Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

[Guest guest]

You need a Dr. not our board here to make these decisions. I am available.CE Grim MDToday, when I saw my endocrinologist, he ordered the blood work to test for hyperaldosteronism. Previous email indicated that most anything other hormonal problems have been ruled out. The endocronologist ordered serum Aldosterone and Renin levels. Also, potassium, magnesium, sodium levels are being taken. I have not been to the lab yet and I am thinking I need to delay going for the tests because I am on Atenolol (a beta blocker) for recently diagnosed high blood pressure. My endocronologist didn't have the time to discuss this point with me. Don't you have to be off high blood pressure medications for a while so that the test results are accurate? I read that Atenolol works by suppressing Aldosterone and Renin levels. If this is correct then my test results might not show that I have elevated Aldosterone or low potassium. And, then once again, I leave the doctors office without a diagnosis - and as we all know unless you find the problem, you can't find the solution. I really want a diagnosis. I spend most of the day with a bad headache, dizzy, nauseated, brain fog, weakness and muscle pain. I bought a home blood pressure machine today as I am beginning to wonder that perhaps my blood pressure was not controlled by the Atenolol (beta blocker). I don't if a person with uncontrolled blood pressure has those symptoms. Plus, if I need to go off the Atenolol medication, I want to moniter what it does to my blood pressure. So, since I am thinking of taking myself off the Atenolol (without having had a chance to discuss with the doctor) in order to improve test outcomes, I am a little nervous. My endocronologist didn't want to discuss me going off the Atenolol, as he was running out of time. He also waved away my brief comment about using Spirolactone as suggested by Dr. Grimm from this support group. I think I will just take myself off the Atenolol for now. I expect I will not feel great for a couple weeks. Will I cause some terrible health problems? I have been on the Atenolol only for 4 weeks after my blood pressure was taken at 150/95. My husband, doesn't want me to go off the Atenolol as he is afraid if my blood pressure goes too high, I might have a stroke. I think he is worrying too much. Don't you need much higher blood pressure before you are concerned about a stroke? I am trying to reassure myself and husband that if I moniter my blood pressure carefully with this home BP moniter, I should be OK for the couple weeks needed to be off the BP meds for hyperaldosteronism lab result accuracy. I am so tired of being sick I want to do the right thing to get a definite diagnosis. I don't want to mess up lab results just because my doctor didn't have enough time to fully discuss the issue. (Normally he has been excellent, but I think he was distracted today with other non-me issues) Any thoughts or comments- anyone?. Thanks to anyone that has just read this and especially if you can give me some comments or some advice. I know I am rambling but I really need some support through all this.Elaine (You can also call me by my user name of Mojo, because I keep saying "I just want my mojo back, which to me means I want "joy of living" energy back).

[Guest guest]

More then likey this Dr doesn't understant how to DX PA.

" I am on Atenolol (a beta blocker) for recently diagnosed high blood pressure.

My endocronologist didn't have the time to discuss this point with me.

Don't you have to be off high blood pressure medications for a while so that the

test results are accurate? "

Where do you live? Someone on here may know of Dr that can DX you.

>

> > Today, when I saw my endocrinologist, he ordered the blood work to

> > test for hyperaldosteronism. Previous email indicated that most

> > anything other hormonal problems have been ruled out.

> > The endocronologist ordered serum Aldosterone and Renin levels.

> > Also, potassium, magnesium, sodium levels are being taken.

> >

> > I have not been to the lab yet and I am thinking I need to delay

> > going for the tests because I am on Atenolol (a beta blocker) for

> > recently diagnosed high blood pressure. My endocronologist didn't

> > have the time to discuss this point with me.

> >

> > Don't you have to be off high blood pressure medications for a while

> > so that the test results are accurate?

> >

> > I read that Atenolol works by suppressing Aldosterone and Renin

> > levels. If this is correct then my test results might not show that

> > I have elevated Aldosterone or low potassium.

> >

> > And, then once again, I leave the doctors office without a diagnosis

> > - and as we all know unless you find the problem, you can't find the

> > solution.

> >

> > I really want a diagnosis. I spend most of the day with a bad

> > headache, dizzy, nauseated, brain fog, weakness and muscle pain.

> >

> > I bought a home blood pressure machine today as I am beginning to

> > wonder that perhaps my blood pressure was not controlled by the

> > Atenolol (beta blocker). I don't if a person with uncontrolled blood

> > pressure has those symptoms.

> >

> > Plus, if I need to go off the Atenolol medication, I want to moniter

> > what it does to my blood pressure.

> >

> > So, since I am thinking of taking myself off the Atenolol (without

> > having had a chance to discuss with the doctor) in order to improve

> > test outcomes, I am a little nervous. My endocronologist didn't want

> > to discuss me going off the Atenolol, as he was running out of time.

> > He also waved away my brief comment about using Spirolactone as

> > suggested by Dr. Grimm from this support group.

> >

> > I think I will just take myself off the Atenolol for now. I expect I

> > will not feel great for a couple weeks. Will I cause some terrible

> > health problems? I have been on the Atenolol only for 4 weeks after

> > my blood pressure was taken at 150/95. My husband, doesn't want me

> > to go off the Atenolol as he is afraid if my blood pressure goes too

> > high, I might have a stroke. I think he is worrying too much. Don't

> > you need much higher blood pressure before you are concerned about a

> > stroke?

> > I am trying to reassure myself and husband that if I moniter my

> > blood pressure carefully with this home BP moniter, I should be OK

> > for the couple weeks needed to be off the BP meds for

> > hyperaldosteronism lab result accuracy.

> >

> > I am so tired of being sick I want to do the right thing to get a

> > definite diagnosis. I don't want to mess up lab results just because

> > my doctor didn't have enough time to fully discuss the issue.

> > (Normally he has been excellent, but I think he was distracted today

> > with other non-me issues) Any thoughts or comments- anyone?.

> >

> > Thanks to anyone that has just read this and especially if you can

> > give me some comments or some advice. I know I am rambling but I

> > really need some support through all this.

> >

> > Elaine

> > (You can also call me by my user name of Mojo, because I keep saying

> > " I just want my mojo back, which to me means I want " joy of living "

> > energy back).

> >

> >

> >

>

[Guest guest]

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

You are exactly right !

Juli Pack

To: hyperaldosteronism Sent: Fri, January 14, 2011 10:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

Y

[Guest guest]

Hi FrancisRe: your comment and question - More then likey this Dr doesn't understant how to DX PA.

Where do you live? Someone on here may know of Dr that can DX you. I live on Vancouver Island, BC, Canada. I also can travel to mainland Vancouver, BC, Canada if someone knows of an endocronologist that is familiar with PA Dx and treatment. Any of the group know of a BC endocronologist that is familiar with PAElaine To: hyperaldosteronism Sent: Fri, January 14, 2011 7:06:22

AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

More then likey this Dr doesn't understant how to DX PA.

"I am on Atenolol (a beta blocker) for recently diagnosed high blood pressure. My endocronologist didn't have the time to discuss this point with me.

Don't you have to be off high blood pressure medications for a while so that the test results are accurate?"

Where do you live? Someone on here may know of Dr that can DX you.

>

> > Today, when I saw my endocrinologist, he ordered the blood work to

> > test for hyperaldosteronism. Previous email indicated that most

> > anything other hormonal problems have been ruled out.

> > The endocronologist ordered serum Aldosterone and Renin levels.

> > Also, potassium, magnesium, sodium levels are being taken.

> >

> > I have not been to the lab yet and I am thinking I need to delay

> > going for the tests because I am on Atenolol (a beta blocker) for

> > recently diagnosed high blood pressure. My endocronologist didn't

> > have the time to discuss this point with me.

> >

> > Don't you have to be off high blood pressure medications for a while

> > so that the test results are accurate?

> >

> > I read that Atenolol works by suppressing Aldosterone and Renin

> > levels. If this is correct then my test results might not show that

> > I have elevated Aldosterone or low potassium.

> >

> > And, then once again, I leave the doctors office without a diagnosis

> > - and as we all know unless you find the problem, you can't find the

> > solution.

> >

> > I really want a diagnosis. I spend most of the day with a bad

> > headache, dizzy, nauseated, brain fog, weakness and muscle pain.

> >

> > I bought a home blood pressure machine today as I am beginning to

> > wonder that perhaps my blood pressure was not controlled by the

> > Atenolol (beta blocker). I don't if a person with uncontrolled blood

> > pressure has those symptoms.

> >

> > Plus, if I need to go off the Atenolol medication, I want to moniter

> > what it does to my blood pressure.

> >

> > So, since I am thinking of taking myself off the Atenolol (without

> > having had a chance to discuss with the doctor) in order to improve

> > test outcomes, I am a little nervous. My endocronologist didn't want

> > to discuss me going off the Atenolol, as he was running out of time.

> > He also waved away my brief comment about using Spirolactone as

> > suggested by Dr. Grimm from this support group.

> >

> > I think I will just take myself off the Atenolol for now. I expect I

> > will not feel great for a couple weeks. Will I cause some terrible

> > health problems? I have been on the Atenolol only for 4 weeks after

> > my blood pressure was taken at 150/95. My husband, doesn't want me

> > to go off the Atenolol as he is afraid if my blood pressure goes too

> > high, I might have a stroke. I think he is worrying too much. Don't

> > you need much higher blood pressure before you are concerned about a

> > stroke?

> > I am trying to reassure myself and husband that if I moniter my

> > blood pressure carefully with this home BP moniter, I should be OK

> > for the couple weeks needed to be off the BP meds for

> > hyperaldosteronism lab result accuracy.

> >

> > I am so tired of being sick I want to do the right thing to get a

> > definite diagnosis. I don't want to mess up lab results just because

> > my doctor didn't have enough time to fully discuss the issue.

> > (Normally he has been excellent, but I think he was distracted today

> > with other non-me issues) Any thoughts or comments- anyone?.

> >

> > Thanks to anyone that has just read this and especially if you can

> > give me some comments or some advice. I know I am rambling but I

> > really need some support through all this.

> >

> > Elaine

> > (You can also call me by my user name of Mojo, because I keep saying

> > "I just want my mojo back, which to me means I want "joy of living"

> > energy back).

> >

> >

> >

>

[Guest guest]

In Canada, usually family physician refers you to the University Hospital in Vancouver and there a specialist or Assistant Professor contacts you arranging for required tests after a thorough check up and then tells you your options like if you need surgery...etc. s/he will also convey her/his diagnosis to your family physician.

Hi FrancisRe: your comment and question - More then likey this Dr doesn't understant how to DX PA. Where do you live? Someone on here may know of Dr that can DX you. I live on Vancouver Island, BC, Canada. I also can travel to mainland Vancouver, BC, Canada if someone knows of an endocronologist that is familiar with PA Dx and treatment. Any of the group know of a BC endocronologist that is familiar with PAElaine

[Guest guest]

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something

that should be documented in the signs and symptoms list for PA, (if indeed it is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week,

but I am so in need of reaching out, questioning and looking for answers to work along with my doctors in trying to figure out what is wrong with me. Thanks everyone. Elaine To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

We all are looking for help and support so don't apologize. I was ill for so long and getting worse that in an instant my whole life was literally turned upside down - long story maybe I will share someday - but now I have the answer so far and let's pray you get yours!

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.To: hyperaldosteronism Date: Friday, January 14, 2011, 3:56 PM

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something that should be documented in the signs and symptoms list for PA, (if indeed it

is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week, but I am so in need of reaching out, questioning and looking for answers to

work along with my doctors in trying to figure out what is wrong with me. Thanks everyone.

Elaine

To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

This says low urine specific gravity can be part of Aldosteronism

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Urine specific gravity

URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003587.htm

Urine specific gravity is a laboratory test that measures the concentration of all chemical particles in the urine.

See also:

Urine concentration test

Urine osmolality

Urinalysis

How the Test is Performed

The test requires a clean-catch urine sample. For information on how to collect this urine sample, see: Clean-catch urine culture

How to Prepare for the Test

Your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test. Drugs that can increase specific gravity measurements include dextran and sucrose. Receiving intravenous dye (contrast medium) for an x-ray exam up to 3 days before the test can also interfere with results.

Eat a normal, balanced diet for several days before the test.

How the Test Will Feel

The test involves only normal urination, and there is no discomfort.

Why the Test is Performed

This test helps evaluate your body's water balance and urine concentration.

Normal Results

Normal values are between 1.020 to 1.028.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean

Increased urine specific gravity may be due to:

's disease (rare)

Dehydration

Diarrhea that causes dehydration

Glucosuria

Heart failure (related to decreased blood flow to the kidneys)

Renal arterial stenosis

Shock

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Decreased urine specific gravity may be due to:

Aldosteronism (very rare)

Excessive fluid intake

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Renal failure

Renal tubular necrosis

Severe kidney infection (pyelonephritis)

Additional conditions under which the test may be performed:

Complicated UTI (pyelonephritis)

High blood sodium level

Low blood sodium level

Excessive urination

Considerations

Osmolality is a more specific test for urine concentration. However, the specific gravity measurement is easier and more convenient and usually part of a routine urinalysis. It frequently makes the osmolality measurement unnecessary.

Alternative Names

Urine density

References

Bazari H. Approach to the patient with renal disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 115.

Update Date: 8/7/2009

Updated by: C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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MedlinePlus Topics

Fluid and Electrolyte Balance

Urine and Urination

Images

Female urinary tract

Male urinary tract

Read More

Acute kidney failure

Acute tubular necrosis

Dehydration

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Glucose test - urine

Heart failure

Hepatorenal syndrome

Hyponatremia

Interstitial nephritis

Osmolality - blood

Urine concentration test A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

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>> B, good comment below about how GPs only have the time to look for and > treat the obvious. > > > Actually, a rather vague comment I made to the doctor is what I think may have > started Dr. down the path of investigating for PA. > > > My symptoms which sound similiar to otherès stories are unfortunately so very > common in many different conditions - which must make it very hard for Drs to > make a diagnosis. And, the process of elimination takes time, money and > patience. > > > Of interest, recently I mentioned that quite often my urine was absolutely > clear - no yellow color. I thought that was so odd, I mentioned it to Dr. > Did others see that. If so, that sign might be something that should be > documented in the signs and symptoms list for PA, (if indeed it is something > that other people see prior to a diagnosis). > > It might sound kind of weird but many years ago, I had gotten into the habit of > checking the color of my urine to remind myself to drink enough water. So, > when I saw it absolutely clear quite often I thought it was odd, but initially > didnt think to mention it to the doctor. > > > Subsequently I was tested for kidney function - GFR and Creatinine level. They > were normal. I did show a high calcium level in urine but that was virtually > ignored by GP. It wasnt until I mentioned it to the endocrinologist that the > urine color was considered a puzzle piece for a diagnosis. Tests for urinary > potassium, sodium and magnesium have just been ordered in work-up to see if I > have PA. > > > I feel like I am too active on this site for the last week, but I am so in need > of reaching out, questioning and looking for answers to work along with my > doctors in trying to figure out what is wrong with me. Thanks everyone. > > > Elaine > > > > > > > ________________________________> To: hyperaldosteronism > Sent: Fri, January 14, 2011 8:31:18 AM> Subject: Re: Lab result accuracy for hyperaldosterone > tests and I need some advice.> > > Dr G and friends on here,> > In my case, as I have discussed how PA was never even discussed or thought of > (at least to me in real discussion) with well over 3 years of me running > around with a critical high blood pressure (sometimes could be 180/130), > uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the > ER or hospital every 2-3 months for replacement, and a host of other problems. > > > And as a medical provider myself I knew of it, and I am well read and know the > guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, > like the proverbial ZEBRA and not the more common horse as we say in medicine,> > "If you here hoofprints, don't look for the zebra, look for the horse"> > My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA > too often by most of us in the medical profession and I put myself on that list > - at least I used to be on that list - while PA is really a much more common > horse AND should be watched for. It makes noise when it is there, we just have > to listen.> > ...........At least I compared us to horses and not asses! > > B> > --->

[Guest guest]

Lsent from blackberrySender: hyperaldosteronism Date: Sat, 15 Jan 2011 00:33:54 -0000To: <hyperaldosteronism >ReplyTo: hyperaldosteronism Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice. This says low urine specific gravity can be part of Aldosteronism Skip navigation A service of the U.S. National Library of MedicineNational Institutes of Health HomeAbout MedlinePlusSite MapFAQsContact UsSearch MedlinePlusHealth TopicsDrugs & SupplementsVideos & Cool ToolsESPAÑOLUrine specific gravityURL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003587.htmUrine specific gravity is a laboratory test that measures the concentration of all chemical particles in the urine.See also:Urine concentration testUrine osmolalityUrinalysisHow the Test is PerformedThe test requires a clean-catch urine sample. For information on how to collect this urine sample, see: Clean-catch urine cultureHow to Prepare for the TestYour health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test. Drugs that can increase specific gravity measurements include dextran and sucrose. Receiving intravenous dye (contrast medium) for an x-ray exam up to 3 days before the test can also interfere with results.Eat a normal, balanced diet for several days before the test.How the Test Will FeelThe test involves only normal urination, and there is no discomfort.Why the Test is PerformedThis test helps evaluate your body's water balance and urine concentration.Normal ResultsNormal values are between 1.020 to 1.028.Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.What Abnormal Results MeanIncreased urine specific gravity may be due to:'s disease (rare)DehydrationDiarrhea that causes dehydrationGlucosuriaHeart failure (related to decreased blood flow to the kidneys)Renal arterial stenosisShockSyndrome of inappropriate antidiuretic hormone secretion (SIADH)Decreased urine specific gravity may be due to:Aldosteronism (very rare)Excessive fluid intakeDiabetes insipidus - centralDiabetes insipidus - nephrogenicRenal failureRenal tubular necrosisSevere kidney infection (pyelonephritis)Additional conditions under which the test may be performed:Complicated UTI (pyelonephritis)High blood sodium levelLow blood sodium levelExcessive urinationConsiderationsOsmolality is a more specific test for urine concentration. However, the specific gravity measurement is easier and more convenient and usually part of a routine urinalysis. It frequently makes the osmolality measurement unnecessary.Alternative NamesUrine densityReferencesBazari H. Approach to the patient with renal disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 115.Update Date: 8/7/2009Updated by: C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.Browse the EncyclopediaMedlinePlus TopicsFluid and Electrolyte BalanceUrine and UrinationImagesFemale urinary tractMale urinary tractRead MoreAcute kidney failureAcute tubular necrosisDehydrationDiabetes insipidus - centralDiabetes insipidus - nephrogenicGlucose test - urineHeart failureHepatorenal syndromeHyponatremiaInterstitial nephritisOsmolality - bloodUrine concentration test A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited. Mobile versionGet email updatesSubscribe to RSSFollow us on TwitterDisclaimersCopyrightPrivacyAccessibilityQuality GuidelinesU.S. National Library of Medicine8600 Rockville Pike, Bethesda, MD 20894U.S. Department of Health and Human ServicesNational Institutes of HealthPage last updated: 15 December 2010>> B, good comment below about how GPs only have the time to look for and > treat the obvious. > > > Actually, a rather vague comment I made to the doctor is what I think may have > started Dr. down the path of investigating for PA. > > > My symptoms which sound similiar to otherès stories are unfortunately so very > common in many different conditions - which must make it very hard for Drs to > make a diagnosis. And, the process of elimination takes time, money and > patience. > > > Of interest, recently I mentioned that quite often my urine was absolutely > clear - no yellow color. I thought that was so odd, I mentioned it to Dr. > Did others see that. If so, that sign might be something that should be > documented in the signs and symptoms list for PA, (if indeed it is something > that other people see prior to a diagnosis). > > It might sound kind of weird but many years ago, I had gotten into the habit of > checking the color of my urine to remind myself to drink enough water. So, > when I saw it absolutely clear quite often I thought it was odd, but initially > didnt think to mention it to the doctor. > > > Subsequently I was tested for kidney function - GFR and Creatinine level. They > were normal. I did show a high calcium level in urine but that was virtually > ignored by GP. It wasnt until I mentioned it to the endocrinologist that the > urine color was considered a puzzle piece for a diagnosis. Tests for urinary > potassium, sodium and magnesium have just been ordered in work-up to see if I > have PA. > > > I feel like I am too active on this site for the last week, but I am so in need > of reaching out, questioning and looking for answers to work along with my > doctors in trying to figure out what is wrong with me. Thanks everyone. > > > Elaine > > > > > > >________________________________> To: hyperaldosteronism > Sent: Fri, January 14, 2011 8:31:18 AM> Subject: Re: Lab result accuracy for hyperaldosterone > tests and I need some advice.> > > Dr G and friends on here,> > In my case, as I have discussed how PA was never even discussed or thought of > (at least to me in real discussion) with well over 3 years of me running > around with a critical high blood pressure (sometimes could be 180/130), > uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the > ER or hospital every 2-3 months for replacement, and a host of other problems. > > > And as a medical provider myself I knew of it, and I am well read and know the > guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, > like the proverbial ZEBRA and not the more common horse as we say in medicine,> > "If you here hoofprints, don't look for the zebra, look for the horse"> > My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA > too often by most of us in the medical profession and I put myself on that list > - at least I used to be on that list - while PA is really a much more common > horse AND should be watched for. It makes noise when it is there, we just have > to listen.> > ...........At least I compared us to horses and not asses! > > B> > --->

[Guest guest]

Piss poor way to test PA IGNORE IT Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Lsent from blackberry

Sender: hyperaldosteronism

Date: Sat, 15 Jan 2011 00:33:54 -0000To: <hyperaldosteronism >ReplyTo: hyperaldosteronism

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

This says low urine specific gravity can be part of Aldosteronism

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Urine specific gravity

URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003587.htm

Urine specific gravity is a laboratory test that measures the concentration of all chemical particles in the urine.

See also:

Urine concentration test

Urine osmolality

Urinalysis

How the Test is Performed

The test requires a clean-catch urine sample. For information on how to collect this urine sample, see: Clean-catch urine culture

How to Prepare for the Test

Your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test. Drugs that can increase specific gravity measurements include dextran and sucrose. Receiving intravenous dye (contrast medium) for an x-ray exam up to 3 days before the test can also interfere with results.

Eat a normal, balanced diet for several days before the test.

How the Test Will Feel

The test involves only normal urination, and there is no discomfort.

Why the Test is Performed

This test helps evaluate your body's water balance and urine concentration.

Normal Results

Normal values are between 1.020 to 1.028.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean

Increased urine specific gravity may be due to:

's disease (rare)

Dehydration

Diarrhea that causes dehydration

Glucosuria

Heart failure (related to decreased blood flow to the kidneys)

Renal arterial stenosis

Shock

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Decreased urine specific gravity may be due to:

Aldosteronism (very rare)

Excessive fluid intake

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Renal failure

Renal tubular necrosis

Severe kidney infection (pyelonephritis)

Additional conditions under which the test may be performed:

Complicated UTI (pyelonephritis)

High blood sodium level

Low blood sodium level

Excessive urination

Considerations

Osmolality is a more specific test for urine concentration. However, the specific gravity measurement is easier and more convenient and usually part of a routine urinalysis. It frequently makes the osmolality measurement unnecessary.

Alternative Names

Urine density

References

Bazari H. Approach to the patient with renal disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 115.

Update Date: 8/7/2009

Updated by: C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Browse the Encyclopedia

MedlinePlus Topics

Fluid and Electrolyte Balance

Urine and Urination

Images

Female urinary tract

Male urinary tract

Read More

Acute kidney failure

Acute tubular necrosis

Dehydration

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Glucose test - urine

Heart failure

Hepatorenal syndrome

Hyponatremia

Interstitial nephritis

Osmolality - blood

Urine concentration test A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Mobile versionGet email updatesSubscribe to RSSFollow us on Twitter

DisclaimersCopyrightPrivacyAccessibilityQuality GuidelinesU.S. National Library of Medicine8600 Rockville Pike, Bethesda, MD 20894U.S. Department of Health and Human ServicesNational Institutes of HealthPage last updated: 15 December 2010

>> B, good comment below about how GPs only have the time to look for and > treat the obvious. > > > Actually, a rather vague comment I made to the doctor is what I think may have > started Dr. down the path of investigating for PA. > > > My symptoms which sound similiar to otherès stories are unfortunately so very > common in many different conditions - which must make it very hard for Drs to > make a diagnosis. And, the process of elimination takes time, money and > patience. > > > Of interest, recently I mentioned that quite often my urine was absolutely > clear - no yellow color. I thought that was so odd, I mentioned it to Dr. > Did others see that. If so, that sign might be something that should be > documented in the signs and symptoms list for PA, (if indeed it is something > that other people see prior to a diagnosis). > > It might sound kind of weird but many years ago, I had gotten into the habit of > checking the color of my urine to remind myself to drink enough water. So, > when I saw it absolutely clear quite often I thought it was odd, but initially > didnt think to mention it to the doctor. > > > Subsequently I was tested for kidney function - GFR and Creatinine level. They > were normal. I did show a high calcium level in urine but that was virtually > ignored by GP. It wasnt until I mentioned it to the endocrinologist that the > urine color was considered a puzzle piece for a diagnosis. Tests for urinary > potassium, sodium and magnesium have just been ordered in work-up to see if I > have PA. > > > I feel like I am too active on this site for the last week, but I am so in need > of reaching out, questioning and looking for answers to work along with my > doctors in trying to figure out what is wrong with me. Thanks everyone. > > > Elaine > > > > > > >________________________________> To: hyperaldosteronism > Sent: Fri, January 14, 2011 8:31:18 AM> Subject: Re: Lab result accuracy for hyperaldosterone > tests and I need some advice.> > > Dr G and friends on here,> > In my case, as I have discussed how PA was never even discussed or thought of > (at least to me in real discussion) with well over 3 years of me running > around with a critical high blood pressure (sometimes could be 180/130), > uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the > ER or hospital every 2-3 months for replacement, and a host of other problems. > > > And as a medical provider myself I knew of it, and I am well read and know the > guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, > like the proverbial ZEBRA and not the more common horse as we say in medicine,> > "If you here hoofprints, don't look for the zebra, look for the horse"> > My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA > too often by most of us in the medical profession and I put myself on that list > - at least I used to be on that list - while PA is really a much more common > horse AND should be watched for. It makes noise when it is there, we just have > to listen.> > ...........At least I compared us to horses and not asses! > > B> > --->

[Guest guest]

Piss poor way to test PA IGNORE IT Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Lsent from blackberry

Sender: hyperaldosteronism

Date: Sat, 15 Jan 2011 00:33:54 -0000To: <hyperaldosteronism >ReplyTo: hyperaldosteronism

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

This says low urine specific gravity can be part of Aldosteronism

Skip navigation

A service of the U.S. National Library of MedicineNational Institutes of Health

HomeAbout MedlinePlusSite MapFAQsContact Us

Search MedlinePlus

Health Topics

Drugs & Supplements

Videos & Cool Tools

ESPAÑOL

Urine specific gravity

URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/003587.htm

Urine specific gravity is a laboratory test that measures the concentration of all chemical particles in the urine.

See also:

Urine concentration test

Urine osmolality

Urinalysis

How the Test is Performed

The test requires a clean-catch urine sample. For information on how to collect this urine sample, see: Clean-catch urine culture

How to Prepare for the Test

Your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test. Drugs that can increase specific gravity measurements include dextran and sucrose. Receiving intravenous dye (contrast medium) for an x-ray exam up to 3 days before the test can also interfere with results.

Eat a normal, balanced diet for several days before the test.

How the Test Will Feel

The test involves only normal urination, and there is no discomfort.

Why the Test is Performed

This test helps evaluate your body's water balance and urine concentration.

Normal Results

Normal values are between 1.020 to 1.028.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean

Increased urine specific gravity may be due to:

's disease (rare)

Dehydration

Diarrhea that causes dehydration

Glucosuria

Heart failure (related to decreased blood flow to the kidneys)

Renal arterial stenosis

Shock

Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

Decreased urine specific gravity may be due to:

Aldosteronism (very rare)

Excessive fluid intake

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Renal failure

Renal tubular necrosis

Severe kidney infection (pyelonephritis)

Additional conditions under which the test may be performed:

Complicated UTI (pyelonephritis)

High blood sodium level

Low blood sodium level

Excessive urination

Considerations

Osmolality is a more specific test for urine concentration. However, the specific gravity measurement is easier and more convenient and usually part of a routine urinalysis. It frequently makes the osmolality measurement unnecessary.

Alternative Names

Urine density

References

Bazari H. Approach to the patient with renal disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 115.

Update Date: 8/7/2009

Updated by: C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Browse the Encyclopedia

MedlinePlus Topics

Fluid and Electrolyte Balance

Urine and Urination

Images

Female urinary tract

Male urinary tract

Read More

Acute kidney failure

Acute tubular necrosis

Dehydration

Diabetes insipidus - central

Diabetes insipidus - nephrogenic

Glucose test - urine

Heart failure

Hepatorenal syndrome

Hyponatremia

Interstitial nephritis

Osmolality - blood

Urine concentration test A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2011, A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

Mobile versionGet email updatesSubscribe to RSSFollow us on Twitter

DisclaimersCopyrightPrivacyAccessibilityQuality GuidelinesU.S. National Library of Medicine8600 Rockville Pike, Bethesda, MD 20894U.S. Department of Health and Human ServicesNational Institutes of HealthPage last updated: 15 December 2010

>> B, good comment below about how GPs only have the time to look for and > treat the obvious. > > > Actually, a rather vague comment I made to the doctor is what I think may have > started Dr. down the path of investigating for PA. > > > My symptoms which sound similiar to otherès stories are unfortunately so very > common in many different conditions - which must make it very hard for Drs to > make a diagnosis. And, the process of elimination takes time, money and > patience. > > > Of interest, recently I mentioned that quite often my urine was absolutely > clear - no yellow color. I thought that was so odd, I mentioned it to Dr. > Did others see that. If so, that sign might be something that should be > documented in the signs and symptoms list for PA, (if indeed it is something > that other people see prior to a diagnosis). > > It might sound kind of weird but many years ago, I had gotten into the habit of > checking the color of my urine to remind myself to drink enough water. So, > when I saw it absolutely clear quite often I thought it was odd, but initially > didnt think to mention it to the doctor. > > > Subsequently I was tested for kidney function - GFR and Creatinine level. They > were normal. I did show a high calcium level in urine but that was virtually > ignored by GP. It wasnt until I mentioned it to the endocrinologist that the > urine color was considered a puzzle piece for a diagnosis. Tests for urinary > potassium, sodium and magnesium have just been ordered in work-up to see if I > have PA. > > > I feel like I am too active on this site for the last week, but I am so in need > of reaching out, questioning and looking for answers to work along with my > doctors in trying to figure out what is wrong with me. Thanks everyone. > > > Elaine > > > > > > >________________________________> To: hyperaldosteronism > Sent: Fri, January 14, 2011 8:31:18 AM> Subject: Re: Lab result accuracy for hyperaldosterone > tests and I need some advice.> > > Dr G and friends on here,> > In my case, as I have discussed how PA was never even discussed or thought of > (at least to me in real discussion) with well over 3 years of me running > around with a critical high blood pressure (sometimes could be 180/130), > uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the > ER or hospital every 2-3 months for replacement, and a host of other problems. > > > And as a medical provider myself I knew of it, and I am well read and know the > guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, > like the proverbial ZEBRA and not the more common horse as we say in medicine,> > "If you here hoofprints, don't look for the zebra, look for the horse"> > My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA > too often by most of us in the medical profession and I put myself on that list > - at least I used to be on that list - while PA is really a much more common > horse AND should be watched for. It makes noise when it is there, we just have > to listen.> > ...........At least I compared us to horses and not asses! > > B> > --->

[Guest guest]

You are not too active. Love it. Must have been other clues. Bp k cramps nocturia?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

We all are looking for help and support so don't apologize. I was ill for so long and getting worse that in an instant my whole life was literally turned upside down - long story maybe I will share someday - but now I have the answer so far and let's pray you get yours!

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.To: hyperaldosteronism Date: Friday, January 14, 2011, 3:56 PM

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something that should be documented in the signs and symptoms list for PA, (if indeed it

is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week, but I am so in need of reaching out, questioning and looking for answers to

work along with my doctors in trying to figure out what is wrong with me. Thanks everyone.

Elaine

To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

You are not too active. Love it. Must have been other clues. Bp k cramps nocturia?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

We all are looking for help and support so don't apologize. I was ill for so long and getting worse that in an instant my whole life was literally turned upside down - long story maybe I will share someday - but now I have the answer so far and let's pray you get yours!

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.To: hyperaldosteronism Date: Friday, January 14, 2011, 3:56 PM

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something that should be documented in the signs and symptoms list for PA, (if indeed it

is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week, but I am so in need of reaching out, questioning and looking for answers to

work along with my doctors in trying to figure out what is wrong with me. Thanks everyone.

Elaine

To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

But a low K even a PA should think of PAM Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something

that should be documented in the signs and symptoms list for PA, (if indeed it is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week,

but I am so in need of reaching out, questioning and looking for answers to work along with my doctors in trying to figure out what is wrong with me. Thanks everyone. Elaine To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

But a low K even a PA should think of PAM Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something

that should be documented in the signs and symptoms list for PA, (if indeed it is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week,

but I am so in need of reaching out, questioning and looking for answers to work along with my doctors in trying to figure out what is wrong with me. Thanks everyone. Elaine To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

Make that PATiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something

that should be documented in the signs and symptoms list for PA, (if indeed it is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week,

but I am so in need of reaching out, questioning and looking for answers to work along with my doctors in trying to figure out what is wrong with me. Thanks everyone. Elaine To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

Just take my article to ur reg MD. HE SHPULD BE able to take it from thereTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

In Canada, usually family physician refers you to the University Hospital in Vancouver and there a specialist or Assistant Professor contacts you arranging for required tests after a thorough check up and then tells you your options like if you need surgery...etc. s/he will also convey her/his diagnosis to your family physician.

Hi FrancisRe: your comment and question - More then likey this Dr doesn't understant how to DX PA. Where do you live? Someone on here may know of Dr that can DX you. I live on Vancouver Island, BC, Canada. I also can travel to mainland Vancouver, BC, Canada if someone knows of an endocronologist that is familiar with PA Dx and treatment. Any of the group know of a BC endocronologist that is familiar with PAElaine

[Guest guest]

Just take my article to ur reg MD. HE SHPULD BE able to take it from thereTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

In Canada, usually family physician refers you to the University Hospital in Vancouver and there a specialist or Assistant Professor contacts you arranging for required tests after a thorough check up and then tells you your options like if you need surgery...etc. s/he will also convey her/his diagnosis to your family physician.

Hi FrancisRe: your comment and question - More then likey this Dr doesn't understant how to DX PA. Where do you live? Someone on here may know of Dr that can DX you. I live on Vancouver Island, BC, Canada. I also can travel to mainland Vancouver, BC, Canada if someone knows of an endocronologist that is familiar with PA Dx and treatment. Any of the group know of a BC endocronologist that is familiar with PAElaine

[Guest guest]

I wouldn't think it should be used as a test. Just one the signs that you might

have PA.

> > >

> > > B, good comment below about how GPs only have the time to look for

and

> > > treat the obvious.

> > >

> > >

> > > Actually, a rather vague comment I made to the doctor is what I think may

have

> > > started Dr. down the path of investigating for PA.

> > >

> > >

> > > My symptoms which sound similiar to otherès stories are unfortunately

so very

> > > common in many different conditions - which must make it very hard for Drs

to

> > > make a diagnosis. And, the process of elimination takes time, money and

> > > patience.

> > >

> > >

> > > Of interest, recently I mentioned that quite often my urine was absolutely

> > > clear - no yellow color. I thought that was so odd, I mentioned it to Dr.

> > > Did others see that. If so, that sign might be something that should be

> > > documented in the signs and symptoms list for PA, (if indeed it is

something

> > > that other people see prior to a diagnosis).

> > >

> > > It might sound kind of weird but many years ago, I had gotten into the

habit of

> > > checking the color of my urine to remind myself to drink enough water. So,

> > > when I saw it absolutely clear quite often I thought it was odd, but

initially

> > > didnt think to mention it to the doctor.

> > >

> > >

> > > Subsequently I was tested for kidney function - GFR and Creatinine level.

They

> > > were normal. I did show a high calcium level in urine but that was

virtually

> > > ignored by GP. It wasnt until I mentioned it to the endocrinologist that

the

> > > urine color was considered a puzzle piece for a diagnosis. Tests for

urinary

> > > potassium, sodium and magnesium have just been ordered in work-up to see

if I

> > > have PA.

> > >

> > >

> > > I feel like I am too active on this site for the last week, but I am so in

need

> > > of reaching out, questioning and looking for answers to work along with my

> > > doctors in trying to figure out what is wrong with me. Thanks everyone.

> > >

> > >

> > > Elaine

> > >

> > >

> > >

> > >

> > >

> > >

> > >________________________________

> > > From: Bingham jlkbbk2003@

> > > To: hyperaldosteronism

> > > Sent: Fri, January 14, 2011 8:31:18 AM

> > > Subject: Re: Lab result accuracy for hyperaldosterone

> > > tests and I need some advice.

> > >

> > >

> > > Dr G and friends on here,

> > >

> > > In my case, as I have discussed how PA was never even discussed or thought

of

> > > (at least to me in real discussion) with well over 3 years of me running

> > > around with a critical high blood pressure (sometimes could be 180/130),

> > > uncontrolled on up to 5 medicines, a chronic low potassium that landed me

in the

> > > ER or hospital every 2-3 months for replacement, and a host of other

problems.

> > >

> > >

> > > And as a medical provider myself I knew of it, and I am well read and know

the

> > > guidelines, but like many providers I saw PA , if I saw PA at all sadly to

say,

> > > like the proverbial ZEBRA and not the more common horse as we say in

medicine,

> > >

> > > " If you here hoofprints, don't look for the zebra, look for the horse "

> > >

> > > My whole point here is that PA and it's similar illnesses ARE seen as a

ZEBRA

> > > too often by most of us in the medical profession and I put myself on that

list

> > > - at least I used to be on that list - while PA is really a much more

common

> > > horse AND should be watched for. It makes noise when it is there, we just

have

> > > to listen.

> > >

> > > ...........At least I compared us to horses and not asses!

> > >

> > > B

> > >

> > > ---

> > >

> >

>

[Guest guest]

Had lots of other symptom clues (weak muscles, nocturia, high blood pressure), I had just been wondering if a sign or one of the clues was clear urine. Urine wasn't always clear, sometimes it was and sometimes yellow color. I was beginning to wonder if I had failing kidneys. I was just wondering if clear urine was due to PA. Elaine

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sat, January 15, 2011 10:02:41 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

You are not too active. Love it. Must have been other clues. Bp k cramps nocturia?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

We all are looking for help and support so don't apologize. I was ill for so long and getting worse that in an instant my whole life was literally turned upside down - long story maybe I will share someday - but now I have the answer so far and let's pray you get yours!

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.To: hyperaldosteronism Date: Friday, January 14, 2011, 3:56 PM

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something that should be documented in the signs and symptoms list for PA, (if indeed it

is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week, but I am so in need of reaching out, questioning and looking for answers to

work along with my doctors in trying to figure out what is wrong with me. Thanks everyone.

Elaine

To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

Depends on how much liquid u drink. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Had lots of other symptom clues (weak muscles, nocturia, high blood pressure), I had just been wondering if a sign or one of the clues was clear urine. Urine wasn't always clear, sometimes it was and sometimes yellow color. I was beginning to wonder if I had failing kidneys. I was just wondering if clear urine was due to PA. Elaine

To: "hyperaldosteronism " <hyperaldosteronism >Sent: Sat, January 15, 2011 10:02:41 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

You are not too active. Love it. Must have been other clues. Bp k cramps nocturia?Tiped sad Send form mi iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

We all are looking for help and support so don't apologize. I was ill for so long and getting worse that in an instant my whole life was literally turned upside down - long story maybe I will share someday - but now I have the answer so far and let's pray you get yours!

Subject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.To: hyperaldosteronism Date: Friday, January 14, 2011, 3:56 PM

B, good comment below about how GPs only have the time to look for and treat the obvious. Actually, a rather vague comment I made to the doctor is what I think may have started Dr. down the path of investigating for PA. My symptoms which sound similiar to otherès stories are unfortunately so very common in many different conditions - which must make it very hard for Drs to make a diagnosis. And, the process of elimination takes time, money and patience. Of interest, recently I mentioned that quite often my urine was absolutely clear - no yellow color. I thought that was so odd, I mentioned it to Dr. Did others see that. If so, that sign might be something that should be documented in the signs and symptoms list for PA, (if indeed it

is something that other people see prior to a diagnosis). It might sound kind of weird but many years ago, I had gotten into the habit of checking the color of my urine to remind myself to drink enough water. So, when I saw it absolutely clear quite often I thought it was odd, but initially didnt think to mention it to the doctor. Subsequently I was tested for kidney function - GFR and Creatinine level. They were normal. I did show a high calcium level in urine but that was virtually ignored by GP. It wasnt until I mentioned it to the endocrinologist that the urine color was considered a puzzle piece for a diagnosis. Tests for urinary potassium, sodium and magnesium have just been ordered in work-up to see if I have PA. I feel like I am too active on this site for the last week, but I am so in need of reaching out, questioning and looking for answers to

work along with my doctors in trying to figure out what is wrong with me. Thanks everyone.

Elaine

To: hyperaldosteronism Sent: Fri, January 14, 2011 8:31:18 AMSubject: Re: Lab result accuracy for hyperaldosterone tests and I need some advice.

Dr G and friends on here,

In my case, as I have discussed how PA was never even discussed or thought of (at least to me in real discussion) with well over 3 years of me running around with a critical high blood pressure (sometimes could be 180/130), uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the ER or hospital every 2-3 months for replacement, and a host of other problems.

And as a medical provider myself I knew of it, and I am well read and know the guidelines, but like many providers I saw PA , if I saw PA at all sadly to say, like the proverbial ZEBRA and not the more common horse as we say in medicine,

"If you here hoofprints, don't look for the zebra, look for the horse"

My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA too often by most of us in the medical profession and I put myself on that list - at least I used to be on that list - while PA is really a much more common horse AND should be watched for. It makes noise when it is there, we just have to listen.

...........At least I compared us to horses and not asses!

B---

[Guest guest]

Or u drink 8 glasses a day Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I wouldn't think it should be used as a test. Just one the signs that you might have PA.

> > >

> > > B, good comment below about how GPs only have the time to look for and

> > > treat the obvious.

> > >

> > >

> > > Actually, a rather vague comment I made to the doctor is what I think may have

> > > started Dr. down the path of investigating for PA.

> > >

> > >

> > > My symptoms which sound similiar to otherès stories are unfortunately so very

> > > common in many different conditions - which must make it very hard for Drs to

> > > make a diagnosis. And, the process of elimination takes time, money and

> > > patience.

> > >

> > >

> > > Of interest, recently I mentioned that quite often my urine was absolutely

> > > clear - no yellow color. I thought that was so odd, I mentioned it to Dr.

> > > Did others see that. If so, that sign might be something that should be

> > > documented in the signs and symptoms list for PA, (if indeed it is something

> > > that other people see prior to a diagnosis).

> > >

> > > It might sound kind of weird but many years ago, I had gotten into the habit of

> > > checking the color of my urine to remind myself to drink enough water. So,

> > > when I saw it absolutely clear quite often I thought it was odd, but initially

> > > didnt think to mention it to the doctor.

> > >

> > >

> > > Subsequently I was tested for kidney function - GFR and Creatinine level. They

> > > were normal. I did show a high calcium level in urine but that was virtually

> > > ignored by GP. It wasnt until I mentioned it to the endocrinologist that the

> > > urine color was considered a puzzle piece for a diagnosis. Tests for urinary

> > > potassium, sodium and magnesium have just been ordered in work-up to see if I

> > > have PA.

> > >

> > >

> > > I feel like I am too active on this site for the last week, but I am so in need

> > > of reaching out, questioning and looking for answers to work along with my

> > > doctors in trying to figure out what is wrong with me. Thanks everyone.

> > >

> > >

> > > Elaine

> > >

> > >

> > >

> > >

> > >

> > >

> > >________________________________

> > > From: Bingham jlkbbk2003@

> > > To: hyperaldosteronism

> > > Sent: Fri, January 14, 2011 8:31:18 AM

> > > Subject: Re: Lab result accuracy for hyperaldosterone

> > > tests and I need some advice.

> > >

> > >

> > > Dr G and friends on here,

> > >

> > > In my case, as I have discussed how PA was never even discussed or thought of

> > > (at least to me in real discussion) with well over 3 years of me running

> > > around with a critical high blood pressure (sometimes could be 180/130),

> > > uncontrolled on up to 5 medicines, a chronic low potassium that landed me in the

> > > ER or hospital every 2-3 months for replacement, and a host of other problems.

> > >

> > >

> > > And as a medical provider myself I knew of it, and I am well read and know the

> > > guidelines, but like many providers I saw PA , if I saw PA at all sadly to say,

> > > like the proverbial ZEBRA and not the more common horse as we say in medicine,

> > >

> > > "If you here hoofprints, don't look for the zebra, look for the horse"

> > >

> > > My whole point here is that PA and it's similar illnesses ARE seen as a ZEBRA

> > > too often by most of us in the medical profession and I put myself on that list

> > > - at least I used to be on that list - while PA is really a much more common

> > > horse AND should be watched for. It makes noise when it is there, we just have

> > > to listen.

> > >

> > > ...........At least I compared us to horses and not asses!

> > >

> > > B

> > >

> > > ---

> > >

> >

>

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[Guest guest]

You need a Dr. not our board here to make these decisions. I am available.CE Grim MDToday, when I saw my endocrinologist, he ordered the blood work to test for hyperaldosteronism. Previous email indicated that most anything other hormonal problems have been ruled out. The endocronologist ordered serum Aldosterone and Renin levels. Also, potassium, magnesium, sodium levels are being taken. I have not been to the lab yet and I am thinking I need to delay going for the tests because I am on Atenolol (a beta blocker) for recently diagnosed high blood pressure. My endocronologist didn't have the time to discuss this point with me. Don't you have to be off high blood pressure medications for a while so that the test results are accurate? I read that Atenolol works by suppressing Aldosterone and Renin levels. If this is correct then my test results might not show that I have elevated Aldosterone or low potassium. And, then once again, I leave the doctors office without a diagnosis - and as we all know unless you find the problem, you can't find the solution. I really want a diagnosis. I spend most of the day with a bad headache, dizzy, nauseated, brain fog, weakness and muscle pain. I bought a home blood pressure machine today as I am beginning to wonder that perhaps my blood pressure was not controlled by the Atenolol (beta blocker). I don't if a person with uncontrolled blood pressure has those symptoms. Plus, if I need to go off the Atenolol medication, I want to moniter what it does to my blood pressure. So, since I am thinking of taking myself off the Atenolol (without having had a chance to discuss with the doctor) in order to improve test outcomes, I am a little nervous. My endocronologist didn't want to discuss me going off the Atenolol, as he was running out of time. He also waved away my brief comment about using Spirolactone as suggested by Dr. Grimm from this support group. I think I will just take myself off the Atenolol for now. I expect I will not feel great for a couple weeks. Will I cause some terrible health problems? I have been on the Atenolol only for 4 weeks after my blood pressure was taken at 150/95. My husband, doesn't want me to go off the Atenolol as he is afraid if my blood pressure goes too high, I might have a stroke. I think he is worrying too much. Don't you need much higher blood pressure before you are concerned about a stroke? I am trying to reassure myself and husband that if I moniter my blood pressure carefully with this home BP moniter, I should be OK for the couple weeks needed to be off the BP meds for hyperaldosteronism lab result accuracy. I am so tired of being sick I want to do the right thing to get a definite diagnosis. I don't want to mess up lab results just because my doctor didn't have enough time to fully discuss the issue. (Normally he has been excellent, but I think he was distracted today with other non-me issues) Any thoughts or comments- anyone?. Thanks to anyone that has just read this and especially if you can give me some comments or some advice. I know I am rambling but I really need some support through all this.Elaine (You can also call me by my user name of Mojo, because I keep saying "I just want my mojo back, which to me means I want "joy of living" energy back).