on aldo 32 yrs.

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the most likely cause of your high renin and aldo are1. Spironolactone-blocking aldo will allow renin to go up to normal at least, this AII will kick the aldo up as well.2. Enalapril-increases renin and aldo by blocking ACE3. DASHing-but this may also be playing a major role in controlling your BP. Do you have the exact numbers? Was a 24 hr or even a spot urine for Na and K done at the time they were measured.I will bet you a beer it is not the renal arteries.If your average BP is less than 135/85 at home I would be very happy.Do you have a plot of your creatinines, BUN over the years. If not do one. Plot 1/plasma Cr on the y axis and time on the x axis.Keep us posted.CE Grim MDDr Grim,'s Just returned from an outpatients visit to the local hospital. The Endo suggested that my kidneys were 'impaired' and this is what has caused both Renin & Aldosterone to become elevated. In 3 months I am to be tested (I think she said scanned) with a view to doing surgery on Kidney artery(s)? I do not recall them saying that my Renin and Aldersteone were elevated on the last visit. The Endo seems to think that following this test, surgery should fix things!Last year (October) the Endo had reported back after a blood test that my Na / K was good but creatinine was 130. Previously it had also been 123. Your response to my kidney readings back then were:a) Is this blood or urine? What are the normal values for that lab? How old are you? What was BUN? Ask for an estimated GFR which should be automatic in most labs using blood creatinine. Discuss with your Dr as he knows you best and I don't have any of the above basic information to be able to make a commentb) It is mainly state of hydration or kidney disease. Yours is great. BUN: blood urea nitrogen another kidney test. Age 58: Been on Spiro for 32 years. Current regime of tablets: 75mg Spiro and 20mg Ennalapril. Blood pressure based on 3 readings generally 125 / 80 on good days. Can be 140 / 90 as well.