tag:blogger.com,1999:blog-6123453264169963762.post6018647825188468595..comments2023-04-27T18:37:40.633-07:00Comments on Pinata of Pathology: Wildly Swinging ExperimentsMedical Mojavehttp://www.blogger.com/profile/14445140579589340514noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6123453264169963762.post-90852573990952701482011-01-11T08:21:33.796-08:002011-01-11T08:21:33.796-08:00Your BP's levels are not indicative of pheochr...Your BP's levels are not indicative of pheochromocytoma, plus you would have many other associated symptoms (which you don't report having). Of course, I am making that statement without knowing you, your medical history, or what medications you are on. I am just saying that to try to put you slightly at ease on that one until you can talk to your doctor about it. <br /><br />Also, your BP fluctuations are not abnormal. If we all walked around (sat, stood, etc.) those numbers represent how BP normally fluctuates (which I am sure you came across in your reading). Also, your diastolic almost never went above 90 which means that although your systolic seems 'pre-hypertensive' to 'hypertensive' I would say it is actually remaining in a not-so-worrisome range. I would take the 76 systolic as an error unless you felt at that exact moment that you were going to pass out. <br /><br />Also, I was taught if you take a BP in the same arm again and again in a short time frame the results become less and less accurate as some vasospasm is said to occur, which changes how the machines read pressure. It is going to go up and down based on your cortisol levels, time of day, fluid intake, food intake, sleep levels, stress levels, exercise levels, etc. Don't become too obsessed with the numbers. It is how you are feeling that is important. <br /><br />It is a good idea to check it when you are feeling like crap to see if it correlates--like you have been doing. But as we are always reminded 'treat the patient, not the numbers'. <br />A lot of people find antihypertensive meds make them feel horrible, for reasons outside the BP. So it could be as simple as that. I'd be careful about changing your dose. That makes it really hard for your doc to know how the meds are affecting you and understand how you are tolerating them/if they should switch them up.<br /><br />Sorry this was such a long comment! I was just reading your post and you seemed really concerned so I just wanted to give you the same spiel (from a nursing point of view) I give my brother who also monitors his BP and stresses himself out by doing so! =) <br /><br />Hope you can get it sorted and feel better soon. Again, my comment was probably completely ignoramus/off base as I don't know all of your medical history so I am probably telling you either the a)completely wrong thing or b)stuff you already know. I just can't help myself!Albinoblackbearhttps://www.blogger.com/profile/15222730484450544498noreply@blogger.comtag:blogger.com,1999:blog-6123453264169963762.post-82537961052917051442011-01-10T05:18:00.296-08:002011-01-10T05:18:00.296-08:00I know, that's what they thought with my husba...I know, that's what they thought with my husband too. However, he managed to get his BP high enough that they were interested, actually did diagnose it. It wasn't one, but never mind lol<br /><br />Dunno, of course I'm no doctor. But I did research the pheo stuff a lot, and it doesn't sound like you really have the symptoms to me. Of course, I could certainly be wrong.<br /><br />It sure sounds like something weird with your endocrine system though.<br /><br />If they do pheo testing, be aware that many things (medications, even stress) can cause false positive results. Very few doctors seem to know what meds are a problem, or how to interpret results.<br /><br />I'd think it wouldn't hurt to run plasma free metanephrines and catecholamines, and maybe 24 hour urine, on you anyway - pheo aside, it'd be interesting to see what they look like.<br /><br />Tracy2Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-6123453264169963762.post-34718432254766701202011-01-09T07:01:29.680-08:002011-01-09T07:01:29.680-08:00I don't know, pheo keeps coming up whenever I ...I don't know, pheo keeps coming up whenever I try to make sense of anything. I know it's rare, I don't anticipate having it, but man would they please just rule it out? It seems like the responsible thing to do.<br /><br />I have not had any bloodwork to rule it out.<br /><br />The BP is actually worse now despite medication! It's so bizarre!<br /><br />I'm going to call next week for the TTT results.<br /><br />MMedical Mojavehttps://www.blogger.com/profile/14445140579589340514noreply@blogger.comtag:blogger.com,1999:blog-6123453264169963762.post-79866477198800248202011-01-09T04:23:38.751-08:002011-01-09T04:23:38.751-08:00You will probably have a hard time interesting doc...You will probably have a hard time interesting doctors in pheochromocytoma. Pheo doesn't usually cause low blood pressure. It usually causes sudden attacks of high blood pressure - really high, like 200s over 100s. Maybe along with sweating, pounding heart - symptoms like an anxiety attack.<br /><br />In all your blood work, have there ever been metanephrines or catecholamines run?<br /><br />Adrenals misbehaving, however, can cause swinging blood pressure. When my husbands adrenals were messed up, that kind of thing went on. And medication made it swing worse. Those BP readings sound very familiar.<br /><br />When do you hear about the results of the tilt table test?<br /><br />Tracy2Anonymousnoreply@blogger.com