Re: Re: Need to know what is the appropriate med. to go with Sprio

[Guest guest]

Get a pedometer and see how much you are walking. Sounds like quite a bit. It is impossible to exercise enough to burn off the calories u are eating anyway. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

You want the proverbial magic pill that will allow the lifestyle you desire and it's not going to happen. Or the answer you want. Have the surgery then and solve the PA problem and then deal with the heart trouble and clogged arteries later. You love food, I love women and sex, but I have never and will never cheat on my wife - and both would eventually kill us. If we only pursued our likes what a world it would be.

So......Do the spiro and deal with the boobs, do the epelerone if you can keep getting it paid for in the future, do the diruetic and deal with a world of side effects like really knocking down your potassium, then take potassium in high doses and get a bleeding ulcer, do DASH and do without some things like pizza. or have the surgery. There are no more options at the present time. Pick one. The magic bullet is not there. Well it is, but you don't like that one. Pick another.

Don't know about you but I for one want my kids to eat healthier, and we're never 100% perfect on our diet and we enjoy some things, but less often - I have an naturally obese daughter I don't ever want her to go through the stigma and the pain and trouble it causes, in addition to the health problems, so we all exercise and eat better for us and her. She's losing weight and bike riding and doing great. But she loves hot pockets and pizza - so what - I love cake and cookies. She has still survived without eating them all the time.

Exercise:

There's something about the mental aspect of exercise though. When you are making a conscious effort it seems that better things happen as the brain seems to recognize we are trying (I have a graduate certificate in sports psychology so this is what studies seem to show). We all have everyday tasks that likely help, but not like true exercise does. I lifted 400 lbs patients on a gurney for years in the day before they had these automatic gurneys on the ambulance and I was skinny as anything, 150lbs at 5'10" if I was lucky, so daily activities don't often seem to do it. Even the smallest of exercise is productive though. I still have no muscles.

A great example were the ladies in the small town in Texas where I worked. Some of them walked at work all day, up and down, all around and put miles on their shoes, Nothing happens. The group starts walking the track after work - walking and talking, no jogging - and I'll be damned if they didn't lose weight and look so much fitter.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time that he> > > thought my HBP was not all due to

hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = > > = > > = > > = > > =

> > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, > > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================

45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

Reply to sender |

[Guest guest]

if you think of yourself as going through a stage of grief it might help. Anger at the unfairness of it all and wanting to bargain your way out of it are pretty standard stages of grief. It takes a while before acceptance sets in. It has for me anyway.I think all of us would like things to be the way they used to be health-wise, but it ain't happening. It's pretty challenging to face the facts of our new reality. We can choose to eat the same old diet and pay the price of feeling like crap and exacerbating our health problems, or we can try and get creative with food. You don't have to give up flavor, but some foods, like traditional pizza, just aren't going to make the cut, and that's a fact.Diannef-68, bi-lateral adenomas, CKD, 75mg spiro, 37.5mg

Atenolol.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

if you think of yourself as going through a stage of grief it might help. Anger at the unfairness of it all and wanting to bargain your way out of it are pretty standard stages of grief. It takes a while before acceptance sets in. It has for me anyway.I think all of us would like things to be the way they used to be health-wise, but it ain't happening. It's pretty challenging to face the facts of our new reality. We can choose to eat the same old diet and pay the price of feeling like crap and exacerbating our health problems, or we can try and get creative with food. You don't have to give up flavor, but some foods, like traditional pizza, just aren't going to make the cut, and that's a fact.Diannef-68, bi-lateral adenomas, CKD, 75mg spiro, 37.5mg

Atenolol.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

This is my med list:Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

 BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia.

Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.REPORT: Heterogeneous fibroglandular tissue has developed in a symmetric pattern throughout both breasts and was not present on 2/17/2009 or

2/18/2008.No mass, asymmetry, or architectural distortion. Findings discussed with the patient, and he will follow up with  his Dr.  Due to the relatively prolific changes of gynecomastia in a relatively short period of time, continues surveillance is recommended.

Patient will follow up with his Dr. and return for mammography at his recommendation. ACR 1 Negative  What they dont remember it seems is that the gyno started before I was on Spiro. I had the 2008 Mammogram because of it. Now, I did go on a lowcarb diet and droppped 27 lbs in the last half of 2006. Maybe the radif weight loss triggered it?

 I am not really sure how Spiro is causing gyno when my Estrogen and testosterone levels are normal for a male? How bad can it get before it stops? Will it just keep going and going as long as I am taking spiro?

 

So you eat what u want until BP gOes up. Then add pills till it comes back down. Then assess if you feel better or not. If worse try a different pill or combo, repeat. Ditto. The other Sx u describe seem most likely related to low K. So increasing Spiro or changing to inspra would be my first step. Just to be sure the only things you ate taking now are Spiro?

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

 

I have such a hell of a time executing DASH 100%. I dont like to excercise unless it is something productive. I have a friend laugh at me once when I said it take me 2hrs to vacuum our house, and that I am sweating like a wet towel when i am done...more than I do if I walk 45 minutes. I have a 3 story home and about 6300 sqft to clean. That is no small task. I push mow my lawn rather than using a rider. It takes me about 45 minutes. I am sweating like mad from that. When my symptoms are really acting up, it is difficult to get through it on hot days. I shovel my driveway in the winter and have just a small electric snowblower. I sold my huge snowblower 4 years ago. I had a stress test about 6-7 years ago for the stabbing pains I would get in my chest. Doc was amazed at how good of shape i was in even though I was obese. It is simple: I eat too damn much. I stress eat and I like food. I love to cook and I love to eat. My family doesnt like all my DASH options, They still want the pizza, etc...and so do I. If I could take a pill that would ward off most of the salt effects of PA and maybe I give up a few years at the end to not have to fester about DASH and all this other stuff I dont want to do, I would take that door. Noone really wants to help me figure out what that door is in the forum. All i get is Spiro/DASH. Iam very thankful we have that option and I commend Dr Grim and others for getting us this far in understand PA. But, I also would like door number 2. I have cut alot of salt out of my diet, and technically dashing on my last urine test as the K was Higher than NA. 1.1 to 1 ratio. My BP is normal, but I still have more symptoms since i stopped taking HCTZ. I dont understand why. I doubled spiro after getting of HCTZ and eat a faction of the salt I was eating before I stopped HCTZ. I am still taking the same about of potassium and adding in all the low Sodium V8, and dash like eating. Yes, I still have pizza about every 10 days or so and eat way more than I should when I do. But, if my doc told me that sex would kill me, I would not stop just to stay alive. Granted, pizza isnt really a good comparison...lol. But you get my point. Eating is a big part of living...at least for me

 I think Dr. Grim said something like, " On this hand I offer you your life, on the other hand is the salt shaker and death " . I want my life, but want to figure out how to have just a packet or 2 of salt and not the whole shaker. I can easily go 90% DASH, but I am not going to give up eating some of the foods I like forever just to walk on the planet a few years longer. I am only 45 and would like to be here as long as possible, but I still want to LIVE. Eating is part of that, so help me find a way to have my cake and eat it to...just a little bit.

 

You would deplete your potassium at the same time. Sodium is the culprit driving the aldosterone and the BP, but low K is the culprit behind our symptoms and complaints. It would be a hard balancing act and diruetics have other effects outside of just water and sodium. Wouldn't it be easier just to lower one's sodium, it's not hard to do, and everyone cheats a little now and then and enjoys something they love, then to rely on pills?  Plus you get healthier, lose weight, and save you heart brain and kidneys....among others

 

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > =

> > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started " sort of " DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(63)

Recent Activity:

New Members

5

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

This is my med list:Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

 BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia.

Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.REPORT: Heterogeneous fibroglandular tissue has developed in a symmetric pattern throughout both breasts and was not present on 2/17/2009 or

2/18/2008.No mass, asymmetry, or architectural distortion. Findings discussed with the patient, and he will follow up with  his Dr.  Due to the relatively prolific changes of gynecomastia in a relatively short period of time, continues surveillance is recommended.

Patient will follow up with his Dr. and return for mammography at his recommendation. ACR 1 Negative  What they dont remember it seems is that the gyno started before I was on Spiro. I had the 2008 Mammogram because of it. Now, I did go on a lowcarb diet and droppped 27 lbs in the last half of 2006. Maybe the radif weight loss triggered it?

 I am not really sure how Spiro is causing gyno when my Estrogen and testosterone levels are normal for a male? How bad can it get before it stops? Will it just keep going and going as long as I am taking spiro?

 

So you eat what u want until BP gOes up. Then add pills till it comes back down. Then assess if you feel better or not. If worse try a different pill or combo, repeat. Ditto. The other Sx u describe seem most likely related to low K. So increasing Spiro or changing to inspra would be my first step. Just to be sure the only things you ate taking now are Spiro?

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

 

I have such a hell of a time executing DASH 100%. I dont like to excercise unless it is something productive. I have a friend laugh at me once when I said it take me 2hrs to vacuum our house, and that I am sweating like a wet towel when i am done...more than I do if I walk 45 minutes. I have a 3 story home and about 6300 sqft to clean. That is no small task. I push mow my lawn rather than using a rider. It takes me about 45 minutes. I am sweating like mad from that. When my symptoms are really acting up, it is difficult to get through it on hot days. I shovel my driveway in the winter and have just a small electric snowblower. I sold my huge snowblower 4 years ago. I had a stress test about 6-7 years ago for the stabbing pains I would get in my chest. Doc was amazed at how good of shape i was in even though I was obese. It is simple: I eat too damn much. I stress eat and I like food. I love to cook and I love to eat. My family doesnt like all my DASH options, They still want the pizza, etc...and so do I. If I could take a pill that would ward off most of the salt effects of PA and maybe I give up a few years at the end to not have to fester about DASH and all this other stuff I dont want to do, I would take that door. Noone really wants to help me figure out what that door is in the forum. All i get is Spiro/DASH. Iam very thankful we have that option and I commend Dr Grim and others for getting us this far in understand PA. But, I also would like door number 2. I have cut alot of salt out of my diet, and technically dashing on my last urine test as the K was Higher than NA. 1.1 to 1 ratio. My BP is normal, but I still have more symptoms since i stopped taking HCTZ. I dont understand why. I doubled spiro after getting of HCTZ and eat a faction of the salt I was eating before I stopped HCTZ. I am still taking the same about of potassium and adding in all the low Sodium V8, and dash like eating. Yes, I still have pizza about every 10 days or so and eat way more than I should when I do. But, if my doc told me that sex would kill me, I would not stop just to stay alive. Granted, pizza isnt really a good comparison...lol. But you get my point. Eating is a big part of living...at least for me

 I think Dr. Grim said something like, " On this hand I offer you your life, on the other hand is the salt shaker and death " . I want my life, but want to figure out how to have just a packet or 2 of salt and not the whole shaker. I can easily go 90% DASH, but I am not going to give up eating some of the foods I like forever just to walk on the planet a few years longer. I am only 45 and would like to be here as long as possible, but I still want to LIVE. Eating is part of that, so help me find a way to have my cake and eat it to...just a little bit.

 

You would deplete your potassium at the same time. Sodium is the culprit driving the aldosterone and the BP, but low K is the culprit behind our symptoms and complaints. It would be a hard balancing act and diruetics have other effects outside of just water and sodium. Wouldn't it be easier just to lower one's sodium, it's not hard to do, and everyone cheats a little now and then and enjoys something they love, then to rely on pills?  Plus you get healthier, lose weight, and save you heart brain and kidneys....among others

 

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > =

> > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started " sort of " DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

Reply to sender |

Reply to group |

Reply via web post |

Start a New Topic

Messages in this topic

(63)

Recent Activity:

New Members

5

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

You know, you might be on to something here. I am a bit in denial about what all this means to me and dont really want to accept that i have to make massive changes or face a dramatically shorted lifespan. Perhaps I am the one not making the outcome clear to my family to get their support. I was starting to appear to be a hypochondriac and so I am facing a bit of that as well. When I talk to dramatically about PA, I just come off likeI am obsessed and thinking the worst.

 This has given me something to think about. Thanks to you and for jolting me a bit...and of course Dr Grim for all of his patience and guidance...which I have not earned. Maybe my struggle will help someone else who is in denial too.

 

if you think of yourself as going through a stage of grief it might help. Anger at the unfairness of it all and wanting to bargain your way out of it are pretty standard stages of grief. It takes a while before acceptance sets in. It has for me anyway.

I think all of us would like things to be the way they used to be health-wise, but it ain't happening. It's pretty challenging to face the facts of our new reality. We can choose to eat the same old diet and pay the price of feeling like crap and exacerbating our health problems, or we can try and get creative with food.  You don't have to give up flavor, but some foods, like traditional pizza, just aren't going to make the cut, and that's a fact.

Diannef-68, bi-lateral adenomas, CKD, 75mg spiro, 37.5mg

Atenolol.

 

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > =

> > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started " sort of " DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

You know, you might be on to something here. I am a bit in denial about what all this means to me and dont really want to accept that i have to make massive changes or face a dramatically shorted lifespan. Perhaps I am the one not making the outcome clear to my family to get their support. I was starting to appear to be a hypochondriac and so I am facing a bit of that as well. When I talk to dramatically about PA, I just come off likeI am obsessed and thinking the worst.

 This has given me something to think about. Thanks to you and for jolting me a bit...and of course Dr Grim for all of his patience and guidance...which I have not earned. Maybe my struggle will help someone else who is in denial too.

 

if you think of yourself as going through a stage of grief it might help. Anger at the unfairness of it all and wanting to bargain your way out of it are pretty standard stages of grief. It takes a while before acceptance sets in. It has for me anyway.

I think all of us would like things to be the way they used to be health-wise, but it ain't happening. It's pretty challenging to face the facts of our new reality. We can choose to eat the same old diet and pay the price of feeling like crap and exacerbating our health problems, or we can try and get creative with food.  You don't have to give up flavor, but some foods, like traditional pizza, just aren't going to make the cut, and that's a fact.

Diannef-68, bi-lateral adenomas, CKD, 75mg spiro, 37.5mg

Atenolol.

 

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere

> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time

that he> > > thought my HBP was not all due to hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible

> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.

> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add

> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > =

> > =

>

> = > > = > > = > > = > > ======================================================================> > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

> > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation

> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

> > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started " sort of " DASHing 5/3/2011> >> >> >> >>

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

FDA has put out a warning about Proton Pump Inhibitors decreases the

absorption  of minerals.

http://www.fda.gov/drugs/drugsafety/ucm245011.htm

 

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 

500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

 

I am not taking any thing else. I just dont understand

why my K would be lower thatn it was when I was taking

HCTZ and less spiro, and I was eating gobs of salt

compared to now. Maybe Inspra is worth a shot. I see my

endo on Friday...where we will talk mostly about what i

want to do about the gyno. This is what the mammogram

said.

 

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM

6/21/2011

INDICATION: Conn's syndrome with primary aldosteronism due

to adrenal

hyperplasia. Patient taking spironolactone. Subsequent

gynecomastia.

Mammography for evaluation.

COMPARISON: 12/18/2008, 2/17/2009.

[Guest guest]

FDA has put out a warning about Proton Pump Inhibitors decreases the

absorption  of minerals.

http://www.fda.gov/drugs/drugsafety/ucm245011.htm

 

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 

500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

 

I am not taking any thing else. I just dont understand

why my K would be lower thatn it was when I was taking

HCTZ and less spiro, and I was eating gobs of salt

compared to now. Maybe Inspra is worth a shot. I see my

endo on Friday...where we will talk mostly about what i

want to do about the gyno. This is what the mammogram

said.

 

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM

6/21/2011

INDICATION: Conn's syndrome with primary aldosteronism due

to adrenal

hyperplasia. Patient taking spironolactone. Subsequent

gynecomastia.

Mammography for evaluation.

COMPARISON: 12/18/2008, 2/17/2009.

[Guest guest]

Yes, but what do you do if you have GERD? I am told i need to take it or risk Cancer in my throat. It also helps protect my voice. I also know it can contribute to my Gyno problem. I use to wonder too, but if the magnesium is in my urine, then it is getting absorbed. PA may be making me lose the Mg, but if it is in my urine, I absorbed it. On my last 24hr urine collection, my magnesium was 219 (75-150 mg/spec range). My blood mag for the same time period was 1.9 (1.8-2.6mg/dL) So, my body is absorbing it, and dumping it fast. PA cause? I dont know.

 

FDA has put out a warning about Proton Pump Inhibitors decreases the

absorption  of minerals.

http://www.fda.gov/drugs/drugsafety/ucm245011.htm

 

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 

500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

 

I am not taking any thing else. I just dont understand

why my K would be lower thatn it was when I was taking

HCTZ and less spiro, and I was eating gobs of salt

compared to now. Maybe Inspra is worth a shot. I see my

endo on Friday...where we will talk mostly about what i

want to do about the gyno. This is what the mammogram

said.

 

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM

6/21/2011

INDICATION: Conn's syndrome with primary aldosteronism due

to adrenal

hyperplasia. Patient taking spironolactone. Subsequent

gynecomastia.

Mammography for evaluation.

COMPARISON: 12/18/2008, 2/17/2009.

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

Yes, but what do you do if you have GERD? I am told i need to take it or risk Cancer in my throat. It also helps protect my voice. I also know it can contribute to my Gyno problem. I use to wonder too, but if the magnesium is in my urine, then it is getting absorbed. PA may be making me lose the Mg, but if it is in my urine, I absorbed it. On my last 24hr urine collection, my magnesium was 219 (75-150 mg/spec range). My blood mag for the same time period was 1.9 (1.8-2.6mg/dL) So, my body is absorbing it, and dumping it fast. PA cause? I dont know.

 

FDA has put out a warning about Proton Pump Inhibitors decreases the

absorption  of minerals.

http://www.fda.gov/drugs/drugsafety/ucm245011.htm

 

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 

500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

 

I am not taking any thing else. I just dont understand

why my K would be lower thatn it was when I was taking

HCTZ and less spiro, and I was eating gobs of salt

compared to now. Maybe Inspra is worth a shot. I see my

endo on Friday...where we will talk mostly about what i

want to do about the gyno. This is what the mammogram

said.

 

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM

6/21/2011

INDICATION: Conn's syndrome with primary aldosteronism due

to adrenal

hyperplasia. Patient taking spironolactone. Subsequent

gynecomastia.

Mammography for evaluation.

COMPARISON: 12/18/2008, 2/17/2009.

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

If it's in the urine it's being peed out, how is that absorption?

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia. Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

Heart disease is the leading killer and even higher risk when there is diabetes and HTN. Seems diet (DASH) would help that risk best - a risk which is a much much higher risk then GERD becoming Barret's esophagus and then cancer. The chance is there, but not like the risk of throwing a clot and having a stroke and then being fed through a tube.

We continuosly talk about DASH because it works. I like it better then the pills and the boob pain. I am down to 12.5mg of spiro and hope to be off of it completely. Granted I don't have a myriad of other issues and strive to keep myself healthy because I for one HATE being a patient in the medical system. I tried to get help for my HTN and low K for years but was rebuffed or ignored. Now that I know what it is and can think more clearly I am going to get better come hell or high water. And I LOVE breads and sweets, but my health is more important.

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia. Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

Lifestyle changes are never easy. And we Americans are quite spoiled. We want what we want and we want it now. It's hard to change. Harder to change my family into understanding this is no little thing.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time that he> > > thought my HBP was not all due to

hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = > > = > > = > > = > > =

> > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, > > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================

45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

100,000 is a lot of DFYI DASH is high in Mg++. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

If it's in the urine it's being peed out, how is that absorption?

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia. Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

GERD if u are obese is cured by getting rid of the omental fat that is pushing on your stomach and causing the GERD. But you can also take a pill(s). Or elevate the head of your bed on six inch blocks. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Heart disease is the leading killer and even higher risk when there is diabetes and HTN. Seems diet (DASH) would help that risk best - a risk which is a much much higher risk then GERD becoming Barret's esophagus and then cancer. The chance is there, but not like the risk of throwing a clot and having a stroke and then being fed through a tube.

We continuosly talk about DASH because it works. I like it better then the pills and the boob pain. I am down to 12.5mg of spiro and hope to be off of it completely. Granted I don't have a myriad of other issues and strive to keep myself healthy because I for one HATE being a patient in the medical system. I tried to get help for my HTN and low K for years but was rebuffed or ignored. Now that I know what it is and can think more clearly I am going to get better come hell or high water. And I LOVE breads and sweets, but my health is more important.

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia. Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

Tell the family that we can see greater early atherosclerosis in the teens in those who had the highest BPs at entry into grade school. BP rises in children with salt and obesity. The choice is their's as well. But because u feed them now it is your responsibility to minimize early atherosclerosis. One(they) needs to feed their genome (tree roots) right They cannot change their faIly Hx but do not need to repeat it. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Lifestyle changes are never easy. And we Americans are quite spoiled. We want what we want and we want it now. It's hard to change. Harder to change my family into understanding this is no little thing.

It might depend on what type of damage they were looking at. What doesn't seem to be well studed is the affect aldo has on the brain.

> > >> > > Going to the Dr. in l l/2 hrs. time.> > > I am on 100 mg. of Spiro (50 mg. twice daily)> > > It has improved the BP somewhat but nowhere> > > near where it should be and my pulse is very> > > high. It usually is around 78 - 82 but it is> > > now running up to 111.> > > I think the Dr. indicated last time that he> > > thought my HBP was not all due to

hyperaldosteronism.> > > He wants to add another medication.> > > I have been on all of them over the last 20 odd> > > years and they either don't work or I have terrible> > > side effects.> > > Diovan, Micardis & Cozaar (all from the same family)> > > seemed to be tolerated by me, but I don't think it> > > did much to reduce the BP.> > > I think he is going to want to add Micardis but I> > > read somewhere that it is counterproductive with the> > > Spiro.> > > Please.....let me know what are the no-nos to add> > > and what is the best one to add. Thanks for your> > > help.> > >> >> >> >> >> >> >> > -- > > = > > = > > = > > = > > = > > =

> > ======================================================================> > 45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected > > Hyperplasia-No tumors on CT - No AVS.> > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole> > Side effects: Gynecomastia, stomach inflammation> > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, > > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain> >> > DASH: Started "sort of" DASHing 5/3/2011> >> >> >> >>

--

============================================================================

45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

--

============================================================================45-Male-Caucasian, 5'9"- 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing 5/3/2011

[Guest guest]

, Your struggle with DASHing has certainly helped me. I thought my diet

was relatively low in sodium since I make most of our meals from scratch. Now I

realize that packaged food is loaded with salt & I use canned veggies at times &

commercial salad dressings regularly. You have helped me become more aware & to

check labels. I did not want to reduce my sodium intake because I thought I

didn't eat that much salt & I've already given up sugar & most gluten & dairy.

But I am slowly learning & changing. I took the salt shaker off the table over

a month ago & I am even getting used to doing without it!

Please keep asking ask your questions & posting your progress. ~Lucy

Sent from my Verizon Wireless Phone

Sent from my Verizon Wireless Phone

" Brown, " wrote:

>You know, you might be on to something here. I am a bit in denial about what

>all this means to me and dont really want to accept that i have to make

>massive changes or face a dramatically shorted lifespan. Perhaps I am the

>one not making the outcome clear to my family to get their support. I was

>starting to appear to be a hypochondriac and so I am facing a bit of that as

>well. When I talk to dramatically about PA, I just come off likeI am

>obsessed and thinking the worst.

>

>This has given me something to think about. Thanks to you and for

>jolting me a bit...and of course Dr Grim for all of his patience and

>guidance...which I have not earned. Maybe my struggle will help someone else

>who is in denial too.

>

>On Sun, Aug 28, 2011 at 4:18 PM, Dianne strong wrote:

>

>> **

>>

>>

>> if you think of yourself as going through a stage of grief it might

>> help. Anger at the unfairness of it all and wanting to bargain your way out

>> of it are pretty standard stages of grief. It takes a while before

>> acceptance sets in. It has for me anyway.

>>

>> I think all of us would like things to be the way they used to be

>> health-wise, but it ain't happening. It's pretty challenging to face the

>> facts of our new reality. We can choose to eat the same old diet and pay the

>> price of feeling like crap and exacerbating our health problems, or we can

>> try and get creative with food. You don't have to give up flavor, but some

>> foods, like traditional pizza, just aren't going to make the cut, and that's

>> a fact.

>>

>> Dianne

>> f-68, bi-lateral adenomas, CKD, 75mg spiro, 37.5mg Atenolol.

>>

>>

>>

>>

>>

>> **

>>

>> It might depend on what type of damage they were looking at. What doesn't

>> seem to be well studed is the affect aldo has on the brain.

>>

>>

>> > > >

>> > > > Going to the Dr. in l l/2 hrs. time.

>> > > > I am on 100 mg. of Spiro (50 mg. twice daily)

>> > > > It has improved the BP somewhat but nowhere

>> > > > near where it should be and my pulse is very

>> > > > high. It usually is around 78 - 82 but it is

>> > > > now running up to 111.

>> > > > I think the Dr. indicated last time that he

>> > > > thought my HBP was not all due to hyperaldosteronism.

>> > > > He wants to add another medication.

>> > > > I have been on all of them over the last 20 odd

>> > > > years and they either don't work or I have terrible

>> > > > side effects.

>> > > > Diovan, Micardis & Cozaar (all from the same family)

>> > > > seemed to be tolerated by me, but I don't think it

>> > > > did much to reduce the BP.

>> > > > I think he is going to want to add Micardis but I

>> > > > read somewhere that it is counterproductive with the

>> > > > Spiro.

>> > > > Please.....let me know what are the no-nos to add

>> > > > and what is the best one to add. Thanks for your

>> > > > help.

>> > > >

>> > >

>> > >

>> > >

>> > >

>> > >

>> > >

>> > > --

>> > > =

>> > > =

>> > > =

>> > > =

>> > > =

>> > > =

>> > > ======================================================================

>> > > 45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

>> > > Hyperplasia-No tumors on CT - No AVS.

>> > > Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg

>> > > Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

>> > > Side effects: Gynecomastia, stomach inflammation

>> > > Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic,

>> > > Secondary Hyperparathyroidism caused by Renal calcium leak, Bone

>> > > Cyct in left Femoral Head and Pelvis. Benign Lung Nodules,

>> > > Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

>> > >

>> > > DASH: Started " sort of " DASHing 5/3/2011

>> > >

>> > >

>> > >

>> > >

>> >

>>

>>

>>

>>

>> --

>>

>> ============================================================================

>>

>> *45-Male-Caucasian*, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

>> Hyperplasia-No tumors on CT - No AVS.

>> *Meds: *100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium,

>> 100,000UI Vit D (weekly), 20mg Omeprazole

>> *Side effects: *Gynecomastia, stomach inflammation

>> Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic,

>> Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in

>> left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on

>> Right Kidney Lower Pole, Right Flank Pain

>> *DASH: Started " sort of " DASHing 5/3/2011*

>>

>>

>>

>>

>> --

>>

>>

>> ============================================================================

>> *45-Male-Caucasian*, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

>> Hyperplasia-No tumors on CT - No AVS.

>> *Meds: *100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium,

>> 100,000UI Vit D (weekly), 20mg Omeprazole

>> *Side effects: *Gynecomastia, stomach inflammation

>> Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic,

>> Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in

>> left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on

>> Right Kidney Lower Pole, Right Flank Pain

>>

>> *DASH: Started " sort of " DASHing 5/3/2011*

>>

>>

>>

>

>

>

>--

>

>============================================================================

>*45-Male-Caucasian*, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected

>Hyperplasia-No tumors on CT - No AVS.

>*Meds: *100mg Spiro, 40 MEQ Potassium, 1800mg Calcium, 500mg Magnesium,

>100,000UI Vit D (weekly), 20mg Omeprazole

>*Side effects: *Gynecomastia, stomach inflammation

>Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic,

>Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in

>left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on

>Right Kidney Lower Pole, Right Flank Pain

>

>*DASH: Started " sort of " DASHing 5/3/2011*

[Guest guest]

Because if my gut wasnt absorbing it as a result of a PPI, then it would bein the stool and not in the urine. Has to get in through gut to get into pee. Loss is not then being caused by malabsorption, bu rather by PA or something else like high bloog sugar or something. Cant blame it on the Prilosec as all I was saying.

 

If it's in the urine it's being peed out, how is that absorption?

 

This is my med list:

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg Omeprazole

 

I am not taking any thing else. I just dont understand why my K would be lower thatn it was when I was taking HCTZ and less spiro, and I was eating gobs of salt compared to now. Maybe Inspra is worth a shot. I see my endo on Friday...where we will talk mostly about what i want to do about the gyno. This is what the mammogram said.

 

BILATERAL DIAGNOSTIC FULL-FIELD DIGITAL MAMMOGRAM 6/21/2011INDICATION: Conn's syndrome with primary aldosteronism due to adrenal hyperplasia. Patient taking spironolactone. Subsequent gynecomastia.

Mammography for evaluation. COMPARISON: 12/18/2008, 2/17/2009.

--

============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

You are assuming the problem with the Prilosec lies in the gut.  The

mechanisms might not be in the gut that makes you lose the mag. The

fact you have so much Magnesium in your urine , the Prilosec could

be making you lose the magnesium and not PA. Trust me, for the FDA

to admit a drug has a problem, then the drug has a big problem.

 

Because if my gut wasnt absorbing it as a result of a

PPI, then it would bein the stool and not in the urine.

Has to get in through gut to get into pee. Loss is not

then being caused by malabsorption, bu rather by PA or

something else like high bloog sugar or something. Cant

blame it on the Prilosec as all I was saying.

On Sun, Aug 28, 2011 at 7:20 PM,

Bingham

wrote:

 

If it's in the urine it's

being peed out, how is that

absorption?

 

This is

my med list:

Meds:

100mg Spiro,

40 MEQ

Potassium,

1800mg

Calcium, 

500mg

Magnesium,

100,000UI Vit

D (weekly),

20mg

Omeprazole

 

I am not

taking any

thing else. I

just dont

understand why

my K would be

lower thatn it

was when I was

taking HCTZ

and less

spiro, and I

was eating

gobs of salt

compared to

now. Maybe

Inspra is

worth a shot.

I see my endo

on

Friday...where

we will talk

mostly about

what i want to

do about the

gyno. This is

what the

mammogram

said.

 

BILATERAL

DIAGNOSTIC

FULL-FIELD

DIGITAL

MAMMOGRAM

6/21/2011

INDICATION:

Conn's

syndrome with

primary

aldosteronism

due to adrenal

hyperplasia.

Patient taking

spironolactone.

Subsequent

gynecomastia.

Mammography

for

evaluation.

COMPARISON:

12/18/2008,

2/17/2009.

--

============================================================================

45-Male-Caucasian,

5'9"- 234lbs, PA

Diagnosed 2007 Suspected

Hyperplasia-No tumors on

CT - No AVS.

Meds: 100mg

Spiro, 40 MEQ Potassium,

1800mg Calcium,  500mg

Magnesium, 100,000UI Vit

D (weekly), 20mg

Omeprazole

Side effects: Gynecomastia,

stomach inflammation

Other Diags: GERD,

Hiatal Hernia, Metabolic

Syndrome - PreDiabetic,

Secondary

Hyperparathyroidism

caused by Renal calcium

leak, Bone Cyct in left

Femoral Head and Pelvis.

Benign Lung Nodules,

Fibromyalgia, Scarring

on Right Kidney Lower

Pole, Right Flank Pain

DASH:

Started "sort of"

DASHing 5/3/2011

--

============================================================================

45-Male-Caucasian, 5'9"- 234lbs, PA

Diagnosed 2007 Suspected Hyperplasia-No tumors on CT -

No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium,

1800mg Calcium,  500mg Magnesium, 100,000UI Vit D

(weekly), 20mg Omeprazole

Side effects: Gynecomastia, stomach

inflammation

Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome -

PreDiabetic, Secondary Hyperparathyroidism caused by

Renal calcium leak, Bone Cyct in left Femoral Head and

Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on

Right Kidney Lower Pole, Right Flank Pain

DASH: Started "sort of" DASHing

5/3/2011

[Guest guest]

Well...damned if i do and damned if i dont it seems. I guess you can say that about most any drug. Even studies showing cancer in rats from spiro. If it does more good than harm, I will keep taking it. I went for a year without it and it messed up my throat. Got alot better since I started taking it again a few years back. I was taking aciphex and thought it caused my twitching or something. When I started taking PPI again (per Dr Recommendation) I went with Omeprosal. It also seems to help with the gut problems from Potassium pills.

 

You are assuming the problem with the Prilosec lies in the gut.  The

mechanisms might not be in the gut that makes you lose the mag. The

fact you have so much Magnesium in your urine , the Prilosec could

be making you lose the magnesium and not PA. Trust me, for the FDA

to admit a drug has a problem, then the drug has a big problem.

 

Because if my gut wasnt absorbing it as a result of a

PPI, then it would bein the stool and not in the urine.

Has to get in through gut to get into pee. Loss is not

then being caused by malabsorption, bu rather by PA or

something else like high bloog sugar or something. Cant

blame it on the Prilosec as all I was saying.

On Sun, Aug 28, 2011 at 7:20 PM,

Bingham

wrote:

 

If it's in the urine it's

being peed out, how is that

absorption?

 

This is

my med list:

Meds:

100mg Spiro,

40 MEQ

Potassium,

1800mg

Calcium, 

500mg

Magnesium,

100,000UI Vit

D (weekly),

20mg

Omeprazole

 

I am not

taking any

thing else. I

just dont

understand why

my K would be

lower thatn it

was when I was

taking HCTZ

and less

spiro, and I

was eating

gobs of salt

compared to

now. Maybe

Inspra is

worth a shot.

I see my endo

on

Friday...where

we will talk

mostly about

what i want to

do about the

gyno. This is

what the

mammogram

said.

 

BILATERAL

DIAGNOSTIC

FULL-FIELD

DIGITAL

MAMMOGRAM

6/21/2011

INDICATION:

Conn's

syndrome with

primary

aldosteronism

due to adrenal

hyperplasia.

Patient taking

spironolactone.

Subsequent

gynecomastia.

Mammography

for

evaluation.

COMPARISON:

12/18/2008,

2/17/2009.

--

============================================================================

45-Male-Caucasian,

5'9 " - 234lbs, PA

Diagnosed 2007 Suspected

Hyperplasia-No tumors on

CT - No AVS.

Meds: 100mg

Spiro, 40 MEQ Potassium,

1800mg Calcium,  500mg

Magnesium, 100,000UI Vit

D (weekly), 20mg

Omeprazole

Side effects: Gynecomastia,

stomach inflammation

Other Diags: GERD,

Hiatal Hernia, Metabolic

Syndrome - PreDiabetic,

Secondary

Hyperparathyroidism

caused by Renal calcium

leak, Bone Cyct in left

Femoral Head and Pelvis.

Benign Lung Nodules,

Fibromyalgia, Scarring

on Right Kidney Lower

Pole, Right Flank Pain

DASH:

Started " sort of "

DASHing 5/3/2011

--

============================================================================

45-Male-Caucasian, 5'9 " - 234lbs, PA

Diagnosed 2007 Suspected Hyperplasia-No tumors on CT -

No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium,

1800mg Calcium,  500mg Magnesium, 100,000UI Vit D

(weekly), 20mg Omeprazole

Side effects: Gynecomastia, stomach

inflammation

Other Diags: GERD, Hiatal Hernia, Metabolic Syndrome -

PreDiabetic, Secondary Hyperparathyroidism caused by

Renal calcium leak, Bone Cyct in left Femoral Head and

Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on

Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing

5/3/2011

-- ============================================================================45-Male-Caucasian, 5'9 " - 234lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.

Meds: 100mg Spiro, 40 MEQ Potassium, 1800mg Calcium,  500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank Pain

DASH: Started " sort of " DASHing 5/3/2011

[Guest guest]

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

Well...damned if i do and damned if i dont it seems. I guess you can say that about most any drug. Even studies showing cancer in rats from spiro. If it does more good than harm, I will keep taking it. I went for a year without it and it messed up my throat. Got alot better since I started taking it again a few years back. I was taking aciphex and thought it caused my twitching or something. When I started taking PPI again (per Dr Recommendation) I went with Omeprosal. It also seems to help with the gut problems from Potassium pills.

You are assuming the problem with the Prilosec lies in the gut. The

mechanisms might not be in the gut that makes you lose the mag. The

fact you have so much Magnesium in your urine , the Prilosec could

be making you lose the magnesium and not PA. Trust me, for the FDA

to admit a drug has a problem, then the drug has a big problem.

Because if my gut wasnt absorbing it as a result of a

PPI, then it would bein the stool and not in the urine.

Has to get in through gut to get into pee. Loss is not

then being caused by malabsorption, bu rather by PA or

something else like high bloog sugar or something. Cant

blame it on the Prilosec as all I was saying.

On Sun, Aug 28, 2011 at 7:20 PM,

Bingham

wrote:

If it's in the urine it's

being peed out, how is that

absorption?

This is

my med list:

Meds:

100mg Spiro,

40 MEQ

Potassium,

1800mg

Calcium,

500mg

Magnesium,

100,000UI Vit

D (weekly),

20mg

Omeprazole

I am not

taking any

thing else. I

just dont

understand why

my K would be

lower thatn it

was when I was

taking HCTZ

and less

spiro, and I

was eating

gobs of salt

compared to

now. Maybe

Inspra is

worth a shot.

I see my endo

on

Friday...where

we will talk

mostly about

what i want to

do about the

gyno. This is

what the

mammogram

said.

BILATERAL

DIAGNOSTIC

FULL-FIELD

DIGITAL

MAMMOGRAM

6/21/2011

INDICATION:

Conn's

syndrome with

primary

aldosteronism

due to adrenal

hyperplasia.

Patient taking

spironolactone.

Subsequent

gynecomastia.

Mammography

for

evaluation.

COMPARISON:

12/18/2008,

2/17/2009.

--

============================================================================

45-Male-Caucasian,

5'9"- 234lbs, PA

Diagnosed 2007 Suspected

Hyperplasia-No tumors on

CT - No AVS.

Meds: 100mg

Spiro, 40 MEQ Potassium,

1800mg Calcium, 500mg

Magnesium, 100,000UI Vit

D (weekly), 20mg

[Guest guest]

,I have been watching your thread and been amazed at how closely your comments parallel my past situation, but as for me, I never took any of the proton pump inhibitors. I figured God made my stomach to have acid and I would not totally quench it. For me it was Tums. Tons and tons of Tums!

Then my primary care doc told me about Barrett's Esophagus/Esophageal cancer. Scared the S**T out of me! I elected for the GERD surgery 10 years ago and have never taken a tums since. The surgery was one overnight in hospital, 2 one-inch scars. Mine was called a Nissen Wrap. I highly recommend it.

As for Spiro, I am a great fan. The change for me was dramatic and gratifying. 50 mg/day and the fog lifted, I lost weight, had energy and enthusiasm again. I was in sales, and I even would say I made more money afterward. I don't about cancerous rats, but I might even say Spiro saved my life when I was 50. I am now 71.

Spiro controlled my hyperaldo so well that all this low sodium stuff never hit my radar. After watching it being kicked around so much within this group, I started to watch the sodium. I have a couple of low-sodium V8's a day. I like bacon and eggs for breakfast. I now have only one slice of low sodium bacon, microwaved 'til it is almost dust. The rest of my day is not NO-sodium but I will claim it to be low-sodium. I can tell the difference and especially can tell the difference when I 'fall off the wagon.'

Thanks for your openness, it got me thinking, self-examining. Krebs

[Guest guest]

Thanks Don. Sometimes I think that perhaps I am all over the map and a bit too much of an open book. But at least it gets us all talking. lolI had a friend that had the Gerd surgery. He was not so lucky. In fact, he died. He was only 30 and had a 6mo old son. Horse doc punched a hole in his stomach and it destroyed his lungs. He was to arrogant to look further until it was too late. So, I am very thankful for you that your surgery was successful. I will never have it, because of what happened to him. So sad, so young, and his wife got nothing from the hospital becuase you sign off on everything. Pathetic. This was about 12 years ago. I use to take tons antons of tums until I had to have an endoscopy cause food was getting caught in my throat.

Went on PPi and it all cleared up. I have a hiatal hernia as well, so if it tough to deal with at times. I will take the GERD pills as long as I need them. If it makes a hand grow out of the side of my head, so be it. It is comforting to hear that you have taken spiro for such an extended period. I do get concerned about taking a drug so long when I am only 45. I too am happy with my results from sprio, and lowering my salt intake. I still fight giving up my favorite foods...as the whole forum knows so well now lol...but in time i am sure I can transistion. I too can tell when I over do the salt. Infact, like , i get right flank pain. It happens pretty fast after eating too much salt. Thank goodness I really like the low sodium V8 juice and that Dr. Grim suggested it to me a few months back. That is a great treat to me and obviously helpful for our PA condition. I have not had bacon in almost

4 months. i was eating it everyday and alot of it...thick cut..3-4 slices with my 3 eggs every morning. The eggs use to be basted with Lawrys seasoning salt. Now, no bacon. Just 2 eggs fried in a little unsalted butter with Mrs Dash. I actually prefer them that way to the old way i use to make them. Hard boiled is also a favorite, with tons of black pepper. Tonight i finally surrendered the Ranch salad dressing to Red Wine Vinegar and Olive Oil and fresh ground black pepper. I found my new dressing, loved it, and it is saltless. I ate my fresh corn onthe cob without any salt, and it was very yummy. Breakfast was to hardboiled eggs and a banana. So, each day I am chipping away in the DASH direction. Maybe I will never fully get there, but i am surr cutting back on the salt, alot! ============================================================================45-Male-Caucasian, 5'9"- 242lbs, PA Diagnosed 2007 Suspected Hyperplasia-No tumors on CT - No AVS.Meds: 100mg Spiro, 40meq Potassium, 1800mg Calcium, 500mg Magnesium, 100,000UI Vit D (weekly), 20mg OmeprazoleSide effects: Gynecomastia, stomach inflammationOther Diags: GERD, Hiatal Hernia, Metabolic Syndrome - PreDiabetic, Secondary Hyperparathyroidism caused by Renal calcium leak, Bone Cyct in left Femoral Head and Pelvis. Benign Lung Nodules, Fibromyalgia, Scarring on Right Kidney Lower Pole, Right Flank PainDASH: Started "sort of" DASHing 5/3/2011To: hyperaldosteronism Sent: Monday, August 29, 2011 7:29 PMSubject: Re: Re: Need to know what is the appropriate med. to go with Sprio

,I have been watching your thread and been amazed at how closely your comments parallel my past situation, but as for me, I never took any of the proton pump inhibitors. I figured God made my stomach to have acid and I would not totally quench it. For me it was Tums. Tons and tons of Tums!

Then my primary care doc told me about Barrett's Esophagus/Esophageal cancer. Scared the S**T out of me! I elected for the GERD surgery 10 years ago and have never taken a tums since. The surgery was one overnight in hospital, 2 one-inch scars. Mine was called a Nissen Wrap. I highly recommend it.

As for Spiro, I am a great fan. The change for me was dramatic and gratifying. 50 mg/day and the fog lifted, I lost weight, had energy and enthusiasm again. I was in sales, and I even would say I made more money afterward. I don't about cancerous rats, but I might even say Spiro saved my life when I was 50. I am now 71.

Spiro controlled my hyperaldo so well that all this low sodium stuff never hit my radar. After watching it being kicked around so much within this group, I started to watch the sodium. I have a couple of low-sodium V8's a day. I like bacon and eggs for breakfast. I now have only one slice of low sodium bacon, microwaved 'til it is almost dust. The rest of my day is not NO-sodium but I will claim it to be low-sodium. I can tell the difference and especially can tell the difference when I 'fall off the wagon.'

Thanks for your openness, it got me thinking, self-examining. Krebs

[Guest guest]

Tums, in the old days, were loaded with sodium (AKA sodium bicarbonate or baking soda) and there are reports of abusers of TUMS and baking sodium having reversible severe HTN when they toss the Tums.CE Grim MD ,I have been watching your thread and been amazed at how closely your comments parallel my past situation, but as for me, I never took any of the proton pump inhibitors. I figured God made my stomach to have acid and I would not totally quench it. For me it was Tums. Tons and tons of Tums! Then my primary care doc told me about Barrett's Esophagus/Esophageal cancer. Scared the S**T out of me! I elected for the GERD surgery 10 years ago and have never taken a tums since. The surgery was one overnight in hospital, 2 one-inch scars. Mine was called a Nissen Wrap. I highly recommend it. As for Spiro, I am a great fan. The change for me was dramatic and gratifying. 50 mg/day and the fog lifted, I lost weight, had energy and enthusiasm again. I was in sales, and I even would say I made more money afterward. I don't about cancerous rats, but I might even say Spiro saved my life when I was 50. I am now 71. Spiro controlled my hyperaldo so well that all this low sodium stuff never hit my radar. After watching it being kicked around so much within this group, I started to watch the sodium. I have a couple of low-sodium V8's a day. I like bacon and eggs for breakfast. I now have only one slice of low sodium bacon, microwaved 'til it is almost dust. The rest of my day is not NO-sodium but I will claim it to be low-sodium. I can tell the difference and especially can tell the difference when I 'fall off the wagon.' Thanks for your openness, it got me thinking, self-examining. Krebs