Guest guest Posted June 23, 2011 Report Share Posted June 23, 2011 At the VA all you need to do is go to medical records and request a copy of labs or better still all your records. Might find some of the barnyard stuff in them. Surprising how some Dr misunderstand what you tell them. In me case I had Aldo and renin at both the VA and DHMC I also had my DHMC tests reviewed by one of there Nephrology department. all are saying I don't have PA. The meds I now take and was on for the two PRA ratio test. ATENOLOL 25MG TRIAMTERENE 50MG POTASSIUM CHLORIDE 20MEQ FUROSEMIDE 60MG TAB. Except for the POTASSIUM CHLORIDE all the other meds change PRA ratio. My PAR ratio wasn't high to DX PA. It would have been interesting to see if your PRA would have been high enough to DX PA in you. Sprio works on more then PA. So you may not have PA based on just the fact that Sprio is working for you. I would agree to leave well enough alone. Are you saying you are no longer on Oxg? Have seen where they sometimes treat PTSD with ATENOLOL. The VA has the best research there is on treatment for it. > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > To: hyperaldosteronism > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2011 Report Share Posted June 23, 2011 I know how to get my records from the VA, in fact they made it even easier a couple months ago when they moved out of the basement and into the corner of Green Mtn. I am also very aware of some of the misleading and sonetines downright false info that some Drs. put in your file. In fact I went ballistic when Dr. Momin, my last Nepheroligist overstated some items on my " Problem List " . In fact, Dr. Webster agreed with me and removed two of them! To the issue at hand, If the right tests were done prior to DX it would have been purely accidental. Dr. Yousefi immediately put me on Spiro and FUROSEMIDE. I Just reviewed my copy of " Rossi et al: Screening of primary aldosteronism " . Particulary in the paragraph, " PHARMACOLOGIGAL CONSIDERATIONS " it looks like alot of hoops would have been needed to jump through to get a totally accurate DX. I don't see any need to go any further unless a different result eould change my treatment. If you feel better calling it unconfirmed it's fine with me. Off subject: I'm well aware of PTSD research and in fact WRJ is the prime research area for the VA's efforts. (My niece actually works for one of the big guys, she's the cute redhead you'll sometimes see bringing the mail back to the offices but be careful - her husband works in maintenance!) While I admire their progress, the sucessful implementation still has eluded me so far! In fact I needed to find a new " Psyco Doc " so I moved that part of my care to the Cholchester CBOC at Fort Eathan this week. (I am anticapating a move to the northeren part of the state in ths future.) And finally, what is Oxg? If it is a referance to Oxygen, there is no change there. If it was reacting to my coment of " Oxy " , that was my abreviation to Oxycodone/acetam the answer is yes, I am completely off that and have reduced Methadone by 50%. Actually, that is my indicator to watch my Na. When I feel the flank pain start to lightly return I know to cut the salt! (Its been an interesting month with oral surgery there has been a diet of soft foods and soup and we all know how salty soup is even if we heed your 's H.R. observations (at ateast I consider 480 high but it sure beats 910!) Hope this clears some of your questions but apoligize in advance for not pursuing the history too far. I'm just too busy right now with the Oral Surgery, looking at a new home and trying to figure out all that goes with buying and selling a couple, will probably make an offer next week. And just to keep it interesting, June is a particularly bad month personally for my PTSD, my own fault since my psyco doc left 10 months ago and I didn't hit it off with the replacement. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP being watched after Oral Surgery and associated dietary changes. Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSD Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > > To: hyperaldosteronism > > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2011 Report Share Posted June 23, 2011 How come they have you on a K wasting med like furosemide and no spiro or epelerone? i must have missed it somewhere ( the reason). how do you keep your K good or is that not really a problem for you?? On Thu Jun 23rd, 2011 7:22 PM CDT Francis Bill SUSPECTED PA wrote: >At the VA all you need to do is go to medical records and request a copy of labs or better still all your records. Might find some of the barnyard stuff in them. Surprising how some Dr misunderstand what you tell them. > >In me case I had Aldo and renin at both the VA and DHMC I also had my DHMC tests reviewed by one of there Nephrology department. all are saying I don't have PA. The meds I now take and was on for the two PRA ratio test. ATENOLOL 25MG TRIAMTERENE 50MG POTASSIUM CHLORIDE 20MEQ FUROSEMIDE 60MG TAB. Except for the POTASSIUM CHLORIDE all the other meds change PRA ratio. My PAR ratio wasn't high to DX PA. It would have been interesting to see if your PRA would have been high enough to DX PA in you. > >Sprio works on more then PA. So you may not have PA based on just the fact that Sprio is working for you. I would agree to leave well enough alone. Are you saying you are no longer on Oxg? > >Have seen where they sometimes treat PTSD with ATENOLOL. The VA has the best research there is on treatment for it. > > > > > >> > > > > > > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They >> > > > > > > appeared simultaneously in my case too. >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and >> > > > > > > Dashing work perfectly. >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > >> > > > > > > ________________________________ >> > > > > > > From: nbrick33 <nbrick33@> >> > > > > > > To: hyperaldosteronism >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM >> > > > > > > Subject: Kidney Stones >> > > > > > > >> > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in >> > > > > > > one year- before going on Inspra. And most recently another one when I was >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down >> > > > > > > to 40meq. Is there any correlation? >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > >> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Having limited funds and no insurance and because I am a Vet I have to use the VA for my health care needs. and I both go to the same VA medical center. As of yet have not met him. Seems his story is much like my on as far as finding a good PCP at this the VA. seems he has at last found one. I have tried 3 of them and not one of them has been able to tell me why I am sick. They are good at giving meds to treat Sx and even when meds don't work they just tell you they have no idea what to do next. Since I am hard to draw blood from I would be hard to know what my true K is has been 3.2 most of the time it is about 3.8. 64 y m vet BP readings that have been as high 199/100 K drop from 4.3 to 3.2 after being started 25 MG of HYDROCHLOROTHIAZIDE since stopped fulid retention Dizziness Fatigue Tachycardia shortness of breath brain fog 2 cm tumor on left adrenal gland meds ATENOLOL 25mg TRIAMTERENE 50MG POTASSIUM CHLORIDE 20MEQ FUROSEMIDE 60MG VA test RENIN: 1.8 ALDOS 16 DHMC test RENIN .8 ALDO 5.5 > >> > > > > > > > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They > >> > > > > > > appeared simultaneously in my case too. > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > >> > > > > > > Dashing work perfectly. > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > > >> > > > > > > ________________________________ > >> > > > > > > From: nbrick33 <nbrick33@> > >> > > > > > > To: hyperaldosteronism > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > >> > > > > > > Subject: Kidney Stones > >> > > > > > > > >> > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > >> > > > > > > one year- before going on Inspra. And most recently another one when I was > >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > >> > > > > > > to 40meq. Is there any correlation? > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > >> > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Since you all ready know what PA is and what treatment is no need to look at it. Need to look at Secondary hyperaldosteronism and this link. RX treatment is still much the same Sprio and DASH. Surgery sometimes helps. http://www.redorbit.com/news/science/22485/fat_cells_linked_to_hypertension Secondary hyperaldosteronism (hyperreninemic hyperaldosteronism) is due to overactivity of the renin-angiotensin system. Secondary refers to an abnormality that indirectly results in pathology through a predictable physiologic pathway, i.e., a renin producing tumor leads to increased aldosterone, as the body's aldosterone production is normally regulated by renin levels. One cause is a juxtaglomerular cell tumor. Another is renal artery stenosis in which the reduced blood supply across the juxtaglomerular apparatus stimulates the production of renin. Also fibromuscular hyperplasia may cause secondary hyperaldosteronism. Other causes can come front the tubules: hyporeabsorption on sodium (as seen in Bartter and Gitelman syndromes) will lead to hypovolemia/hypotension, which will activate the RAA system. I am not so sure that talking about PTSD is Off subject. Having PA undiagnosed may cause some to have something like PTSD. My mother was bipolar so I understand the problem with haveing a good fit for a Psyco Doc 64 y m vet BP readings that have been as high 199/100 K drop from 4.3 to 3.2 after being started 25 MG of HYDROCHLOROTHIAZIDE fulid retention Dizziness Fatigue Tachycardia shortness of breath brain fog 2 cm tumor on left adrenal gland meds ATENOLOL 25mg TRIAMTERENE 50MG POTASSIUM CHLORIDE 20MEQ FUROSEMIDE 60MG VA test RENIN: 1.8 ALDOS 16 DHMC test RENIN .8 ALDO 5.5 > > > > > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > > > To: hyperaldosteronism > > > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Tried your link and got this: " We're sorry - The page you requested is unavailable! " > > > > > > > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > > > > To: hyperaldosteronism > > > > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Try copy paste to address bar or go to links and click Fat Cells Linked to Hypertension. Since you VA labs show you have low renin and high Aldo you have PA. > > > > > > > > > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > > > > > To: hyperaldosteronism > > > > > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 Try copy paste to address bar or go to links and click Fat Cells Linked to Hypertension. Since you VA labs show you have low renin and high Aldo you have PA. > > > > > > > > > > > > > > > > > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > > > > > > > > > > appeared simultaneously in my case too. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > > > > > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > > > > > > > > > > Dashing work perfectly. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > > > > > > > > > From: nbrick33 <nbrick33@> > > > > > > > > > > > To: hyperaldosteronism > > > > > > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > > > > > > > > Subject: Kidney Stones > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > > > > > > > > > > one year- before going on Inspra. And most recently another one when I was > > > > > > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > > > > > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > > > > > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > > > > > > > > > > to 40meq. Is there any correlation? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 I can give you a hint - Look at GMF-Team 4 but let me warn you. This is an all female team led by Drs. Cochran and Webster (I believe this team was formed because there are so many female Vets serving these days.) If you get to see them just be careful if they suggest a digital exam and they have the stirrups in place! I feel it is the right place to treat my Man Boobs (Dr. Webster liked that term!) While I'm at it I would agree with 's observation re: FUROSEMIDE. When Dr. Grim said I didn't need it I barterred with Dr. Webster and told her I would start Lisinoprol (for DB2 treatment to relax kidney veins/arteries) if she would stop the furosemide (The kidney dr said I needed to stay on it for my Endma.) Ankles have absolutely no swelling so I chalked up another one! Press them for an answer, maybe you can eliminate two meds since they have you on a potassium suppl also! Good Luck! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP being watched after Oral Surgery and associated dietary changes. Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSD Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > >> > > > > > > > > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > >> > > > > > > appeared simultaneously in my case too. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > >> > > > > > > Dashing work perfectly. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > ________________________________ > > >> > > > > > > From: nbrick33 <nbrick33@> > > >> > > > > > > To: hyperaldosteronism > > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > >> > > > > > > Subject: Kidney Stones > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > >> > > > > > > one year- before going on Inspra. And most recently another one when I was > > >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > >> > > > > > > to 40meq. Is there any correlation? > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 I can give you a hint - Look at GMF-Team 4 but let me warn you. This is an all female team led by Drs. Cochran and Webster (I believe this team was formed because there are so many female Vets serving these days.) If you get to see them just be careful if they suggest a digital exam and they have the stirrups in place! I feel it is the right place to treat my Man Boobs (Dr. Webster liked that term!) While I'm at it I would agree with 's observation re: FUROSEMIDE. When Dr. Grim said I didn't need it I barterred with Dr. Webster and told her I would start Lisinoprol (for DB2 treatment to relax kidney veins/arteries) if she would stop the furosemide (The kidney dr said I needed to stay on it for my Endma.) Ankles have absolutely no swelling so I chalked up another one! Press them for an answer, maybe you can eliminate two meds since they have you on a potassium suppl also! Good Luck! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP being watched after Oral Surgery and associated dietary changes. Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSD Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > >> > > > > > > > > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > >> > > > > > > appeared simultaneously in my case too. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > >> > > > > > > Dashing work perfectly. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > ________________________________ > > >> > > > > > > From: nbrick33 <nbrick33@> > > >> > > > > > > To: hyperaldosteronism > > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > >> > > > > > > Subject: Kidney Stones > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > >> > > > > > > one year- before going on Inspra. And most recently another one when I was > > >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > >> > > > > > > to 40meq. Is there any correlation? > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > >> > > > >> > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 of course you now realize that lisionpril has no effect in PA. Other than side effects. Do you cough a bit?CE Grim MDI can give you a hint - Look at GMF-Team 4 but let me warn you. This is an all female team led by Drs. Cochran and Webster (I believe this team was formed because there are so many female Vets serving these days.) If you get to see them just be careful if they suggest a digital exam and they have the stirrups in place! I feel it is the right place to treat my Man Boobs (Dr. Webster liked that term!)While I'm at it I would agree with 's observation re: FUROSEMIDE. When Dr. Grim said I didn't need it I barterred with Dr. Webster and told her I would start Lisinoprol (for DB2 treatment to relax kidney veins/arteries) if she would stop the furosemide (The kidney dr said I needed to stay on it for my Endma.) Ankles have absolutely no swelling so I chalked up another one! Press them for an answer, maybe you can eliminate two meds since they have you on a potassium suppl also! Good Luck! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP being watched after Oral Surgery and associated dietary changes.Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSDMeds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > >> > > > > > >> > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > >> > > > > > > appeared simultaneously in my case too. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > >> > > > > > > Dashing work perfectly. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > ________________________________> > >> > > > > > > From: nbrick33 <nbrick33@>> > >> > > > > > > To: hyperaldosteronism > > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM> > >> > > > > > > Subject: Kidney Stones> > >> > > > > > > > > >> > > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > >> > > > > > > one year- before going on Inspra. And most recently another one when I was > > >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > >> > > > > > > to 40meq. Is there any correlation?> > >> > > > > > >> > >> > > > > >> > >> > > > >> > >> > > >> > >> > >> > >> >> > >>> > >> > >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 24, 2011 Report Share Posted June 24, 2011 of course you now realize that lisionpril has no effect in PA. Other than side effects. Do you cough a bit?CE Grim MDI can give you a hint - Look at GMF-Team 4 but let me warn you. This is an all female team led by Drs. Cochran and Webster (I believe this team was formed because there are so many female Vets serving these days.) If you get to see them just be careful if they suggest a digital exam and they have the stirrups in place! I feel it is the right place to treat my Man Boobs (Dr. Webster liked that term!)While I'm at it I would agree with 's observation re: FUROSEMIDE. When Dr. Grim said I didn't need it I barterred with Dr. Webster and told her I would start Lisinoprol (for DB2 treatment to relax kidney veins/arteries) if she would stop the furosemide (The kidney dr said I needed to stay on it for my Endma.) Ankles have absolutely no swelling so I chalked up another one! Press them for an answer, maybe you can eliminate two meds since they have you on a potassium suppl also! Good Luck! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP being watched after Oral Surgery and associated dietary changes.Other Issues/Opportunities: COPD w/ft Oxygen, OSA w Bi-Pap settings 13/19, Type II Diab. and PTSDMeds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Methadone 10 MG(titrating off S-L-O-W-L-Y) , Metoprolol Tartrate 200 MG, Metformin 2000MG, Lisinopril 2.5MG and Spironolactone 75 MG. > > >> > > > > > >> > >> > > > > > > I am also sure there is a correlation between PA and kidney stones. They > > >> > > > > > > appeared simultaneously in my case too. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left adrenal adenoma, HTN and low renin > > >> > > > > > > , low aldosteron and high cortisol, K=3.4; diabetic; 50 mg eplerenone and > > >> > > > > > > Dashing work perfectly. > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > > > >> > > > > > > ________________________________> > >> > > > > > > From: nbrick33 <nbrick33@>> > >> > > > > > > To: hyperaldosteronism > > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM> > >> > > > > > > Subject: Kidney Stones> > >> > > > > > > > > >> > > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of PA. I've had three stones. 2 in > > >> > > > > > > one year- before going on Inspra. And most recently another one when I was > > >> > > > > > > weaned off the Inspra for diagnostic purposes The Inspra does not help with my > > >> > > > > > > BP but it does maintain my potassium. so in the year I had two stones I was on > > >> > > > > > > potassium 40meq and currently I am on 60 meq but after the stone I took it down > > >> > > > > > > to 40meq. Is there any correlation?> > >> > > > > > >> > >> > > > > >> > >> > > > >> > >> > > >> > >> > >> > >> >> > >>> > >> > >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 25, 2011 Report Share Posted June 25, 2011 Ask them for data in PA renal disease that blocking ACE WHEN THERE is no renin to block. I know of none but maybe there is. For example does ACE block renal disease in DOCA salt model? Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Dr. G, I do realize that lisinopril will have no impact on BP. The VA Drs. wanted me on it to counteract vasoconstriction around my kidneys (treatment for CKD Stage 2). I'd love it to hear it has no effect for this either since I had a knock down/drag out with my last Neperologhist that even resulted in a 45min. conversation with the head of the department. They were so convinced that they were right, they scheduled a 6-mo recall rather than what had been a customary 3-mo! (I figured they would schedule it sooner rather than later if they were really serious!) No cough but the other end isn't fairing so well! Your comment caused me to review side effects and item 6 was diarrhea - looks like Dr. Webster gets an email! (Loose bowles to actual diarrhea for last 3weeks or so, Lisinopril started 5/27/2011! Is that another definition of "mid stream catch" ;>) Thanks one more time Dr. G.! > > > > >> > > > > > > > > > > >> > > > > > > I am also sure there is a correlation between PA > > and kidney stones. They > > > > >> > > > > > > appeared simultaneously in my case too. > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > Natalia Kamneva 67 Russian F with 1.5 cm left > > adrenal adenoma, HTN and low renin > > > > >> > > > > > > , low aldosteron and high cortisol, K=3.4; > > diabetic; 50 mg eplerenone and > > > > >> > > > > > > Dashing work perfectly. > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > ________________________________ > > > > >> > > > > > > From: nbrick33 <nbrick33@> > > > > >> > > > > > > To: hyperaldosteronism > > > > >> > > > > > > Sent: Sat, June 18, 2011 11:59:31 PM > > > > >> > > > > > > Subject: Kidney Stones > > > > >> > > > > > > > > > > >> > > > > > > > > > > >> > > > > > > I'm surprised I don't see stones as a symptom of > > PA. I've had three stones. 2 in > > > > >> > > > > > > one year- before going on Inspra. And most > > recently another one when I was > > > > >> > > > > > > weaned off the Inspra for diagnostic purposes The > > Inspra does not help with my > > > > >> > > > > > > BP but it does maintain my potassium. so in the > > year I had two stones I was on > > > > >> > > > > > > potassium 40meq and currently I am on 60 meq but > > after the stone I took it down > > > > >> > > > > > > to 40meq. Is there any correlation? > > > > >> > > > > > > > > > > >> > > > > > > > > > >> > > > > > > > > >> > > > > > > > >> > > > > > > >> > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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