Re: Re: salt sensitivity, post-adrenalectomy

[Guest guest]

In Dr office were you seated on the exam table or in chair with your arm at the same place you use when you take it at home. Each inch above heart level lowers it 2 mm Hg and each inch below heart level raises it 2 mm Hg. So if BP is taken seated with arm/cuff at correct level and you stand and have it taken with arm hanging down to side (say cuff is 5 inches lower) then BP will be 10/10 higher on the average due to hydrostatic forces. CE Grim MDOn Jul 19, 2012, at 1:48 PM, msmith_1928 wrote

Thanks Dr. G, my first thought was that the remaining adrenal may still be problematic as well. With that in mind, it just seems to make sense to keep sodium intake on the low side. But yes, time will tell!

When I got the higher reading I was at the doctor's office, and they took two readings. I haven't been tracking it very closely at home - maybe once a week, and it's always in the teens/70s - but I'm going to keep a close eye on it for a few days and follow your method.

>

> > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > B

> > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> >

> > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> >

> > -msmith1928

> > Left laparoscopic adrenalectomy 10/13/11

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[Guest guest]

Seated arm at side increases BP readings. Have u looked at our article on how to measure BP in our files. Some god pictures on how to measure arm to select best cuff for u. How to position cuff , pt, stethoscope, arm and feet. May want to take to your team. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 19, 2012, at 14:33, msmith_1928 <janeray1940@...> wrote:

Seated, with my arm hanging at my side. Funny thing, I had a whole conversation about the seated vs. standing BP with the assistant who took my BP, but he never mentioned that the arm raised vs. hanging made a difference. So, seated, with arm at heart level, is ideal? That's what I do at home, not sure if I have it right though.

Mine is always, always higher at the doctor's office anyway - 10 years of undiagnosed PA and paralyzing fear of the sphygmomanometer is a hard habit to break

> > >

> > > > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > > > B

> > > > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> > > >

> > > > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> > > >

> > > > -msmith1928

> > > > Left laparoscopic adrenalectomy 10/13/11

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[Guest guest]

Will see what I can find and will attach next email May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 19, 2012, at 19:39, msmith_1928 <janeray1940@...> wrote:

Haven't seen the article; I just tried to find it and those files are so unorganized I'm not sure where to look. Can someone point me in the right direction - thanks!

> > > > >

> > > > > > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > > > > > B

> > > > > > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> > > > > >

> > > > > > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> > > > > >

> > > > > > -msmith1928

> > > > > > Left laparoscopic adrenalectomy 10/13/11

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[Guest guest]

this is the older one. Do not have updated one yet.On Jul 19, 2012, at 9:03 PM, wrote:

Is this what you are looking for?

"Effects of Arm Position

The position of the arm can have a major influence when the blood pressure is measured; if the upper arm is below the level of the right atrium (when the arm is hanging down while in the sitting position), the readings will be too high. Similarly, if the arm is above the heart level, the readings will be too low. These differences can be attributed to the effects of hydrostatic pressure59 and may be 10 mm Hg or more,93 or 2 mm Hg for every inch above or below the heart level.

Other physiological factors that may influence the blood pressure during the measurement process include muscle tension. If the arm is held up by the patient (as opposed to being supported by the observer), the isometric exercise will raise the pressure."

For all you may never want to know see here:

http://hyper.ahajournals.org/content/45/1/142.full.pdf

I saw my Endo earlier this week and he asked what my at home readings were. He was happy when I said low 120's / high 60's. He said he never trusts office measurements because they are almost never done correctly! I awarded him one of my Reference Cards from NIH. He was very impressed to see PA and CS on the list of identifiable causes and immediately posted it on the exam room wall!

> > > > > >

> > > > > > > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > > > > > > B

> > > > > > > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> > > > > > >

> > > > > > > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> > > > > > >

> > > > > > > -msmith1928

> > > > > > > Left laparoscopic adrenalectomy 10/13/11

> > > > > > >

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1 of 1 File(s)

Atlas BP chap Grims.pdf

[Guest guest]

Strangely enough, I've found that hot, humid weather makes me swell a lot. My husband and i went on a cruise to Progressoand Cozumel, Mexico earlier this year and I swear I gained 10 poundsfrom edema...ankles were a thing of the past! So weird!Juli 42y F post adrenalectomy (12/15/2010)Sent from my iPhoneOn Jul 20, 2012, at 12:38 AM, "msmith_1928" <janeray1940@...> wrote:

Thanks Juli, similar story here - at least 10 years before they found my adenoma. And I've always tended toward being sensitive to salt - too much made me retain water long before I had any signs of HTN or PA.

>

> > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> >

> > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> >

> > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> >

> > -msmith1928

> > Left laparoscopic adrenalectomy 10/13/11

> >

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[Guest guest]

Ah but that was likely an early sign if you review my evolution article. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 20, 2012, at 0:38, msmith_1928 <janeray1940@...> wrote:

Thanks Juli, similar story here - at least 10 years before they found my adenoma. And I've always tended toward being sensitive to salt - too much made me retain water long before I had any signs of HTN or PA.

>

> > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> >

> > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> >

> > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> >

> > -msmith1928

> > Left laparoscopic adrenalectomy 10/13/11

> >

> >

> >

> >

> >

> >

> >

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[Guest guest]

My guess it was the high salt diet on The cruise and hot temp which increases also normally. How quickly did at drop after cruise? Did you work on keeping K up on cruise?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 22, 2012, at 13:19, Juli <julik_70@...> wrote:

Strangely enough, I've found that hot, humid weather makes me swell a lot. My husband and i went on a cruise to Progressoand Cozumel, Mexico earlier this year and I swear I gained 10 poundsfrom edema...ankles were a thing of the past! So weird!Juli 42y F post adrenalectomy (12/15/2010)Sent from my iPhoneOn Jul 20, 2012, at 12:38 AM, "msmith_1928" <janeray1940@...> wrote:

Thanks Juli, similar story here - at least 10 years before they found my adenoma. And I've always tended toward being sensitive to salt - too much made me retain water long before I had any signs of HTN or PA.

>

> > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> >

> > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> >

> > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> >

> > -msmith1928

> > Left laparoscopic adrenalectomy 10/13/11

> >

> >

> >

> >

> >

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[Guest guest]

My guess it was the high salt diet on The cruise and hot temp which increases also normally. How quickly did at drop after cruise? Did you work on keeping K up on cruise?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 22, 2012, at 13:19, Juli <julik_70@...> wrote:

Strangely enough, I've found that hot, humid weather makes me swell a lot. My husband and i went on a cruise to Progressoand Cozumel, Mexico earlier this year and I swear I gained 10 poundsfrom edema...ankles were a thing of the past! So weird!Juli 42y F post adrenalectomy (12/15/2010)Sent from my iPhoneOn Jul 20, 2012, at 12:38 AM, "msmith_1928" <janeray1940@...> wrote:

Thanks Juli, similar story here - at least 10 years before they found my adenoma. And I've always tended toward being sensitive to salt - too much made me retain water long before I had any signs of HTN or PA.

>

> > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> >

> > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> >

> > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> >

> > -msmith1928

> > Left laparoscopic adrenalectomy 10/13/11

> >

> >

> >

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[Guest guest]

Any problems during pregnancy?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 22, 2012, at 21:36, msmith_1928 <janeray1940@...> wrote:

No doubt. Even though my tumor was relatively small - not even 1cm - when I had it taken out last year at age 46, I'm pretty much convinced that the tumor had been there, wreaking havoc, for the better part of my life. While the hypertension didn't show up until I was in my 30s, the sensitivity to salt, frequent headaches, and reactive hypoglycemia that I've had since childhood are gone or greatly diminished since the tumor was removed.

> > >

> > > > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > > >

> > > > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> > > >

> > > > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> > > >

> > > > -msmith1928

> > > > Left laparoscopic adrenalectomy 10/13/11

> > > >

> > > >

> > > >

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[Guest guest]

Any problems during pregnancy?May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jul 22, 2012, at 21:36, msmith_1928 <janeray1940@...> wrote:

No doubt. Even though my tumor was relatively small - not even 1cm - when I had it taken out last year at age 46, I'm pretty much convinced that the tumor had been there, wreaking havoc, for the better part of my life. While the hypertension didn't show up until I was in my 30s, the sensitivity to salt, frequent headaches, and reactive hypoglycemia that I've had since childhood are gone or greatly diminished since the tumor was removed.

> > >

> > > > My adrenalectomy was 9 months ago, and all this time I've been really conservative about sodium intake since I had been in the habit of restricting sodium for so long. Recently I decided to experiment a bit and give some prepared foods a try. (Between food intolerances and salt sensitivity, I rarely eat anything that I don't know the exact ingredients of - and never eat in restaurants.)

> > > >

> > > > Interesting results - not only did I find the taste to be unpleasantly salty, but I had similar results to the rare occasions that I would eat in a restaurant when I still had the tumor: bloating and 2 pounds of water weight gain, and an increase in BP (my post-ADX average is 118/78; yesterday it was 120/89!).

> > > >

> > > > Curious to know if any others here still have trouble with salt sensitivity post-ADX. I'm taking this as evidence that watching sodium intake is always a good idea, adenoma or no adenoma!

> > > >

> > > > -msmith1928

> > > > Left laparoscopic adrenalectomy 10/13/11

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