Re: Re: 39 yr old WM with HTN slightly low K and no adrenal mass

[Guest guest]

Fist or no fist during blood sample for K test I tried and found it not

significant factor because he trouble that med techs had in finding a vein

and inserting needle several times to get blood was causing more distress

than just seat and be cool. Such factors usually are not of much

significant. Main significant factor is medication and until bp varies a lot

during 24 hrs it means medications or their doses are not appropriate.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo

#75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67,

K.cl=120 mEq}

|

|

|I do know that I have PA based upon the past testing I have

|had. I just don't have any visible adenomas. The spiro working

|so well to lower my blood pressure further supports my

|diagnosis. I have been watching how my blood samples have been

|taken to measure potassium. I make sure they don't have me

|pump my fist. They do tie the rubber tubing to my arm. I have

|asked if they can do sample without this and they won't. It

|does make since ot me that I may also need to take potassium

|supplements. I don't think I could dash enough to get my

|potassium up to 4.6. It woudl be interesting to see if my

|palpitations stop after increasing my potassiunm levels.

|

|polymac

|

|

[Guest guest]

Your K=1.3 and 4 doctors sent you home!!! Are you talking about Canadian doctors?!

Dr. Grim has said adrenalectomy cures 50% of patients and the other 50% should continue medications...starting/increasing after a period of time like 5 years....

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}

Palpitations are how I realized I has PA. My K was 1.3 and 4 doctors sent me home! After nearly a year of being fobed off I finally requested all my labs from every ER and Dr . I looked it all up online and guessed it might be PA. I had an appt w my cardiologist, who was telling me I needed a psych consult. I stood in the doorway of his patient room and begged him to look at my labs- K ranging from 1.3 to 2.9. I had critical levels. It said so right on the lab reports. Ignored by 3 hospitals and 4 Drs. The cardiologist only listened to me because I blocked the door. By the next week he did labs and confirmed PA. My main complaint was palps. They were frightening. The cardiologist said low K was the cause. I moved and haven't found a dr that will test my K now. Though Dr Grim gave me the name of a Dr so fingers crossed. I have very few palps since the adrenalectomy but I'd like to make sure the remaining adrenal is functioning properly since I have symptoms now. Though less severe.

[Guest guest]

Ask them to draw the K last or ask to speak to the supervisor. Most who are drawing your blood these days are kids off the street who dont know squat. Don't pump your fist. Better yet shake it at them if they dont donor right. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I do know that I have PA based upon the past testing I have had. I just

don't have any visible adenomas. The spiro working so well to lower my

blood pressure further supports my diagnosis. I have been watching how

my blood samples have been taken to measure potassium. I make sure they

don't have me pump my fist. They do tie the rubber tubing to my arm. I

have asked if they can do sample without this and they won't. It does

make since ot me that I may also need to take potassium supplements. I

don't think I could dash enough to get my potassium up to 4.6. It woudl

be interesting to see if my palpitations stop after increasing my

potassiunm levels.

polymac

>

> I learned that low K (<4.0) causes multitude of problems...not sure if

> palpitation is one but when Spiro is lowering your bp it means you

have PA

> and PA means you have one or two adenoma producing aldosterone and

> aldosterone lowers your K and low K causes many problems...so it seems

> rational to take enough dose of Spiro to control bp keeping it

=<120/80 and

> then if needed take enough K supplements to elevate K to about 4.6

either as

> Dr Grim says by DASH or in my case by K.Cl supplements of 120

mEq/daily.

>

> Max.

> 61M L adenoma by NP59 scan. High aldos not low renin. med combo

> #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40,

Feno=67,

> K.cl=120 mEq}

>

> |

> |I have had my CHOL, LDL,HDL, and TRIG tested within the past

> |year and everything was fine. I have never had problems with

> |my cholesterol. I had very frequent palpitations when I was

> |pregnant. The docs think this was due to the expansion of

> |blood volume. I don't think my palpitations are due to

> |exercise or lack of exercise. I have them either way. Right

> |now I am doing moderate exercise 5-7 times/week. I am

> |wondering if I need my potassium levels to be higher to

> |eliminate the palpitations?

> |

> |I do not want to take any more blood pressure meds than

> |necessary. I seem to be prone to their side effects. I am

> |wondering if I should somehow supplement with extra potassium

> |or change dosage of spiro? (50 mg spiro 2X/day). Right now I

> |am only taking spiro to control my blood pressure and it seems

> |to be working very well for me except for the palpitations.

> |

> |polymac

> |

>

[Guest guest]

They most likely would stop. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

My adenoma did not show up for almost 10 years. Don't lose hope! Juli40y f adrenalectomy 12.15.10Sent from my iPhone

I do know that I have PA based upon the past testing I have had. I just

don't have any visible adenomas. The spiro working so well to lower my

blood pressure further supports my diagnosis. I have been watching how

my blood samples have been taken to measure potassium. I make sure they

don't have me pump my fist. They do tie the rubber tubing to my arm. I

have asked if they can do sample without this and they won't. It does

make since ot me that I may also need to take potassium supplements. I

don't think I could dash enough to get my potassium up to 4.6. It woudl

be interesting to see if my palpitations stop after increasing my

potassiunm levels.

polymac

>

> I learned that low K (<4.0) causes multitude of problems...not sure if

> palpitation is one but when Spiro is lowering your bp it means you

have PA

> and PA means you have one or two adenoma producing aldosterone and

> aldosterone lowers your K and low K causes many problems...so it seems

> rational to take enough dose of Spiro to control bp keeping it

=<120/80 and

> then if needed take enough K supplements to elevate K to about 4.6

either as

> Dr Grim says by DASH or in my case by K.Cl supplements of 120

mEq/daily.

>

> Max.

> 61M L adenoma by NP59 scan. High aldos not low renin. med combo

> #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40,

Feno=67,

> K.cl=120 mEq}

>

> |

> |I have had my CHOL, LDL,HDL, and TRIG tested within the past

> |year and everything was fine. I have never had problems with

> |my cholesterol. I had very frequent palpitations when I was

> |pregnant. The docs think this was due to the expansion of

> |blood volume. I don't think my palpitations are due to

> |exercise or lack of exercise. I have them either way. Right

> |now I am doing moderate exercise 5-7 times/week. I am

> |wondering if I need my potassium levels to be higher to

> |eliminate the palpitations?

> |

> |I do not want to take any more blood pressure meds than

> |necessary. I seem to be prone to their side effects. I am

> |wondering if I should somehow supplement with extra potassium

> |or change dosage of spiro? (50 mg spiro 2X/day). Right now I

> |am only taking spiro to control my blood pressure and it seems

> |to be working very well for me except for the palpitations.

> |

> |polymac

> |

>

[Guest guest]

Good you could even take them the article in our files. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Dr. Grim,

I hope you are enjoying your vacation. It's definitely well deserved.

I think I will ask to speak to a supervisor to try to get better blood

draws for potassium.

> > >

> > > I learned that low K (<4.0) causes multitude of problems...not

sure if

> > > palpitation is one but when Spiro is lowering your bp it means you

> > have PA

> > > and PA means you have one or two adenoma producing aldosterone and

> > > aldosterone lowers your K and low K causes many problems...so it

seems

> > > rational to take enough dose of Spiro to control bp keeping it

> > =<120/80 and

> > > then if needed take enough K supplements to elevate K to about 4.6

> > either as

> > > Dr Grim says by DASH or in my case by K.Cl supplements of 120

> > mEq/daily.

> > >

> > > Max.

> > > 61M L adenoma by NP59 scan. High aldos not low renin. med combo

> > > #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40,

> > Feno=67,

> > > K.cl=120 mEq}

> > >

> > > |

> > > |I have had my CHOL, LDL,HDL, and TRIG tested within the past

> > > |year and everything was fine. I have never had problems with

> > > |my cholesterol. I had very frequent palpitations when I was

> > > |pregnant. The docs think this was due to the expansion of

> > > |blood volume. I don't think my palpitations are due to

> > > |exercise or lack of exercise. I have them either way. Right

> > > |now I am doing moderate exercise 5-7 times/week. I am

> > > |wondering if I need my potassium levels to be higher to

> > > |eliminate the palpitations?

> > > |

> > > |I do not want to take any more blood pressure meds than

> > > |necessary. I seem to be prone to their side effects. I am

> > > |wondering if I should somehow supplement with extra potassium

> > > |or change dosage of spiro? (50 mg spiro 2X/day). Right now I

> > > |am only taking spiro to control my blood pressure and it seems

> > > |to be working very well for me except for the palpitations.

> > > |

> > > |polymac

> > > |

> > >

> >

> >

>

[Guest guest]

Any dr should be able to test joy K again. Do u have post op PA and PRA?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Your K=1.3 and 4 doctors sent you home!!! Are you talking about Canadian doctors?!

Dr. Grim has said adrenalectomy cures 50% of patients and the other 50% should continue medications...starting/increasing after a period of time like 5 years....

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67, K.cl=120 mEq}

Palpitations are how I realized I has PA. My K was 1.3 and 4 doctors sent me home! After nearly a year of being fobed off I finally requested all my labs from every ER and Dr . I looked it all up online and guessed it might be PA. I had an appt w my cardiologist, who was telling me I needed a psych consult. I stood in the doorway of his patient room and begged him to look at my labs- K ranging from 1.3 to 2.9. I had critical levels. It said so right on the lab reports. Ignored by 3 hospitals and 4 Drs. The cardiologist only listened to me because I blocked the door. By the next week he did labs and confirmed PA. My main complaint was palps. They were frightening. The cardiologist said low K was the cause. I moved and haven't found a dr that will test my K now. Though Dr Grim gave me the name of a Dr so fingers crossed. I have very few palps since the adrenalectomy but I'd like to make sure the remaining adrenal is functioning properly since I have symptoms now. Though less severe.

[Guest guest]

Did you read the review on K errors. Failure to foow these will miss many PAs. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Fist or no fist during blood sample for K test I tried and found it not

significant factor because he trouble that med techs had in finding a vein

and inserting needle several times to get blood was causing more distress

than just seat and be cool. Such factors usually are not of much

significant. Main significant factor is medication and until bp varies a lot

during 24 hrs it means medications or their doses are not appropriate.

Max.

61M L adenoma by NP59 scan. High aldos not low renin. med combo

#75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40, Feno=67,

K.cl=120 mEq}

|

|

|I do know that I have PA based upon the past testing I have

|had. I just don't have any visible adenomas. The spiro working

|so well to lower my blood pressure further supports my

|diagnosis. I have been watching how my blood samples have been

|taken to measure potassium. I make sure they don't have me

|pump my fist. They do tie the rubber tubing to my arm. I have

|asked if they can do sample without this and they won't. It

|does make since ot me that I may also need to take potassium

|supplements. I don't think I could dash enough to get my

|potassium up to 4.6. It woudl be interesting to see if my

|palpitations stop after increasing my potassiunm levels.

|

|polymac

|

|

[Guest guest]

You

don't have to see an adenoma for one to be there.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Juli Pack

My

adenoma did not show up for almost 10 years. Don't lose hope!

I do know that I have PA based upon the past testing I have had. I just

don't have any visible adenomas.

[Guest guest]

You

can always get your own testing at www.healthcheckusa.com  There are also other websites to order from.

Val

From: hyperaldosteronism

[mailto:hyperaldosteronism ] On Behalf Of Txsgreen

Palpitations

are how I realized I has PA. My K was 1.3 and 4 doctors sent me home! After

nearly a year of being fobed off I finally requested all my labs from every ER

and Dr . I looked it all up online and guessed it might be PA. I had an appt w

my cardiologist, who was telling me I needed a psych consult. I stood in the

doorway of his patient room and begged him to look at my labs- K ranging

from 1.3 to 2.9. I had critical levels. It said so right on the lab reports.

Ignored by 3 hospitals and 4 Drs. The cardiologist only listened to me because

I blocked the door. By the next week he did labs and confirmed PA. My main

complaint was palps. They were frightening. The cardiologist said low K was the

cause. I moved and haven't found a dr that will test my K now. Though Dr Grim

gave me the name of a Dr so fingers crossed. I have very few palps since the

adrenalectomy but I'd like to make sure the remaining adrenal is functioning

properly since I have symptoms now. Though less severe.

I have had my CHOL, LDL,HDL, and TRIG tested within the past year and

everything was fine. I have never had problems with my cholesterol. I

had very frequent palpitations when I was pregnant. The docs think this

was due to the expansion of blood volume. I don't think my palpitations

are due to exercise or lack of exercise. I have them either way. Right

now I am doing moderate exercise 5-7 times/week. I am wondering if I

need my potassium levels to be higher to eliminate the palpitations?

I do not want to take any more blood pressure meds than necessary. I

seem to be prone to their side effects. I am wondering if I should

somehow supplement with extra potassium or change dosage of spiro? (50

mg spiro 2X/day). Right now I am only taking spiro to control my blood

pressure and it seems to be working very well for me except for the

palpitations.

polymac

>

> I keep my K=4.6 ...any K<3.9 has caused me some kind of muscle spasm

in the

> past.

>

> I experienced palpitation during the time I was on ACEi+A2RB combo

that

> medical authorities later declared causing MI and insteructed doctors

to

> abandon iit. With that combo I had severe palpitations at

wake-up...very

> scary indeed. So bad drug combo might be cause of palpitation...as

well as

> lack of regular moderate exercise...as far as I discovered.

>

> You might also need a diuretic (of course not HCTZ)! How are your

CHOL, LDL,

> HDL, TRIG?

>

> Max.

> 61M L adenoma by NP59 scan. High aldos not low renin. med combo

> #75={Spiro=100, Amlo=10, Indap=2.5, Ramip=5, Metf=1000, Prav=40,

Feno=67,

> K.cl=120 mEq}

>

> |Hello everyone,

> |

> |I think this question may have been asked before so I

> |apologize in advance if it has. What is a good target

> |potassium level? Mine is usually around 3.8 (3.5-5.5 normal

> |range). Right now I am just taking 50 mg of spiro 2X/day. I

> |just recently was able to stop taking clonidine and atenolol

> |over the past month. My blood pressure remains very good at

> |around 120/80. I still have some occasional heart

> |palpitations, but otherwise I actually feel great for the

> |first time in I don't know how long.

> |

> |I am watching my sodium intake, but not doing a strict dash

> |diet. Is there any danger in having a potassium level in the

> |low normal range? Before I was diagnosed with PA my potassium

> |was 3.4 ( with no potassium supplementation). Are the

> |palpitaions due to a lower potassium level?

> |

> |polymac

> |

>