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Anxiety and false high VMA results - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2497 Questions
User :   hello
Doctor :   hi
User :   please go through my history
Doctor :   i shall take a minute
Doctor :  
Ok
User :   yesterday i'd been to a doctor after testing positive for a VMA urine analysis. my doctor has asked me to repeat the test the first result was slightly higher than normal (16.80mg/ day). the doctor suspects
Doctor :   ok
User :   pheochromocytoma
User :   kindly guide of other symptoms for the same
Doctor :  
ok
Doctor :   Pheochromocytoma is a tumor

Doctor :  
it affects the gland situated above the kidney
Doctor :  
the gland is called adrenal gland
Doctor :   it causes production of the excess hormones

Doctor :  
which will cause the symptoms
Doctor :  
the symptoms are
Doctor :  
the increased heart beat, feeling off ones own heart beat
Doctor :  
as if we feel the heart when we run for a while
Doctor :  
feeling of anxiety
Doctor :  
shaking of hands
User :   yes
Doctor :  
sweating
Doctor :  
loss of weight
Doctor :  
head ache
Doctor :  
feeling of feverishness
Doctor :   increase in blood pressure
User :   i M GAINING WEIGHT NO HEADACHE NO INCREASE IN BLOOD PRESSURE REST OF THE SYMPTOMS ARE PRESENT
Doctor :  
do you get crampy pains in legs
User :   NO
Doctor :  
do you have diarrohea?
User :   NO I HAVE CONSTIPATION AT SOME TIMES
Doctor :   is it like constipation followed by diarrohea

User :   NO
Doctor :  
do you Have flushing episodes
User :   WHAT DO YOU MEAN BY FLUSHING
Doctor :   like the face becoming red with sweating

User :   YES
Doctor :   do you have pain in the chest or abdomen

User :   CHEST PAIN IS THERE SOME TIMES
Doctor :  
do you have nausea?
User :   NO
Doctor :   vomiting?

User :   NO
Doctor :   what about the blood pressure?
User :   IT IS MOSTLY NORMAL ONLY INCREASED ONCE 160/110
Doctor :  
did you ever had hypotension episodes
User :   NOT KNOWN
Doctor :   like did you feel gidiness after getting up from lying position

User :   SOME TIMES IT DOES
Doctor :   do you feel anxious? if so why?
User :   I CANNOT PUT A POINTER ON THE FEELING EXACTLY BUT IT IS VERY RANDOM AND DOES NOT HAVE ANY PATTERN
Doctor :   How are you feeling now?
User :   FINE
User :   CAN I ASK YOU A QUESTION
Doctor :  
sure proceed
User :   WHAT IS THE READING OF VMA THAT CAN CONFIRM THE PHEOCHROMOCYTOMA
Doctor :   if the vma levels are more than
micro grams per ml of the urine of 24 hour sample than
Doctor :  
it is suggestive
User :   HOW MANY MICRO GRAMS
Doctor :  
more than 12 micro grams
User :   SO MINE IS LOT MORE
Doctor :   was it a 24 hour urine sample?

User :   YES
Doctor :   are you taking any medicines?

User :   YES PROPANOLOL 10 MG TWICE A DAY
User :   ECOSPRIN 75 ONCE A DAY
Doctor :   have you been advised to undergo any further tests or diagnostic procedures?
User :   I HAVE DONE CT ABDOMEN WHICH CAME BACK NORMAL FOR ADRENAL GLANDS
User :   I 'VE BEEN ADVISED TO REDO VMA URINANALYSIS
Doctor :   ok

User :   WHAT'D BE YOUR DIAGNOSIS?
Doctor :   i believe you are normal

Doctor :   and because of the anxiety

Doctor :  
the Vma in the urine has falsely shown high
Doctor :  
so only you have been asked to under go the test again
User :   THANK GOD IF IT'S THE CASE
Doctor :   it will be the case

Doctor :  
just relax for the entire day
Doctor :   where you have to collect urine sample
User :   AT HOME
Doctor :  
ok
Doctor :  
be relaxed for the entire day,
Doctor :  
indulge in the recreation activity
Doctor :   and be calm as much as possible

Doctor :  
than you will see the reduction in the urine vma levels
User :   OK THANKS FOR THE REASSURANCE AND GUIDANCE
User :   I'LL FILL THE FORM
Doctor :   i believe after doing so much of tests and so much consultation if all are negative

Doctor :   than you are absolutely normal
Doctor :   did you fill the form

Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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