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

August 27, 2011

So, according to my false blood work, my K is in the middle of normal range (4.2), but my syptoms are still there. I am just starting to properly dash. SHould I bump up the spiro (taking 100mg day now) to see if the symptoms back off? How do you know when you are taking enough spiro? My BP is fine, but my heart rate is always around 90. Will Spiro help lower that? I hear talk about " outsalting spiro " . Would a larger dose counter a higher salt intake or a person who is more slat sensative?

It is the chest fluttering, hand stiffness/weakness, foot cramps, and muscle twitching that bug me the most these days. I also sleep like crap. I solved that feeling of not breathing right when sleeping, by using nose strips. It takes some getting use to, but now i dont want to sleep without them. I guess that is a long list of complaints.

I would add the drug of measuring the urine Na and K to see if you are DASHing to the max (more K that Na in your urine). If not the DASH. If so then increase Spiro. I used to go to 400 mg a day before DASH. if you read the Bravo article referred to in our intro you will not the pt who cut his Spiro from 600 mg a day to 12.5 by lowering is Na intake.

So it is you and your Drs choice: Drug or DASH.

CE Grim MD

Thanks Dr. Grim:However, I still need to know what BP med. I should add to theSpiro and my DASHing as it is not bringing the BP down very much.This morning it was 144/98, which isn't bad considering it was

202/132 about three weeks or so ago. Have only been on theSpiro for 3 weeks and am on 100 mg. a day.What drug can the Dr. add to it at this stage.Thanks.

Thanks for the note and careful reading: I was referring to this mostly in pts with drug resistant HTN who may not clearly have PA and are not ready for AVS unitl they fail my cocktail which included spiro or eplerenone. If they fail this then consider AVS. This combination of combinations has been successful in PA pts but rarely needed once spiro or epler and DASH have been started and followed and documented with urine Na and K.

Since this article was written I have been stressing DASH and checking urines and have not had to use that combo in PA patients. If they can DASH.

Will make a note about this in my next revision.

Thanks again.

CE Grim MD

I am reading your Evolution of PA right now and one page 489it is stated that for those patients whose BP cannot be comtrolledwith ......including spiro or eplerenone....you use a cocktail thatnearly always includes a combination of a BB with a diuretic,

an ACE or ARB and with a CCB and an aldosterone-blocking agent. " This has me confused because you said in your reply to methat ARBs, ACEs and BBs will not work if you have PA.What if I have PA but also my HBP is partly essential hypertension

also.What medication can be successfully added to my Spiro??

ARBs, ACEs and BB will not work if you have PA. Take your team my Evolution of PA article. Remind them I trained with Dr Conn.

Trust you are DASHing as well.

you can outsalt all Bp meds. Esp if you have PA.

CE Grim MD

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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it is

now running up to 111.I think the Dr. indicated last time that hethought 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 oddyears 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with the

Spiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help.

-- Jan ShimanoHealth & Wellness Advocate

--

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

August 27, 2011

I have tried to find a complete list of low K SX. Seems no one has a list. Maybe

no one can tell you all SX. One thing I have see on many lists is low K can

lower B/P.

> >>>

> >>> 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.

> >>>

> >>

> >> --

> >>

> >> Jan Shimano

> >> Health & Wellness Advocate

> >>

> >

> > --

> >

> > Jan Shimano

> > Health & Wellness Advocate

> >

>

> --

>

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

> *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*

>

August 27, 2011

Dashing will work faster than Spiro or at least as fast. If BP is at goal pulse likely adjusting to that. What other meds are u on?Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

So, according to my false blood work, my K is in the middle of normal range (4.2), but my syptoms are still there. I am just starting to properly dash. SHould I bump up the spiro (taking 100mg day now) to see if the symptoms back off? How do you know when you are taking enough spiro? My BP is fine, but my heart rate is always around 90. Will Spiro help lower that? I hear talk about "outsalting spiro". Would a larger dose counter a higher salt intake or a person who is more slat sensative?

It is the chest fluttering, hand stiffness/weakness, foot cramps, and muscle twitching that bug me the most these days. I also sleep like crap. I solved that feeling of not breathing right when sleeping, by using nose strips. It takes some getting use to, but now i dont want to sleep without them. I guess that is a long list of complaints.

I would add the drug of measuring the urine Na and K to see if you are DASHing to the max (more K that Na in your urine). If not the DASH. If so then increase Spiro. I used to go to 400 mg a day before DASH. if you read the Bravo article referred to in our intro you will not the pt who cut his Spiro from 600 mg a day to 12.5 by lowering is Na intake.

So it is you and your Drs choice: Drug or DASH.

CE Grim MD

Thanks Dr. Grim:However, I still need to know what BP med. I should add to theSpiro and my DASHing as it is not bringing the BP down very much.This morning it was 144/98, which isn't bad considering it was

202/132 about three weeks or so ago. Have only been on theSpiro for 3 weeks and am on 100 mg. a day.What drug can the Dr. add to it at this stage.Thanks.

Thanks for the note and careful reading: I was referring to this mostly in pts with drug resistant HTN who may not clearly have PA and are not ready for AVS unitl they fail my cocktail which included spiro or eplerenone. If they fail this then consider AVS. This combination of combinations has been successful in PA pts but rarely needed once spiro or epler and DASH have been started and followed and documented with urine Na and K.

Since this article was written I have been stressing DASH and checking urines and have not had to use that combo in PA patients. If they can DASH.

Will make a note about this in my next revision.

Thanks again.

CE Grim MD

I am reading your Evolution of PA right now and one page 489it is stated that for those patients whose BP cannot be comtrolledwith ......including spiro or eplerenone....you use a cocktail thatnearly always includes a combination of a BB with a diuretic,

an ACE or ARB and with a CCB and an aldosterone-blocking agent."This has me confused because you said in your reply to methat ARBs, ACEs and BBs will not work if you have PA.What if I have PA but also my HBP is partly essential hypertension

also.What medication can be successfully added to my Spiro??

ARBs, ACEs and BB will not work if you have PA. Take your team my Evolution of PA article. Remind them I trained with Dr Conn.

Trust you are DASHing as well.

you can outsalt all Bp meds. Esp if you have PA.

CE Grim MD

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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it is

now running up to 111.I think the Dr. indicated last time that hethought 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 oddyears 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with the

Spiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help.

-- Jan ShimanoHealth & Wellness Advocate

--

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

August 27, 2011

Sx of low K listed on e medicine health.

http://www.emedicinehealth.com/low_potassium/page3_em.htm

Low Potassium Symptoms

Usually symptoms of low potassium are mild. At times the effects of low

potassium can be vague. There may be more than one symptom involving the

gastrointestinal (GI) tract, kidneys, muscles, heart, and nerves.

•Weakness, tiredness, or cramping in arm or leg muscles, sometimes severe enough

to cause inability to move arms or legs due to weakness (much like a paralysis)

•Tingling or numbness

•Nausea or vomiting

•Abdominal cramping, bloating

•Constipation

•Palpitations (feeling your heart beat irregularly)

•Passing large amounts of urine or feeling very thirsty most of the time

•Fainting due to low blood pressure

•Abnormal psychological behavior: depression, psychosis, delirium, confusion, or

hallucinations

> > > >>>

> > > >>> 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.

> > > >>>

> > > >>

> > > >> --

> > > >>

> > > >> Jan Shimano

> > > >> Health & Wellness Advocate

> > > >>

> > > >

> > > > --

> > > >

> > > > Jan Shimano

> > > > Health & Wellness Advocate

> > > >

> > >

> > > --

> > >

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

> > > *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*

> > >

> >

>

August 27, 2011

Dash really that's the key now I take like 6.25mg of spiro every 3 days and my

BP is around 110/70... so my dashing is taking care of me.

>

> 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.

>

August 27, 2011

Just what is in my signature. 40meg of potassium and 1500-1800mg of calcium, 500mg of potassium, 20mg of Omeprozale

Dashing will work faster than Spiro or at least as fast. If BP is at goal pulse likely adjusting to that. What other meds are u on?Tiped sad Send form miiPhone ;-)May your pressure be low!

CE Grim MDSpecializing in DifficultHypertension

So, according to my false blood work, my K is in the middle of normal range (4.2), but my syptoms are still there. I am just starting to properly dash. SHould I bump up the spiro (taking 100mg day now) to see if the symptoms back off? How do you know when you are taking enough spiro? My BP is fine, but my heart rate is always around 90. Will Spiro help lower that? I hear talk about " outsalting spiro " . Would a larger dose counter a higher salt intake or a person who is more slat sensative?

It is the chest fluttering, hand stiffness/weakness, foot cramps, and muscle twitching that bug me the most these days. I also sleep like crap. I solved that feeling of not breathing right when sleeping, by using nose strips. It takes some getting use to, but now i dont want to sleep without them. I guess that is a long list of complaints.

I would add the drug of measuring the urine Na and K to see if you are DASHing to the max (more K that Na in your urine). If not the DASH. If so then increase Spiro. I used to go to 400 mg a day before DASH. if you read the Bravo article referred to in our intro you will not the pt who cut his Spiro from 600 mg a day to 12.5 by lowering is Na intake.

So it is you and your Drs choice: Drug or DASH.

CE Grim MD

Thanks Dr. Grim:However, I still need to know what BP med. I should add to theSpiro and my DASHing as it is not bringing the BP down very much.This morning it was 144/98, which isn't bad considering it was

202/132 about three weeks or so ago. Have only been on theSpiro for 3 weeks and am on 100 mg. a day.What drug can the Dr. add to it at this stage.Thanks.

Thanks for the note and careful reading: I was referring to this mostly in pts with drug resistant HTN who may not clearly have PA and are not ready for AVS unitl they fail my cocktail which included spiro or eplerenone. If they fail this then consider AVS. This combination of combinations has been successful in PA pts but rarely needed once spiro or epler and DASH have been started and followed and documented with urine Na and K.

Since this article was written I have been stressing DASH and checking urines and have not had to use that combo in PA patients. If they can DASH.

Will make a note about this in my next revision.

Thanks again.

CE Grim MD

I am reading your Evolution of PA right now and one page 489it is stated that for those patients whose BP cannot be comtrolledwith ......including spiro or eplerenone....you use a cocktail thatnearly always includes a combination of a BB with a diuretic,

an ACE or ARB and with a CCB and an aldosterone-blocking agent. " This has me confused because you said in your reply to methat ARBs, ACEs and BBs will not work if you have PA.What if I have PA but also my HBP is partly essential hypertension

also.What medication can be successfully added to my Spiro??

ARBs, ACEs and BB will not work if you have PA. Take your team my Evolution of PA article. Remind them I trained with Dr Conn.

Trust you are DASHing as well.

you can outsalt all Bp meds. Esp if you have PA.

CE Grim MD

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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it is

now running up to 111.I think the Dr. indicated last time that hethought 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with the

Spiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help.

-- Jan ShimanoHealth & Wellness Advocate

--

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

August 27, 2011

Not sure why you are taking 40 meq and 500 mg K?CE Grim MD Just what is in my signature. 40meg of potassium and 1500-1800mg of calcium, 500mg of potassium, 20mg of Omeprozale Dashing will work faster than Spiro or at least as fast. If BP is at goal pulse likely adjusting to that. What other meds are u on?Tiped sad Send form miiPhone ;-)May your pressure be low! CE Grim MDSpecializing in DifficultHypertension So, according to my false blood work, my K is in the middle of normal range (4.2), but my syptoms are still there. I am just starting to properly dash. SHould I bump up the spiro (taking 100mg day now) to see if the symptoms back off? How do you know when you are taking enough spiro? My BP is fine, but my heart rate is always around 90. Will Spiro help lower that? I hear talk about "outsalting spiro". Would a larger dose counter a higher salt intake or a person who is more slat sensative? It is the chest fluttering, hand stiffness/weakness, foot cramps, and muscle twitching that bug me the most these days. I also sleep like crap. I solved that feeling of not breathing right when sleeping, by using nose strips. It takes some getting use to, but now i dont want to sleep without them. I guess that is a long list of complaints. I would add the drug of measuring the urine Na and K to see if you are DASHing to the max (more K that Na in your urine). If not the DASH. If so then increase Spiro. I used to go to 400 mg a day before DASH. if you read the Bravo article referred to in our intro you will not the pt who cut his Spiro from 600 mg a day to 12.5 by lowering is Na intake. So it is you and your Drs choice: Drug or DASH. CE Grim MD Thanks Dr. Grim:However, I still need to know what BP med. I should add to theSpiro and my DASHing as it is not bringing the BP down very much.This morning it was 144/98, which isn't bad considering it was 202/132 about three weeks or so ago. Have only been on theSpiro for 3 weeks and am on 100 mg. a day.What drug can the Dr. add to it at this stage.Thanks. Thanks for the note and careful reading: I was referring to this mostly in pts with drug resistant HTN who may not clearly have PA and are not ready for AVS unitl they fail my cocktail which included spiro or eplerenone. If they fail this then consider AVS. This combination of combinations has been successful in PA pts but rarely needed once spiro or epler and DASH have been started and followed and documented with urine Na and K. Since this article was written I have been stressing DASH and checking urines and have not had to use that combo in PA patients. If they can DASH. Will make a note about this in my next revision. Thanks again. CE Grim MD I am reading your Evolution of PA right now and one page 489it is stated that for those patients whose BP cannot be comtrolledwith ......including spiro or eplerenone....you use a cocktail thatnearly always includes a combination of a BB with a diuretic, an ACE or ARB and with a CCB and an aldosterone-blocking agent."This has me confused because you said in your reply to methat ARBs, ACEs and BBs will not work if you have PA.What if I have PA but also my HBP is partly essential hypertension also.What medication can be successfully added to my Spiro?? ARBs, ACEs and BB will not work if you have PA. Take your team my Evolution of PA article. Remind them I trained with Dr Conn. Trust you are DASHing as well. you can outsalt all Bp meds. Esp if you have PA. CE Grim MD 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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it is now running up to 111.I think the Dr. indicated last time that hethought 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with the Spiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help. -- Jan ShimanoHealth & Wellness Advocate -- Jan ShimanoHealth & Wellness Advocate -- ============================================================================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

August 27, 2011

Omeprazole in studies decreases potassium in both animals and humans but mostly and more commonly decreases magnesium. Ask them to check your mag, as the idea is out there that tose who lose their K are also losing their Magnesium. I take mag supplements and I feel alot better when I do - stops the tingling I had in my face and I am calmer

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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it isnow running up to 111.I think the Dr. indicated last time that hethought 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 oddyears and they either don't work or I have terribleside effects.Diovan, Micardis & Cozaar (all from the same family)seemed to be tolerated by me, but I don't think itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with theSpiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help.

-- Jan ShimanoHealth & Wellness Advocate

--

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

August 28, 2011

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

> >

>

August 28, 2011

I meant 500mg Magnesium

Not sure why you are taking 40 meq and 500 mg K?CE Grim MD

Just what is in my signature. 40meg of potassium and 1500-1800mg of calcium, 500mg of potassium, 20mg of Omeprozale

Dashing will work faster than Spiro or at least as fast. If BP is at goal pulse likely adjusting to that. What other meds are u on?Tiped sad Send form miiPhone ;-)May your pressure be low!

CE Grim MDSpecializing in DifficultHypertension

So, according to my false blood work, my K is in the middle of normal range (4.2), but my syptoms are still there. I am just starting to properly dash. SHould I bump up the spiro (taking 100mg day now) to see if the symptoms back off? How do you know when you are taking enough spiro? My BP is fine, but my heart rate is always around 90. Will Spiro help lower that? I hear talk about " outsalting spiro " . Would a larger dose counter a higher salt intake or a person who is more slat sensative?

It is the chest fluttering, hand stiffness/weakness, foot cramps, and muscle twitching that bug me the most these days. I also sleep like crap. I solved that feeling of not breathing right when sleeping, by using nose strips. It takes some getting use to, but now i dont want to sleep without them. I guess that is a long list of complaints.

I would add the drug of measuring the urine Na and K to see if you are DASHing to the max (more K that Na in your urine). If not the DASH. If so then increase Spiro. I used to go to 400 mg a day before DASH. if you read the Bravo article referred to in our intro you will not the pt who cut his Spiro from 600 mg a day to 12.5 by lowering is Na intake.

So it is you and your Drs choice: Drug or DASH. CE Grim MD

Thanks Dr. Grim:However, I still need to know what BP med. I should add to theSpiro and my DASHing as it is not bringing the BP down very much.This morning it was 144/98, which isn't bad considering it was

202/132 about three weeks or so ago. Have only been on theSpiro for 3 weeks and am on 100 mg. a day.What drug can the Dr. add to it at this stage.Thanks.

Thanks for the note and careful reading: I was referring to this mostly in pts with drug resistant HTN who may not clearly have PA and are not ready for AVS unitl they fail my cocktail which included spiro or eplerenone. If they fail this then consider AVS. This combination of combinations has been successful in PA pts but rarely needed once spiro or epler and DASH have been started and followed and documented with urine Na and K.

Since this article was written I have been stressing DASH and checking urines and have not had to use that combo in PA patients. If they can DASH. Will make a note about this in my next revision.

Thanks again. CE Grim MD

I am reading your Evolution of PA right now and one page 489it is stated that for those patients whose BP cannot be comtrolled

with ......including spiro or eplerenone....you use a cocktail thatnearly always includes a combination of a BB with a diuretic, an ACE or ARB and with a CCB and an aldosterone-blocking agent. " This has me confused because you said in your reply to me

that ARBs, ACEs and BBs will not work if you have PA.What if I have PA but also my HBP is partly essential hypertension also.What medication can be successfully added to my Spiro??

ARBs, ACEs and BB will not work if you have PA. Take your team my Evolution of PA article. Remind them I trained with Dr Conn.

Trust you are DASHing as well. you can outsalt all Bp meds. Esp if you have PA. CE Grim MD

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 veryhigh. It usually is around 78 - 82 but it is now running up to 111.I think the Dr. indicated last time that hethought 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread 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.

-- Jan ShimanoHealth & Wellness Advocate

-- ============================================================================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

August 28, 2011

I was taking 1000mg, Dropping back to 500mg didnt change anything. My magnesium is usually low normal, but if i take too much I get diarrhea. That is why i trimmed back to 500mg.

Omeprazole in studies decreases potassium in both animals and humans but mostly and more commonly decreases magnesium. Ask them to check your mag, as the idea is out there that tose who lose their K are also losing their Magnesium. I take mag supplements and I feel alot better when I do - stops the tingling I had in my face and I am calmer

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 nowherenear where it should be and my pulse is veryhigh. It usually is around 78 - 82 but it is

now running up to 111.I think the Dr. indicated last time that hethought 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 oddyears 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 itdid much to reduce the BP. I think he is going to want to add Micardis but Iread somewhere that it is counterproductive with the

Spiro.Please.....let me know what are the no-nos to addand what is the best one to add. Thanks for your help.

-- Jan ShimanoHealth & Wellness Advocate

--

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

August 28, 2011

, I just got back from camp and am catching up a little. You seem to be

covinced it is a life or death situation, what would your decision be if your

doctor told you that you would be a total invalid if you had sex, then you'd be

able to look but not touch! The answer you have taken is the easy way out for

you and the ones you leave behind get the hard part! Yes, we've been on easy

street, eating and doing as we please for years and now it's time to shape up or

pay the piper. I understand your career as I sat in that cubicle for years

stressing with deadlines and when computers hickuped! Sometimes the only

exersize we got was a trip to the coffee cart and when all hell broke loose we'd

order in pizza!

I took early retirement at age 50, 14 years ago tuesday. HTN, prediabettic and

all 260 lbs of invencible me with a pipe in one hand and a diet coke in the

other! I took a wonderful job driving a tour bus! What a job, they gave me a

brand new $500,000 bus and I toured the east coast from Orlando to St.,

Quebec and as far west as OshKosh, WI and everywhere in between! I had the

phone number for 5 Mcs programmed into my phone so I could warn them we

were coming in! (They of course comped the driver and one even gave me $10.00

gift certificate just for bringing the bus in! I saved them for my daughter who

was in college at the time!) Life was so good that one fall I had 3 fall tours

around New England and gained 18 lbs. (The only exersize you get is loading and

unloading baggage and pressing down with the right leg!)

The fairytail ended in April 2005 when a sudden back pain took me off the road

because they won't let you drive on narcotics. If you want a dose of reality

let them DX you with HTN, full DM2, COPD, and let them hang oxygen on your nose

within one year, talk about a dose of reality, God does it make Dashing sorta

easy most of the time! I look at it as a wakeup call and God let me off the

hook easily, he didn't give me a heart attack, yet anyway, but the LVH certainly

is an eyeopener! I won't repeat the whole story here because most have heard it

many times.

However, I will point out it wasn't magic for me! Yes, I was one of the lucky

ones whose BP dropped immediately when I went onto Spiro. Why was that, luck?

NO, my BP was high but not exceptionnaly high, distolic can't be over 90 to have

a valid commercial drivers license so even though the 7 BP meds may not have

been doing much' I was doing low salt the best I knew how! Remember, BP wasn't

my only issue and I spent 11 months titrating meds off and persuing an

andrelectomy. I met with a surgeon who was qualified and willing to do it in

late Feb. Against the advice of both Endocrology and Neprology I forged ahead

because even though they were sure may pain wasn't connected to the tumor, I was

going to guarantee it because 6 years of back and testicle pain was too much!

(BTW , someday I will give you something to think about regarding giving

up sex, but you'll have to be much older!) COL :>(

The real place I was lucky was when the pain resolved just before I scheduled

surgery! That was the real second chance and when I really decided to get

serious with DASH and walk the straight and narrow (most of the time!)

Remember, my health care team either through intellegence or because they were

happy with only resolving my BP had left my Spiro at 25mg bid and when I went up

only 25mg/day I developed side effects! As they see the new, smaller me they

all marvel and I smile every time I buckle the britched ABOVE the shelf!

I feel like the Preacher tonight but afterall, it is Sunday! I've seen a

glimmer of hope in some of your posts! This weekend was the first time my son

had seen me since everything turned around and he couldn't believe my change in

eating habits, boy did he have a large deck of cards! I simply put half the

entre in the refridgerator, but I have to admit he supported me! He's the

shopper and cook at camp so I has oatmeal, no salt, and a bannana while he had 3

scrambled eggs and bacon and another morning I had 2eggs ans 1 strip of bacon

while he had 4 slices of french toast and I didn't count the bacon! I had a

turkey tenderloin w/fresh basil, rosemary and fresh pepers in foil on the grill

while he had his 3 centercut bbqued pork chops! (I took the opportunity to

preach to him also!) (You see, he has been an acting GM for a hotel that he

just got ready for and sold and he took 4days off to unwind and he loves our

remote property and cooking!) Tomorrow morning he will return to his " old

hotel " which is " The Marriott on the Wharf " in Boston if Irene left in intact!

Some LIVE2EAT while others EAT2LIVE!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > >

> > > > > 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*

>

August 30, 2011

Stomach problems aslo can be from low K.

>

> > ,

> > 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

> >

>

August 30, 2011

Stomach problems aslo can be from low K.

>

> > ,

> > 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

> >

>

August 30, 2011

Hey , sounds like you are making great strides in the right direction, way

to go!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank &

testicle pain. I have decided against an adrenalectomy at this time since

Meds. are working so well. Current BP(last week ave): 123/69

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD.

Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

>

> 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. lol

> I 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.

> Â

> 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.

> Â

> It is comfortingÂ 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.

> Â

> Tonight i finally surrendered the Ranch saladÂ 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,Â 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 PainDASH: Started " sort of " DASHing 5/3/2011

>

> >To: hyperaldosteronism

> >Sent: Monday, August 29, 2011 7:29 PM

> >Subject: Re: Re: Need to know what is the appropriate

med. to go with Sprio

> >

> > Â

> >

> >,

> >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

> >

>

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

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