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Lower backache, hypertension, high BP, headache. CT scan, blood, urine tests done. Small arteries lineage. Treatment?

Any advice on what I have to say will be greatly appreciated! I have a 15 year old son who is 6 2 , and weighs 165 pounds. He is an athlete and has played sports continuously since he was 7 years old. About a year ago, he was having lower back pain. He is not one to complain, but he was feeling very uncomfortable. I took him to the ER where they did a CT scan of kidneys. No evidence of stones. Blood tests showed a high bilirubin . Urine tests showed blood in urine . My son has also had hypertension for a year. The few times we have been to doctor for an appointment his BP has been high. The last Doctors visit his BP was 147/92. Protein was in urine (but he did just come from football practice). Blood tests still show a high bilirubin. The Doctor has mentioned he may have Gilberts. Syndrome . Sent him for an ultrasound of kidneys which came back normal. All bloodwork is normall other than bilirubin. Eventhough ultrasound is normal she is sending him to a kidney specialist. The appointment is a month away. In the meantime, my son is having major headaches every day. His football coach insists on taking his BP during practice because he is acting as if he is about to pass out. His BP during practice today was 167/101 with a heart rate of 152. What other tests should I be asking for to be done on him in the meantime? Lover enzyme test, an EKG? My family has a history of having small arteries. My grandfather had this, my father, my aunt, and one of her children. If my son also has this, could this cause the blood flow to be slower than normal and raise his BP? I am aggravated that more tests have not been ordered. And I am very afraid of him having a heart attack or stroke on the football field! Please helpless me!!
Asked On : Mon, 13 Aug 2012
Answers:  1 Views:  64
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Cardiologist 's  Response
Dear patient

A few things need to be ruled out as a cause of hypertension at age 15: coarctation of the aorta (by physical examination and if concerned CT scan), hyperaldosteronism (renin and aldosterone blood levels), renal artery stenosis or dysplasia ( duplex ultrasound of kidneys) amongst others.

Truly yours Dr Brenes Salazar
Mayo Clinic MN
Answered: Sun, 7 Jul 2013
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