Re: dr Grim's address on wiki bot

[Guest guest]

The address there is about 6 years old. My consulting address is lowerbp2@...Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

I just went to look up your K question and saw a table discussing electrolyte disorders. They list something called "Hypernatremia" which as I understabd it is water deprivation. I'll quote two sentences, "Hypernatremia occurs most often as a result of water deprivation.... The presence of hypernatremia, particularly when accompanied by hypokalemic alkalosis, should alert the physcian to the possibility of primary aldosteronism."

As you know, I am not a doctor but this may be the answer you are looking for, it may not be too much NA but too little H2O to flush it from your system!

Since I had to look hypokalemic alkalosis up, here is what I found:

Hypokalemic alkalosis is caused by the kidneys' response to an extreme lack or loss of potassium, which can occur when people take certain diuretic medications.

Compensated alkalosis occurs when the body returns the acid - base balance to normal in cases of alkalosis, but bicarbonate and carbon dioxide levels remain abnormal.

Symptoms

•Confusion (can progress to stupor or coma)

•Hand tremor

•Lightheadedness

•Muscle twitching

•Nausea, vomiting

•Numbness or tingling in the face or extremities

•Prolonged muscle spasms (tetany)

Don't know if it applies but may be worth looking into as you wait for your AVS! Good Luck!

- 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/71

Other Issues/Opportunities: COPD w/ft Oxygen, 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 75 MG.

>

> I just re-read the Evolution of PA article, and I still don't completely

> understand why as time goes on my K keeps getting lower and I have to

> keep adding more K pills. I did well on just one 20 MEQ tab per day for

> a couple of years... then it went up to two earlier this year, and now

> I'm up to four. The pills are starting to upset my stomach - I can

> tolerate three a day just fine, but the fourth one is starting to cause

> problems, which I think will just be counterproductive.

>

> Before anyone cries out anything about eating too much salt - I eat the

> same thing every day (and have done so all year long), all made by

> myself, with no added sodium. According to Fitday, my sodium does not

> exceed 880mg/day.

>

> The article notes that "hypokalemia might be precipitated by a low

> potassium intake, diuretic use, or extrarenal loss of potassium in

> sweat, vomit, or stool" - none of these apply at present other than the

> same low dietary K intake I've had all my life thanks to fructose

> intolerance.

>

> So - from reading the article, the only explanation I could glean was

> that as the tumor grows, the aldo production increases, the renin

> decreases, and the K decreases. Am I understanding correctly?

>

> Just wondering if there are any measures I can take to keep it from

> dropping lower? Increasing dietary K is out since I have hereditary

> fructose intolerance.

>

>

> --msmith1928

> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> hyperinsulinemia, hereditary fructose intolerance, lactose intolerance,

> probable gluten intolerance. Current meds are K 20 MEQ 4x/day,

> singulair 10mg, norethindrone .35mg to regulate polymenorrhea,

> cyclobenzaprine 5-10mg when needed, fexofenadine 180mg as needed. Low

> sodium, fructose- and grain-free diet. Known drug allergies include

> PCN, sulfa, tetracycline. 1cm left adrenal nodule, supine aldosterone

> 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg

> spiro caused gynecomastia and polymenorrhea

>