Re: Conn's without high BP?

[Guest guest]

you may want to look at this.

http://www.merck.com/mmpe/sec12/ch156/ch156f.html#sec12-ch156-ch156f-777

>

> I am new here, and suspect I may have Conn's.

> I have been losing massive amounts of Potassium over the last two years. The

beginning of this coincided with my total thyroidectomy in May of 2008.

> Only recently did I find a doctor interested enough to find out WHY I am

losing potassium, instead of just throwing more and more Klor-con at me, and she

has run some labs.

> She supects I may have an adrenal tumor, but not all the lab work fits.

> I currently take 140meq Klor-con, and this brings me barely into normal range.

>

> My symptoms:

> ~excessive thirst

> ~headaches, especially bad in the morning--often waking me in the wee hours

> ~shakiness

> ~dizziness

> ~muscle weakness

> ~metallic taste in mouth

> ~heavy heart pounding

> ~fatigue

> ~dark undereye circles upon awakening in the morning, no matter how much sleep

I've gotten

> ~waking at night to pee once or twice(never used to do that!)

>

>

> My labs:

> ~high serum aldosterone

> ~low serum potassium, calcium, magnesium

> ~high urine cortisol

> ~high urine potassium

> ~high urine chloride

>

> This is where it gets weird.

> I normally have very low blood pressure 90/60, or less, my entire life.

> It was brought to my attention that my symptoms of dizziness and headache were

those of HIGH blood pressure. I went to the local drug store to get my BP

checked. I was shocked to find it 130/78. Certainly not dangerously high, but

much higher than I was used to.

> The headaches and dizziness became bad enough that I had to leave work and go

to the ER one morning, where they found nothing but low electroloytes. They sent

me home to rest, and of course were not alarmed at my 121/80 BP.

> My sister insisted that I should drink a bunch of Gatorade. I didn't think

this would help since I was already taking megadoses of calcium, magnesium, and

potassium. I purchased a big bottle of gatorade, and drank about 34 oz of it.

Within 2 hours my blood pressure had dropped about 20 points. The only missing

link was the sodium that was in the gatorade. Sodium was the only electrolyte

that I was NOT supplementing.

> Several hours later, my BP creeped up again; I drank gatorade and it went back

down.

> I had to work the next day, and woke with a headache. I drank a cup of hot

salt water and felt better. I had to drink salt water throughout the day at work

to ward off dizzy spells and headache.

> This is where it gets really weird:

> That night I decided to eat Ramen Noodles(1800mg sodium) before bed. I woke

the next morning headache free for the first time in weeks.

> It appears the SODIUM was causing my BP to drop, crazy as it sounds.

> Sodium also alleviated the horrible excessive thirst that had been

experiencing for weeks.

> I am assuming the high aldosterone was causing the excessive thirst.

>

> *My question is can sodium ever drive down aldosterone?

> *My next question is can someone have Conn's with higher than normal, but

still in range blood pressure.

> Having my BP rise 35 points caused horrible symptoms, but it was still in

normal range.

> *Third question is in what circumstance would sodium actually lower blood

pressure? Because that is indeed what is happening

> My doctor is baffled, and trying to figure out what to do next.

> Meanwhile, I am drinking salt water to try and stay functional.

>

> Thanks for any thoughts on this!

>

>

[Guest guest]

Thank you for the link!

I'm as confused as ever though; nothing seems to add up.

Meanwhile, I feel lousy and am losing hours at work.

Very frustrating.

> >

> > I am new here, and suspect I may have Conn's.

> > I have been losing massive amounts of Potassium over the last two years. The

beginning of this coincided with my total thyroidectomy in May of 2008.

> > Only recently did I find a doctor interested enough to find out WHY I am

losing potassium, instead of just throwing more and more Klor-con at me, and she

has run some labs.

> > She supects I may have an adrenal tumor, but not all the lab work fits.

> > I currently take 140meq Klor-con, and this brings me barely into normal

range.

> >

> > My symptoms:

> > ~excessive thirst

> > ~headaches, especially bad in the morning--often waking me in the wee hours

> > ~shakiness

> > ~dizziness

> > ~muscle weakness

> > ~metallic taste in mouth

> > ~heavy heart pounding

> > ~fatigue

> > ~dark undereye circles upon awakening in the morning, no matter how much

sleep I've gotten

> > ~waking at night to pee once or twice(never used to do that!)

> >

> >

> > My labs:

> > ~high serum aldosterone

> > ~low serum potassium, calcium, magnesium

> > ~high urine cortisol

> > ~high urine potassium

> > ~high urine chloride

> >

> > This is where it gets weird.

> > I normally have very low blood pressure 90/60, or less, my entire life.

> > It was brought to my attention that my symptoms of dizziness and headache

were those of HIGH blood pressure. I went to the local drug store to get my BP

checked. I was shocked to find it 130/78. Certainly not dangerously high, but

much higher than I was used to.

> > The headaches and dizziness became bad enough that I had to leave work and

go to the ER one morning, where they found nothing but low electroloytes. They

sent me home to rest, and of course were not alarmed at my 121/80 BP.

> > My sister insisted that I should drink a bunch of Gatorade. I didn't think

this would help since I was already taking megadoses of calcium, magnesium, and

potassium. I purchased a big bottle of gatorade, and drank about 34 oz of it.

Within 2 hours my blood pressure had dropped about 20 points. The only missing

link was the sodium that was in the gatorade. Sodium was the only electrolyte

that I was NOT supplementing.

> > Several hours later, my BP creeped up again; I drank gatorade and it went

back down.

> > I had to work the next day, and woke with a headache. I drank a cup of hot

salt water and felt better. I had to drink salt water throughout the day at work

to ward off dizzy spells and headache.

> > This is where it gets really weird:

> > That night I decided to eat Ramen Noodles(1800mg sodium) before bed. I woke

the next morning headache free for the first time in weeks.

> > It appears the SODIUM was causing my BP to drop, crazy as it sounds.

> > Sodium also alleviated the horrible excessive thirst that had been

experiencing for weeks.

> > I am assuming the high aldosterone was causing the excessive thirst.

> >

> > *My question is can sodium ever drive down aldosterone?

> > *My next question is can someone have Conn's with higher than normal, but

still in range blood pressure.

> > Having my BP rise 35 points caused horrible symptoms, but it was still in

normal range.

> > *Third question is in what circumstance would sodium actually lower blood

pressure? Because that is indeed what is happening

> > My doctor is baffled, and trying to figure out what to do next.

> > Meanwhile, I am drinking salt water to try and stay functional.

> >

> > Thanks for any thoughts on this!

> >

> >

>

[Guest guest]

Maybe this will help.

http://www.merck.com/mmpe/sec19/ch291/ch291b.html

> > >

> > > I am new here, and suspect I may have Conn's.

> > > I have been losing massive amounts of Potassium over the last two years.

The beginning of this coincided with my total thyroidectomy in May of 2008.

> > > Only recently did I find a doctor interested enough to find out WHY I am

losing potassium, instead of just throwing more and more Klor-con at me, and she

has run some labs.

> > > She supects I may have an adrenal tumor, but not all the lab work fits.

> > > I currently take 140meq Klor-con, and this brings me barely into normal

range.

> > >

> > > My symptoms:

> > > ~excessive thirst

> > > ~headaches, especially bad in the morning--often waking me in the wee

hours

> > > ~shakiness

> > > ~dizziness

> > > ~muscle weakness

> > > ~metallic taste in mouth

> > > ~heavy heart pounding

> > > ~fatigue

> > > ~dark undereye circles upon awakening in the morning, no matter how much

sleep I've gotten

> > > ~waking at night to pee once or twice(never used to do that!)

> > >

> > >

> > > My labs:

> > > ~high serum aldosterone

> > > ~low serum potassium, calcium, magnesium

> > > ~high urine cortisol

> > > ~high urine potassium

> > > ~high urine chloride

> > >

> > > This is where it gets weird.

> > > I normally have very low blood pressure 90/60, or less, my entire life.

> > > It was brought to my attention that my symptoms of dizziness and headache

were those of HIGH blood pressure. I went to the local drug store to get my BP

checked. I was shocked to find it 130/78. Certainly not dangerously high, but

much higher than I was used to.

> > > The headaches and dizziness became bad enough that I had to leave work and

go to the ER one morning, where they found nothing but low electroloytes. They

sent me home to rest, and of course were not alarmed at my 121/80 BP.

> > > My sister insisted that I should drink a bunch of Gatorade. I didn't think

this would help since I was already taking megadoses of calcium, magnesium, and

potassium. I purchased a big bottle of gatorade, and drank about 34 oz of it.

Within 2 hours my blood pressure had dropped about 20 points. The only missing

link was the sodium that was in the gatorade. Sodium was the only electrolyte

that I was NOT supplementing.

> > > Several hours later, my BP creeped up again; I drank gatorade and it went

back down.

> > > I had to work the next day, and woke with a headache. I drank a cup of hot

salt water and felt better. I had to drink salt water throughout the day at work

to ward off dizzy spells and headache.

> > > This is where it gets really weird:

> > > That night I decided to eat Ramen Noodles(1800mg sodium) before bed. I

woke the next morning headache free for the first time in weeks.

> > > It appears the SODIUM was causing my BP to drop, crazy as it sounds.

> > > Sodium also alleviated the horrible excessive thirst that had been

experiencing for weeks.

> > > I am assuming the high aldosterone was causing the excessive thirst.

> > >

> > > *My question is can sodium ever drive down aldosterone?

> > > *My next question is can someone have Conn's with higher than normal, but

still in range blood pressure.

> > > Having my BP rise 35 points caused horrible symptoms, but it was still in

normal range.

> > > *Third question is in what circumstance would sodium actually lower blood

pressure? Because that is indeed what is happening

> > > My doctor is baffled, and trying to figure out what to do next.

> > > Meanwhile, I am drinking salt water to try and stay functional.

> > >

> > > Thanks for any thoughts on this!

> > >

> > >

> >

>

[Guest guest]

Don't tell us high or low.We need to see the numbers and the normals for that lab.What was the renin?CE Grim, MDThank you for the link!I'm as confused as ever though; nothing seems to add up.Meanwhile, I feel lousy and am losing hours at work.Very frustrating.> >> > I am new here, and suspect I may have Conn's.> > I have been losing massive amounts of Potassium over the last two years. The beginning of this coincided with my total thyroidectomy in May of 2008.> > Only recently did I find a doctor interested enough to find out WHY I am losing potassium, instead of just throwing more and more Klor-con at me, and she has run some labs.> > She supects I may have an adrenal tumor, but not all the lab work fits.> > I currently take 140meq Klor-con, and this brings me barely into normal range.> > > > My symptoms:> > ~excessive thirst> > ~headaches, especially bad in the morning--often waking me in the wee hours> > ~shakiness> > ~dizziness> > ~muscle weakness> > ~metallic taste in mouth> > ~heavy heart pounding> > ~fatigue> > ~dark undereye circles upon awakening in the morning, no matter how much sleep I've gotten> > ~waking at night to pee once or twice(never used to do that!)> > > > > > My labs:> > ~high serum aldosterone> > ~low serum potassium, calcium, magnesium> > ~high urine cortisol> > ~high urine potassium> > ~high urine chloride> > > > This is where it gets weird.> > I normally have very low blood pressure 90/60, or less, my entire life.> > It was brought to my attention that my symptoms of dizziness and headache were those of HIGH blood pressure. I went to the local drug store to get my BP checked. I was shocked to find it 130/78. Certainly not dangerously high, but much higher than I was used to.> > The headaches and dizziness became bad enough that I had to leave work and go to the ER one morning, where they found nothing but low electroloytes. They sent me home to rest, and of course were not alarmed at my 121/80 BP.> > My sister insisted that I should drink a bunch of Gatorade. I didn't think this would help since I was already taking megadoses of calcium, magnesium, and potassium. I purchased a big bottle of gatorade, and drank about 34 oz of it. Within 2 hours my blood pressure had dropped about 20 points. The only missing link was the sodium that was in the gatorade. Sodium was the only electrolyte that I was NOT supplementing.> > Several hours later, my BP creeped up again; I drank gatorade and it went back down.> > I had to work the next day, and woke with a headache. I drank a cup of hot salt water and felt better. I had to drink salt water throughout the day at work to ward off dizzy spells and headache.> > This is where it gets really weird:> > That night I decided to eat Ramen Noodles(1800mg sodium) before bed. I woke the next morning headache free for the first time in weeks.> > It appears the SODIUM was causing my BP to drop, crazy as it sounds.> > Sodium also alleviated the horrible excessive thirst that had been experiencing for weeks.> > I am assuming the high aldosterone was causing the excessive thirst.> > > > *My question is can sodium ever drive down aldosterone?> > *My next question is can someone have Conn's with higher than normal, but still in range blood pressure.> > Having my BP rise 35 points caused horrible symptoms, but it was still in normal range.> > *Third question is in what circumstance would sodium actually lower blood pressure? Because that is indeed what is happening> > My doctor is baffled, and trying to figure out what to do next.> > Meanwhile, I am drinking salt water to try and stay functional.> > > > Thanks for any thoughts on this!> > > >>

[Guest guest]

Bill nice review. Thanks. lets set a link to it.CEOn Oct 27, 2010, at 8:51 PM, Francis Bill SUSPECTED PA wrote:you may want to look at this. http://www.merck.com/mmpe/sec12/ch156/ch156f.html#sec12-ch156-ch156f-777--- In hyperaldosteronism , "teresadillon65" wrote:>> I am new here, and suspect I may have Conn's.> I have been losing massive amounts of Potassium over the last two years. The beginning of this coincided with my total thyroidectomy in May of 2008.> Only recently did I find a doctor interested enough to find out WHY I am losing potassium, instead of just throwing more and more Klor-con at me, and she has run some labs.> She supects I may have an adrenal tumor, but not all the lab work fits.> I currently take 140meq Klor-con, and this brings me barely into normal range.> > My symptoms:> ~excessive thirst> ~headaches, especially bad in the morning--often waking me in the wee hours> ~shakiness> ~dizziness> ~muscle weakness> ~metallic taste in mouth> ~heavy heart pounding> ~fatigue> ~dark undereye circles upon awakening in the morning, no matter how much sleep I've gotten> ~waking at night to pee once or twice(never used to do that!)> > > My labs:> ~high serum aldosterone> ~low serum potassium, calcium, magnesium> ~high urine cortisol> ~high urine potassium> ~high urine chloride> > This is where it gets weird.> I normally have very low blood pressure 90/60, or less, my entire life.> It was brought to my attention that my symptoms of dizziness and headache were those of HIGH blood pressure. I went to the local drug store to get my BP checked. I was shocked to find it 130/78. Certainly not dangerously high, but much higher than I was used to.> The headaches and dizziness became bad enough that I had to leave work and go to the ER one morning, where they found nothing but low electroloytes. They sent me home to rest, and of course were not alarmed at my 121/80 BP.> My sister insisted that I should drink a bunch of Gatorade. I didn't think this would help since I was already taking megadoses of calcium, magnesium, and potassium. I purchased a big bottle of gatorade, and drank about 34 oz of it. Within 2 hours my blood pressure had dropped about 20 points. The only missing link was the sodium that was in the gatorade. Sodium was the only electrolyte that I was NOT supplementing.> Several hours later, my BP creeped up again; I drank gatorade and it went back down.> I had to work the next day, and woke with a headache. I drank a cup of hot salt water and felt better. I had to drink salt water throughout the day at work to ward off dizzy spells and headache.> This is where it gets really weird:> That night I decided to eat Ramen Noodles(1800mg sodium) before bed. I woke the next morning headache free for the first time in weeks.> It appears the SODIUM was causing my BP to drop, crazy as it sounds.> Sodium also alleviated the horrible excessive thirst that had been experiencing for weeks.> I am assuming the high aldosterone was causing the excessive thirst.> > *My question is can sodium ever drive down aldosterone?> *My next question is can someone have Conn's with higher than normal, but still in range blood pressure.> Having my BP rise 35 points caused horrible symptoms, but it was still in normal range.> *Third question is in what circumstance would sodium actually lower blood pressure? Because that is indeed what is happening> My doctor is baffled, and trying to figure out what to do next.> Meanwhile, I am drinking salt water to try and stay functional.> > Thanks for any thoughts on this!> >

[Guest guest]

Here are my labs:

24 hour urine:

~Chloride 344(31-260)

~Potassium 186(22-160)

~Calcium 190(35-250

~Cortisol 77.9(4-50)

~Creatinine 1.22(.63-2.50)

Sodium 158(52-380)

Blood Tests:

~BUN 14(7-21)

`Creatinine .6(.7-1.2)

~eGFR 115.4(>60)

~Glucose 76(70-100)

~Sodium 138(137-145)

~Potassium 3.9(3.6-5.0)

~CO2 28(22-31)

~AST 30(14-36)

~ALT 26(9-52)

~Albumin 4.5(3.5-5.0)

~Calcium 8.7(8.4-10.6)

~Phos 4.6(2.5-4.5)

~T Protein 7.3 (6.0-8.4)

~Magnesium 1.50(1.20-2.30)

~Aldosterone 38 (<28)

~Renin 2.68(.25-5.82)

~AM Cortisol 15.2 ((4-22)

Medications:

~Synthroid 125 mcg

~cytomel 10 mcg

~calcitriol .25

~calcium citrate 1200 mg

~magnesium citrate 500 mg

~Klor Con 140 meq

~iron glycinate 150 mg

I appreciate any insight that you could give me. I am feeling really unwell.

Thank you,

>

> Don't tell us high or low.

>

> We need to see the numbers and the normals for that lab.

> What was the renin?

>

> CE Grim, MD

[Guest guest]

The link is in a file JW put on group site. Grims Guide to True Blood K.doc.

I will add just the link to links.

> > >

> > > I am new here, and suspect I may have Conn's.

> > > I have been losing massive amounts of Potassium over the last two

> > years. The beginning of this coincided with my total thyroidectomy

> > in May of 2008.

> > > Only recently did I find a doctor interested enough to find out

> > WHY I am losing potassium, instead of just throwing more and more

> > Klor-con at me, and she has run some labs.

> > > She supects I may have an adrenal tumor, but not all the lab work

> > fits.

> > > I currently take 140meq Klor-con, and this brings me barely into

> > normal range.

> > >

> > > My symptoms:

> > > ~excessive thirst

> > > ~headaches, especially bad in the morning--often waking me in the

> > wee hours

> > > ~shakiness

> > > ~dizziness

> > > ~muscle weakness

> > > ~metallic taste in mouth

> > > ~heavy heart pounding

> > > ~fatigue

> > > ~dark undereye circles upon awakening in the morning, no matter

> > how much sleep I've gotten

> > > ~waking at night to pee once or twice(never used to do that!)

> > >

> > >

> > > My labs:

> > > ~high serum aldosterone

> > > ~low serum potassium, calcium, magnesium

> > > ~high urine cortisol

> > > ~high urine potassium

> > > ~high urine chloride

> > >

> > > This is where it gets weird.

> > > I normally have very low blood pressure 90/60, or less, my entire

> > life.

> > > It was brought to my attention that my symptoms of dizziness and

> > headache were those of HIGH blood pressure. I went to the local drug

> > store to get my BP checked. I was shocked to find it 130/78.

> > Certainly not dangerously high, but much higher than I was used to.

> > > The headaches and dizziness became bad enough that I had to leave

> > work and go to the ER one morning, where they found nothing but low

> > electroloytes. They sent me home to rest, and of course were not

> > alarmed at my 121/80 BP.

> > > My sister insisted that I should drink a bunch of Gatorade. I

> > didn't think this would help since I was already taking megadoses of

> > calcium, magnesium, and potassium. I purchased a big bottle of

> > gatorade, and drank about 34 oz of it. Within 2 hours my blood

> > pressure had dropped about 20 points. The only missing link was the

> > sodium that was in the gatorade. Sodium was the only electrolyte

> > that I was NOT supplementing.

> > > Several hours later, my BP creeped up again; I drank gatorade and

> > it went back down.

> > > I had to work the next day, and woke with a headache. I drank a

> > cup of hot salt water and felt better. I had to drink salt water

> > throughout the day at work to ward off dizzy spells and headache.

> > > This is where it gets really weird:

> > > That night I decided to eat Ramen Noodles(1800mg sodium) before

> > bed. I woke the next morning headache free for the first time in

> > weeks.

> > > It appears the SODIUM was causing my BP to drop, crazy as it sounds.

> > > Sodium also alleviated the horrible excessive thirst that had been

> > experiencing for weeks.

> > > I am assuming the high aldosterone was causing the excessive thirst.

> > >

> > > *My question is can sodium ever drive down aldosterone?

> > > *My next question is can someone have Conn's with higher than

> > normal, but still in range blood pressure.

> > > Having my BP rise 35 points caused horrible symptoms, but it was

> > still in normal range.

> > > *Third question is in what circumstance would sodium actually

> > lower blood pressure? Because that is indeed what is happening

> > > My doctor is baffled, and trying to figure out what to do next.

> > > Meanwhile, I am drinking salt water to try and stay functional.

> > >

> > > Thanks for any thoughts on this!

> > >

> > >

> >

> >

> >

>

[Guest guest]

These are my theories---

Is my sodium too low to balance out aldosterone, making is rise?

OR, do I no longer need the whopping 140 meq of potassium that I am taking, and

my aldosterone is rising to try and dump it?

I'm sure I probably need SOME potassium, but 140 meq is VERY high. I take 80 meq

in the AM, and 60 MEQ in the PM.

Nobody is really ordering regular labs to track potassium needs, so I wonder?

> >

> > Don't tell us high or low.

> >

> > We need to see the numbers and the normals for that lab.

> > What was the renin?

> >

> > CE Grim, MD

>

[Guest guest]

If u were DASHING UR URINE Na would be < 80 mM and E K > 130mMTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

These are my theories---

Is my sodium too low to balance out aldosterone, making is rise?

OR, do I no longer need the whopping 140 meq of potassium that I am taking, and my aldosterone is rising to try and dump it?

I'm sure I probably need SOME potassium, but 140 meq is VERY high. I take 80 meq in the AM, and 60 MEQ in the PM.

Nobody is really ordering regular labs to track potassium needs, so I wonder?

> >

> > Don't tell us high or low.

> >

> > We need to see the numbers and the normals for that lab.

> > What was the renin?

> >

> > CE Grim, MD

>

[Guest guest]

So to control ur K you need to cut your Na by 50%Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Here are my labs:

24 hour urine:

~Chloride 344(31-260)

~Potassium 186(22-160)

~Calcium 190(35-250

~Cortisol 77.9(4-50)

~Creatinine 1.22(.63-2.50)

Sodium 158(52-380)

Blood Tests:

~BUN 14(7-21)

`Creatinine .6(.7-1.2)

~eGFR 115.4(>60)

~Glucose 76(70-100)

~Sodium 138(137-145)

~Potassium 3.9(3.6-5.0)

~CO2 28(22-31)

~AST 30(14-36)

~ALT 26(9-52)

~Albumin 4.5(3.5-5.0)

~Calcium 8.7(8.4-10.6)

~Phos 4.6(2.5-4.5)

~T Protein 7.3 (6.0-8.4)

~Magnesium 1.50(1.20-2.30)

~Aldosterone 38 (<28)

~Renin 2.68(.25-5.82)

~AM Cortisol 15.2 ((4-22)

Medications:

~Synthroid 125 mcg

~cytomel 10 mcg

~calcitriol .25

~calcium citrate 1200 mg

~magnesium citrate 500 mg

~Klor Con 140 meq

~iron glycinate 150 mg

I appreciate any insight that you could give me. I am feeling really unwell.

Thank you,

>

> Don't tell us high or low.

>

> We need to see the numbers and the normals for that lab.

> What was the renin?

>

> CE Grim, MD

[Guest guest]

She is drinking salt water because it makes her feel better. Also says it lowers

her B/P

> > >

> > > Don't tell us high or low.

> > >

> > > We need to see the numbers and the normals for that lab.

> > > What was the renin?

> > >

> > > CE Grim, MD

> >

> >

>

[Guest guest]

My sodium is QUITE low according to my labs; I feel like cutting my sodium by

50% would be asking for more trouble.

Things just don't add up here!!!

Yes, it is correct that extra salt pushes my BP DOWN.

I did find several links on the web saying that sodium can suppress aldosterone

in some circumstances.

I just haven't had a doctor tell me this...yet.

I was on a low sodium diet to begin with(simply because I eat whole foods and

don't add salt).

Could my whole problem be that I have always had a low sodium diet???

And maybe this is screwing with K?

No doctor has ever asked me about my diet.

I feel so ill that I am losing hours at work, and I need answers.

I am becoming so sick that I am not going to be able to hold onto the job that

provides me with my health insurance!!

I feel like it is something VERY simple and it is being overlooked.

Thank you,

> > > >

> > > > Don't tell us high or low.

> > > >

> > > > We need to see the numbers and the normals for that lab.

> > > > What was the renin?

> > > >

> > > > CE Grim, MD

> > >

> > >

> >

>

[Guest guest]

This is what I would think was not right. 24 hour Cortisol 77.9(4-50) This could

be Cushings.

> > > > >

> > > > > Don't tell us high or low.

> > > > >

> > > > > We need to see the numbers and the normals for that lab.

> > > > > What was the renin?

> > > > >

> > > > > CE Grim, MD

> > > >

> > > >

> > >

> >

>

[Guest guest]

None of this adds up.

I agree that my labs could point towards Cushings, and many of my symptoms as

well. But..... I have NONE of the physical traits of Cushings, such as 'moon

face' and abdominal weight gain. I am actually losing weight.

At 5'4 " and 105 lbs I look nothing like a Cushing's patient.

Maybe all the labs need to be rerun.

> > > > > >

> > > > > > Don't tell us high or low.

> > > > > >

> > > > > > We need to see the numbers and the normals for that lab.

> > > > > > What was the renin?

> > > > > >

> > > > > > CE Grim, MD

> > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Do you know how much the volume of urine was for the tests?

hyperaldosteronism , " Dillon " wrote:

>

> None of this adds up.

> I agree that my labs could point towards Cushings, and many of my symptoms as

well. But..... I have NONE of the physical traits of Cushings, such as 'moon

face' and abdominal weight gain. I am actually losing weight.

> At 5'4 " and 105 lbs I look nothing like a Cushing's patient.

> Maybe all the labs need to be rerun.

>

>

>

>

> > > > > > >

> > > > > > > Don't tell us high or low.

> > > > > > >

> > > > > > > We need to see the numbers and the normals for that lab.

> > > > > > > What was the renin?

> > > > > > >

> > > > > > > CE Grim, MD

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

The total volume for the 24 hour urine was 3950 ml.

> > > > > > > >

> > > > > > > > Don't tell us high or low.

> > > > > > > >

> > > > > > > > We need to see the numbers and the normals for that lab.

> > > > > > > > What was the renin?

> > > > > > > >

> > > > > > > > CE Grim, MD

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

My sodium is QUITE low according to my labs; I feel like cutting my sodium by 50% would be asking for more trouble.are you talking about blood or urine Na? Be specific.Things just don't add up here!!!Yes, it is correct that extra salt pushes my BP DOWN. Interesting but rare.I did find several links on the web saying that sodium can suppress aldosterone in some circumstances.It always suppresses aldo.I just haven't had a doctor tell me this...yet.I was on a low sodium diet to begin with(simply because I eat whole foods and don't add salt).The only way to tell is to measure the Na in your urine.Could my whole problem be that I have always had a low sodium diet???And maybe this is screwing with K?By screwing with I dont know what you mean. Be more specific.No doctor has ever asked me about my diet.Welcome to the crowd. He has learned from experience that almost no one changes so why waste the time.I feel so ill that I am losing hours at work, and I need answers.Ask the correct questions of your Dr and us. He cannot tell how you feel.I am becoming so sick that I am not going to be able to hold onto the job that provides me with my health insurance!!Time to get some answers it would seem.I feel like it is something VERY simple and it is being overlooked.Give us the exact details. Thank you,

[Guest guest]

Or stress. Needs a dex test. But as she does not look Cushingoid then likely something else.CE Grim MDOn Oct 30, 2010, at 4:29 AM, Francis Bill SUSPECTED PA wrote:This is what I would think was not right. 24 hour Cortisol 77.9(4-50) This could be Cushings. > > > > >> > > > > Don't tell us high or low.> > > > > > > > > > We need to see the numbers and the normals for that lab.> > > > > What was the renin?> > > > > > > > > > CE Grim, MD> > > > > > > >> > >> >>

[Guest guest]

You ain't got Cushing's. CE Grim MDNone of this adds up.I agree that my labs could point towards Cushings, and many of my symptoms as well. But..... I have NONE of the physical traits of Cushings, such as 'moon face' and abdominal weight gain. I am actually losing weight. At 5'4" and 105 lbs I look nothing like a Cushing's patient.Maybe all the labs need to be rerun.> > > > > >> > > > > > Don't tell us high or low.> > > > > > > > > > > > We need to see the numbers and the normals for that lab.> > > > > > What was the renin?> > > > > > > > > > > > CE Grim, MD> > > > > > > > > >> > > >> > >> >>

[Guest guest]

>

" My sodium is QUITE low according to my labs; I feel like cutting my

> > sodium by 50% would be asking for more trouble. "

> " are you talking about blood or urine Na? Be specific. "

****I am referring to my sodium blood level: 138(137-145). My24 hour urine

sodium is normal: 158(52-380)*****

>

>

> > " I did find several links on the web saying that sodium can suppress

> > aldosterone in some circumstances. "

>

> " It always suppresses aldo. "

****Are my symptoms of higher BP, thirst, headache, and dizziness from a high

blood aldosterone level, 38(<28)?

Does an incease in dietary salt make me feel better because the sodium is

suppressing the high aldosterone?******

>

> " The only way to tell is to measure the Na in your urine. "

*****My 24 hour urine sodium was 158(52-380).*****

>

> > " Could my whole problem be that I have always had a low sodium diet???

> > And maybe this is screwing with K? "

> " By screwing with I dont know what you mean. Be more specific. "

*****Admittedly, I have no idea what I am talking about. I have no medical

background. I guess I was thinking that all the potassium I am taking(140 meq),

should be balanced out by taking in more sodium into my normally low sodium

diet.*****

>

> > I feel so ill that I am losing hours at work, and I need answers.

>

> Ask the correct questions of your Dr and us.

> He cannot tell how you feel.

>

>

>

> " Give us the exact details. "

******I wake in the morning feeling shaky, and as though I haven't slept. I have

dark circles under my eyes. I am dizzy and often wake with headaches that go up

the back of my neck(I found this to coincide with my blood pressure rising 20-35

points above my normal 90/60). My leg muscles feel weak; my body just feels

'heavy' in general.I experience incessant thirst, and at times I have a metallic

taste in my mouth. Things often get worse in afternoon between 2-5 PM. I become

so drowsy and fatigued that I must lay down, all the while it feels like my

heart is pounding very heavily(not fast, just heavy).

While I am lying done, I feel just awful instead of rested--headache, sick

stomach, crushing fatigue.

Sometimes I feel good between 8-10 PM at night.

My worse days are when I rise at 3:30 AM because I need to be at work at 4:30

AM, I usually do not finish work until about 2PM. These days are simply awful.

I am waking at night once or twice to urinate, compounding the feeling of not

having slept.******

> > Thank you,

> >

>

[Guest guest]

I would look at every thing you pot in your mouth and see if thing interacts

with anything. From drugs.com calcium citrate Before taking this medication,

tell your doctor if you have:

a history of kidney stones; or

a parathyroid gland disorder.

If you have any of these conditions, you may not be able to take calcium

citrate, or you may need a dose adjustment or special tests during treatment.

From

http://www.bing.com/health/article/goldstandard-1500081033/Calcium-Citrate-Oral-\

tablet?q=calcium+citrate & FORM=FFF

What may interact with this medicine?

•digoxin

•other calcium products

•phenytoin

•some antibiotics like ciprofloxacin, doxycycline, gatifloxacin, tetracycline

•strontium 89 chloride

•sucralfate

•thyroid hormones

>

>

>

>

>

>

>

>

>

>

>

>

>

> >

> " My sodium is QUITE low according to my labs; I feel like cutting my

> > > sodium by 50% would be asking for more trouble. "

> > " are you talking about blood or urine Na? Be specific. "

>

> ****I am referring to my sodium blood level: 138(137-145). My24 hour urine

sodium is normal: 158(52-380)*****

> >

>

> >

> > > " I did find several links on the web saying that sodium can suppress

> > > aldosterone in some circumstances. "

> >

> > " It always suppresses aldo. "

> ****Are my symptoms of higher BP, thirst, headache, and dizziness from a high

blood aldosterone level, 38(<28)?

> Does an incease in dietary salt make me feel better because the sodium is

suppressing the high aldosterone?******

>

> >

> > " The only way to tell is to measure the Na in your urine. "

> *****My 24 hour urine sodium was 158(52-380).*****

> >

> > > " Could my whole problem be that I have always had a low sodium diet???

> > > And maybe this is screwing with K? "

> > " By screwing with I dont know what you mean. Be more specific. "

>

> *****Admittedly, I have no idea what I am talking about. I have no medical

background. I guess I was thinking that all the potassium I am taking(140 meq),

should be balanced out by taking in more sodium into my normally low sodium

diet.*****

>

>

> >

> > > I feel so ill that I am losing hours at work, and I need answers.

> >

> > Ask the correct questions of your Dr and us.

> > He cannot tell how you feel.

> >

> >

> >

> > " Give us the exact details. "

> ******I wake in the morning feeling shaky, and as though I haven't slept. I

have dark circles under my eyes. I am dizzy and often wake with headaches that

go up the back of my neck(I found this to coincide with my blood pressure rising

20-35 points above my normal 90/60). My leg muscles feel weak; my body just

feels 'heavy' in general.I experience incessant thirst, and at times I have a

metallic taste in my mouth. Things often get worse in afternoon between 2-5 PM.

I become so drowsy and fatigued that I must lay down, all the while it feels

like my heart is pounding very heavily(not fast, just heavy).

> While I am lying done, I feel just awful instead of rested--headache, sick

stomach, crushing fatigue.

> Sometimes I feel good between 8-10 PM at night.

> My worse days are when I rise at 3:30 AM because I need to be at work at 4:30

AM, I usually do not finish work until about 2PM. These days are simply awful.

> I am waking at night once or twice to urinate, compounding the feeling of not

having slept.******

>

>

> > > Thank you,

> > >

> >

>

[Guest guest]

These are both thyroid hormones wonder if you are getting too much? What is your TSH?Why are you taking 2 different ones?CE Grim MDMedications:~Synthroid 125 mcg~cytomel 10 mcg

[Guest guest]

Your blood Na is not "quite low" as it is in the normal range.Low would be say 120 or 110. May be normal for you. Each body regulates Na very closely but at a different set pt in each person for reasons we do not understand.CE Grim MDOn Oct 30, 2010, at 5:08 PM, Francis Bill SUSPECTED PA wrote:I would look at every thing you pot in your mouth and see if thing interacts with anything. From drugs.com calcium citrate Before taking this medication, tell your doctor if you have:a history of kidney stones; ora parathyroid gland disorder.If you have any of these conditions, you may not be able to take calcium citrate, or you may need a dose adjustment or special tests during treatment.From http://www.bing.com/health/article/goldstandard-1500081033/Calcium-Citrate-Oral-tablet?q=calcium+citrate & FORM=FFFWhat may interact with this medicine?•digoxin•other calcium products•phenytoin•some antibiotics like ciprofloxacin, doxycycline, gatifloxacin, tetracycline•strontium 89 chloride•sucralfate•thyroid hormones>> > > > > > > > > > > > > > > "My sodium is QUITE low according to my labs; I feel like cutting my > > > sodium by 50% would be asking for more trouble."> > "are you talking about blood or urine Na? Be specific."> > ****I am referring to my sodium blood level: 138(137-145). My24 hour urine sodium is normal: 158(52-380)*****> > > > > > > > "I did find several links on the web saying that sodium can suppress > > > aldosterone in some circumstances."> > > > "It always suppresses aldo."> ****Are my symptoms of higher BP, thirst, headache, and dizziness from a high blood aldosterone level, 38(<28)?> Does an incease in dietary salt make me feel better because the sodium is suppressing the high aldosterone?******> > > > > "The only way to tell is to measure the Na in your urine."> *****My 24 hour urine sodium was 158(52-380).*****> > > > > "Could my whole problem be that I have always had a low sodium diet???> > > And maybe this is screwing with K?"> > "By screwing with I dont know what you mean. Be more specific."> > *****Admittedly, I have no idea what I am talking about. I have no medical background. I guess I was thinking that all the potassium I am taking(140 meq), should be balanced out by taking in more sodium into my normally low sodium diet.*****> > > > > > > I feel so ill that I am losing hours at work, and I need answers.> > > > Ask the correct questions of your Dr and us.> > He cannot tell how you feel.> > > >> > > > "Give us the exact details."> ******I wake in the morning feeling shaky, and as though I haven't slept. I have dark circles under my eyes. I am dizzy and often wake with headaches that go up the back of my neck(I found this to coincide with my blood pressure rising 20-35 points above my normal 90/60). My leg muscles feel weak; my body just feels 'heavy' in general.I experience incessant thirst, and at times I have a metallic taste in my mouth. Things often get worse in afternoon between 2-5 PM. I become so drowsy and fatigued that I must lay down, all the while it feels like my heart is pounding very heavily(not fast, just heavy). > While I am lying done, I feel just awful instead of rested--headache, sick stomach, crushing fatigue. > Sometimes I feel good between 8-10 PM at night.> My worse days are when I rise at 3:30 AM because I need to be at work at 4:30 AM, I usually do not finish work until about 2PM. These days are simply awful.> I am waking at night once or twice to urinate, compounding the feeling of not having slept.******> > > > > Thank you,> > > > >>

[Guest guest]

I had a total thyroidectomy in 2008; this destroyed my parathyroid glands. I now

have to take large amounts of calcium citrate, plus rocaltrol everyday to stay

alive.

Immediately after surgery was the first time my potassium had ever dropped

critically low. I was never able to stabilize it after that.

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > >

> > " My sodium is QUITE low according to my labs; I feel like cutting my

> > > > sodium by 50% would be asking for more trouble. "

> > > " are you talking about blood or urine Na? Be specific. "

> >

> > ****I am referring to my sodium blood level: 138(137-145). My24 hour urine

sodium is normal: 158(52-380)*****

> > >

> >

> > >

> > > > " I did find several links on the web saying that sodium can suppress

> > > > aldosterone in some circumstances. "

> > >

> > > " It always suppresses aldo. "

> > ****Are my symptoms of higher BP, thirst, headache, and dizziness from a

high blood aldosterone level, 38(<28)?

> > Does an incease in dietary salt make me feel better because the sodium is

suppressing the high aldosterone?******

> >

> > >

> > > " The only way to tell is to measure the Na in your urine. "

> > *****My 24 hour urine sodium was 158(52-380).*****

> > >

> > > > " Could my whole problem be that I have always had a low sodium diet???

> > > > And maybe this is screwing with K? "

> > > " By screwing with I dont know what you mean. Be more specific. "

> >

> > *****Admittedly, I have no idea what I am talking about. I have no medical

background. I guess I was thinking that all the potassium I am taking(140 meq),

should be balanced out by taking in more sodium into my normally low sodium

diet.*****

> >

> >

> > >

> > > > I feel so ill that I am losing hours at work, and I need answers.

> > >

> > > Ask the correct questions of your Dr and us.

> > > He cannot tell how you feel.

> > >

> > >

> > >

> > > " Give us the exact details. "

> > ******I wake in the morning feeling shaky, and as though I haven't slept. I

have dark circles under my eyes. I am dizzy and often wake with headaches that

go up the back of my neck(I found this to coincide with my blood pressure rising

20-35 points above my normal 90/60). My leg muscles feel weak; my body just

feels 'heavy' in general.I experience incessant thirst, and at times I have a

metallic taste in my mouth. Things often get worse in afternoon between 2-5 PM.

I become so drowsy and fatigued that I must lay down, all the while it feels

like my heart is pounding very heavily(not fast, just heavy).

> > While I am lying done, I feel just awful instead of rested--headache, sick

stomach, crushing fatigue.

> > Sometimes I feel good between 8-10 PM at night.

> > My worse days are when I rise at 3:30 AM because I need to be at work at

4:30 AM, I usually do not finish work until about 2PM. These days are simply

awful.

> > I am waking at night once or twice to urinate, compounding the feeling of

not having slept.******

> >

> >

> > > > Thank you,

> > > >

> > >

> >

>

[Guest guest]

Agreed, my sodium is not quite low--it is simply in the low end of the range.

>

> > I would look at every thing you pot in your mouth and see if thing

> > interacts with anything. From drugs.com calcium citrate Before

> > taking this medication, tell your doctor if you have:

> >

> > a history of kidney stones; or

> >

> > a parathyroid gland disorder.

> >

> > If you have any of these conditions, you may not be able to take

> > calcium citrate, or you may need a dose adjustment or special tests

> > during treatment.

> >

> > From

http://www.bing.com/health/article/goldstandard-1500081033/Calcium-Citrate-Oral-\

tablet?q=calcium+citrate & FORM=FFF

> >

> > What may interact with this medicine?

> >

> > •digoxin

> > •other calcium products

> > •phenytoin

> > •some antibiotics like ciprofloxacin, doxycycline, gatifloxacin,

> > tetracycline

> > •strontium 89 chloride

> > •sucralfate

> > •thyroid hormones