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What Causes Primary Hyperaldosteronism?

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Posted on Sat, 9 Aug 2014
Question: Hello~ In XXXXXXX my Thyroid Specialist ordered some tests (salt pills for 3 days, 24 hr urine collection, & blood draw) because my potassium levels have been low. (* In 2011, I also had a Axial CT abdomen scan & they found a 1 cm adrenal lesion, and said it was likely benign based on its size.*) XXXXXXX 18th she started me on 20 mg, K Klor-Con. Yesterday, I had a follow up appointment with her to discuss the blood work up and the results of the testing. Potassium levels have gone back up. She recommended I go off of Lisinopril (10 mg), which I have been taking for at least 5 1/2 years, and go off of the potassium pills, and start 50 mg of Spironolactone. After looking on the internet and seeing the side effects and the potential for tumors, I am very apprehensive. I have had thyroid cancer, and don't wish to encourage any other health worries or concerns. Thank-you for your assistance and expert opinion.
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Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Endocrine

Detailed Answer:
It is likely your endocrinologist has made a diagnosis of 'Primary Hyperaldosteronism', also known eponymously as Conn's syndrome.

Ask her if this is the case.

A common cause of this condition is a benign tumor of the adrenal gland producing excess amounts of a hormone called aldosterone. This typically results in high blood pressure and low blood potassium levels.

What she has done with you in terms of testing and treatment is fair, although surgery is an option. But that decision has to be made after due discussion with you and likely further testing.

I have noted your thyroid cancer history. I am sure she has that prominently in her mind while studying your chart records and making management decisions
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Primary Hyperaldosteronism?

Brief Answer: Endocrine Detailed Answer: It is likely your endocrinologist has made a diagnosis of 'Primary Hyperaldosteronism', also known eponymously as Conn's syndrome. Ask her if this is the case. A common cause of this condition is a benign tumor of the adrenal gland producing excess amounts of a hormone called aldosterone. This typically results in high blood pressure and low blood potassium levels. What she has done with you in terms of testing and treatment is fair, although surgery is an option. But that decision has to be made after due discussion with you and likely further testing. I have noted your thyroid cancer history. I am sure she has that prominently in her mind while studying your chart records and making management decisions