am

> 11.0 @ 11:55am

> I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.

>

> I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...

>

> Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????

>

[Guest guest]

Very unlikely u have RAS WITH SUCH low renins. So your Aldo is high and renin lowish or low depending on salt in your diet. But without a urine Na measurement cannot tell. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 8:37, martyd3811 <nitt@...> wrote:

Renin activity: 0.78 ng/mL/hr feb. 2012

( this was not flagged as abnormal )

0.5 ng/mL/hr feb. 2012

1.3 ng/mL/hr April 2012

looking for renal artery stenosis as cause of high blood pressure.

All of my results were listed under the NORMAL column.

potassium lab range is 3.5 - 5.1 MMOL/L

aldosterone lab range is 0.0 - 30.0 ng/dL

> >

> > female

> > age: 43

> > current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> > height: 5'2"

> > current dx = hyperaldosteronism

> >

> > untreated htn in Jan 2012

> > no symptoms...no night time urination; no brain fog; no fatigue

> >

> > 1.Jan 2012

> > high blood pressure readings at dr's office: 200/110

> >

> > 2.Feb 2012

> > ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"

> >

> > 3.mri w/o contrast: adrenal mass on left side-

> > elevated cathecholamines - possible pheo???

> > prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

> >

> >

> > 4. repeated mri w contrast-

> > report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland

> >

> > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012

> >

> > 6. Jan 2012 potassium 4.4

> > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> > March 22,2012 potassium 4.0

> > 7.endo sends me for saline suppression test- April 2012

> > Aldo: 93.7 @ 7:30am

> > 23.2@ 9:45am

> > 11.0 @ 11:55am

> > I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.

> >

> > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...

> >

> > Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????

> >

>

[Guest guest]

The combo she is on may blunt the low K somewhat. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 10:11, Bingham <jlkbbk2003@...> wrote:

Wondering because if it is PA then HCTZ had a tendency to tank your potassium. Every time I "humored" the docs, or my wife (who would tell me to just do what the doctor says and quit doctoring myself - and yet it was the docs that were killing me ) and I tried HCTZ again, I would end up in the hospital as it always worsened my potassium

From: martyd3811 <nitt@...>Subject: Re: not sure dx is correcthyperaldosteronism Date: Thursday, July 5, 2012, 10:27 AM

feel fine now, starting to feel more like myself. felt horrible on phenoxybenzamine. dr also had to discontinue toprol because it made me so tired.> > > From: martyd3811 <nitt@...>> Subject: not sure dx is correct> hyperaldosteronism > Date: Thursday, July 5, 2012, 9:02 AM> > > > Â > > > > female> age: 43> current weight: 118lbs ( lost about 20 lbs since Feb 2012)> height: 5'2"> current dx = hyperaldosteronism> > untreated htn in Jan 2012> no symptoms...no night time urination; no brain fog; no fatigue> > 1.Jan 2012> high blood pressure readings at dr's office: 200/110> > 2.Feb 2012> ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"> > 3.mri w/o contrast: adrenal mass on left side-> elevated cathecholamines - possible pheo???> prescribed phenoxybenzamine (did not

help blood pressure - still was 160/99) > > 4. repeated mri w contrast-> report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland> > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012> > 6. Jan 2012 potassium 4.4> Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8> March 22,2012 potassium 4.0 > 7.endo sends me for saline suppression test- April 2012> Aldo: 93.7 @ 7:30am> 23.2@ 9:45am> 11.0 @ 11:55am> I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that

potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.> > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...> > Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????>

[Guest guest]

Note the importance of salt intake (measured in urine) on renin values. So u have PA in early stage. Have u and team read my evolution article yet?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 12:53, martyd3811 <nitt@...> wrote:

normal ranges for lab for renin results state:

Normal

0.78 ng/mL/hr

Adult Normal Salt

Intake:

Upright 1.31 - 3.95

Supine 0.15 - 2.33

Salt Excretion

(Na mEq/24 hr)

Na= 0 - 30 8.82 - 23.86

Na= 30 - 75 4.09 - 7.73

Na= 75 - 150 1.44 - 2.80

Na= >150 0.39 - 1.31

Performed at: BN - LabCorp Burlington

1447 York Court, Burlington, NC 272153361

Lab Director: F Hancock, MD Phone: 8007624344

aldosterone was 27.7 ng/dL

Flag reference 0.0 - 30.0 ng/dL

cortisol, F was 19

Flag reference undefined ug/L

cortisol, F UR2 was 17

Flag reference 0- 50 ug/24 hr

all performed at the same lab as above.

At this time, I was taking 20 mg BID phenoxybenzamine ( because of possible dx of pheo). I was told to increase sodium.

I don't understand most of the above references but that is what is listed on the results ??? ...

> > > > >

> > > > > female

> > > > > age: 43

> > > > > current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> > > > > height: 5'2"

> > > > > current dx = hyperaldosteronism

> > > > >

> > > > > untreated htn in Jan 2012

> > > > > no symptoms...no night time urination; no brain fog; no fatigue

> > > > >

> > > > > 1.Jan 2012

> > > > > high blood pressure readings at dr's office: 200/110

> > > > >

> > > > > 2.Feb 2012

> > > > > ultrasound (looking for renal artery stenonis) found "enlarged

> > adrenal gland"

> > > > >

> > > > > 3.mri w/o contrast: adrenal mass on left side-

> > > > > elevated cathecholamines - possible pheo???

> > > > > prescribed phenoxybenzamine (did not help blood pressure -

> > still was 160/99)

> > > > >

> > > > >

> > > > > 4. repeated mri w contrast-

> > > > > report reads - NO adrenal tumor; gastric fundal diverticulum

> > that ABUTS L adrenal gland

> > > > >

> > > > > 5. prescribed amiloride/hctz 5-50. blood pressure readings at

> > home now 115/78 . meds started on 3/17/2012

> > > > >

> > > > > 6. Jan 2012 potassium 4.4

> > > > > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> > > > > March 22,2012 potassium 4.0

> > > > > 7.endo sends me for saline suppression test- April 2012

> > > > > Aldo: 93.7 @ 7:30am

> > > > > 23.2@ 9:45am

> > > > > 11.0 @ 11:55am

> > > > > I was not supine for 1 hr prior to beginning test; was told to

> > get up at mid point to urinate(walked down hall to bathroom) then

> > blood sample was drawn; also was in luteal phase of menstrual

> > cycle... article on file here states that aldosterone levels are

> > elevated at this time of cylcle; was currently taking amiloride/hctz

> > 5-50 during test - article on file here states that potassium

> > sparing diuretics cause aldosterone levels to increase.Also, was

> > watching salt in my diet- eating low sodium, before test.

> > > > >

> > > > > I am concerned that the "11" is not valid to determine dx

> > because of some of the aformentioned conditions...

> > > > >

> > > > > Wondering if diverticulem could be manipulating gland to

> > overproduce aldosterone?????

> > > > >

> > > >

> > >

> >

> >

>

[Guest guest]

And how much volume did u pee during the saline test?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 5, 2012, at 12:35, martyd3811 <nitt@...> wrote:

not by itself...- only during saline suppression test

> > > >

> > > > female

> > > > age: 43

> > > > current weight: 118lbs ( lost about 20 lbs since Feb 2012)

> > > > height: 5'2"

> > > > current dx = hyperaldosteronism

> > > >

> > > > untreated htn in Jan 2012

> > > > no symptoms...no night time urination; no brain fog; no fatigue

> > > >

> > > > 1.Jan 2012

> > > > high blood pressure readings at dr's office: 200/110

> > > >

> > > > 2.Feb 2012

> > > > ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland"

> > > >

> > > > 3.mri w/o contrast: adrenal mass on left side-

> > > > elevated cathecholamines - possible pheo???

> > > > prescribed phenoxybenzamine (did not help blood pressure - still was 160/99)

> > > >

> > > >

> > > > 4. repeated mri w contrast-

> > > > report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland

> > > >

> > > > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012

> > > >

> > > > 6. Jan 2012 potassium 4.4

> > > > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8

> > > > March 22,2012 potassium 4.0

> > > > 7.endo sends me for saline suppression test- April 2012

> > > > Aldo: 93.7 @ 7:30am

> > > > 23.2@ 9:45am

> > > > 11.0 @ 11:55am

> > > > I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test.

> > > >

> > > > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions...

> > > >

> > > > Wondering if diverticulem could be manipulating gland to overproduce aldosterone?????

> > > >

> > >

> >

>

[Guest guest]

what would u guess it was?On Jul 5, 2012, at 4:41 PM, martyd3811 wrote: urine volume was not measured > > > > > > > > > > > > female > > > > > > age: 43 > > > > > > current weight: 118lbs ( lost about 20 lbs since Feb 2012) > > > > > > height: 5'2" > > > > > > current dx = hyperaldosteronism > > > > > > > > > > > > untreated htn in Jan 2012 > > > > > > no symptoms...no night time urination; no brain fog; no fatigue > > > > > > > > > > > > 1.Jan 2012 > > > > > > high blood pressure readings at dr's office: 200/110 > > > > > > > > > > > > 2.Feb 2012 > > > > > > ultrasound (looking for renal artery stenonis) found "enlarged adrenal gland" > > > > > > > > > > > > 3.mri w/o contrast: adrenal mass on left side- > > > > > > elevated cathecholamines - possible pheo??? > > > > > > prescribed phenoxybenzamine (did not help blood pressure - still was 160/99) > > > > > > > > > > > > > > > > > > 4. repeated mri w contrast- > > > > > > report reads - NO adrenal tumor; gastric fundal diverticulum that ABUTS L adrenal gland > > > > > > > > > > > > 5. prescribed amiloride/hctz 5-50. blood pressure readings at home now 115/78 . meds started on 3/17/2012 > > > > > > > > > > > > 6. Jan 2012 potassium 4.4 > > > > > > Feb 2012 potassium 3.7 aldo :27.7 aldo: 26.8 > > > > > > March 22,2012 potassium 4.0 > > > > > > 7.endo sends me for saline suppression test- April 2012 > > > > > > Aldo: 93.7 @ 7:30am > > > > > > 23.2@ 9:45am > > > > > > 11.0 @ 11:55am > > > > > > I was not supine for 1 hr prior to beginning test; was told to get up at mid point to urinate(walked down hall to bathroom) then blood sample was drawn; also was in luteal phase of menstrual cycle... article on file here states that aldosterone levels are elevated at this time of cylcle; was currently taking amiloride/hctz 5-50 during test - article on file here states that potassium sparing diuretics cause aldosterone levels to increase.Also, was watching salt in my diet- eating low sodium, before test. > > > > > > > > > > > > I am concerned that the "11" is not valid to determine dx because of some of the aformentioned conditions... > > > > > > > > > > > > Wondering if diverticulem could be manipulating gland to overproduce aldosterone????? > > > > > > > > > > > > > > > > > > > > > > >