Brief Answer: Please get investigated for pheochromocytoma Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these debilitating symptoms. If you have not been investigated for this condition, I will suggest that it should be done. Your symptoms of episodic hypertension are very much suggestive of a condition like this. Panic attacks will make the only best diagnosis if this has been excluded. generally, when a client presents with symptoms like you have reported, he/she should get investigated for pathologies that can cause this like pheochromocytoma. It is only after no other cause is found that it would be termed panic attacks, anxiety disorder, etc. Testing for this condition is simple. A blood and urine test looking for increased levels of these hormones in the system would shed more light on this. if they are suggestive, then you will go on to do imaging studies to identify the location for possible surgical removal. Even if the results were not to confirm this suspicion, at least we would have had an answer t the question that is this a possible pheochromocytoma and set your mind at ease also. These values are too high and concerning to be totally explained by panic attacks. Please, an endocrinologist is the best physician to investigate this condition. Meet one and get the doubts cleared. I wish you well and the best of possible outcome with this investigation process. Thanks you so much for using our services and please do feel free to request for more information if need be. Thanks. Dr. Ditah, MD.

---