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Suggest Treatment For Hyperaldosteronism

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Posted on Mon, 11 Jul 2016
Question: I have been diagnosed with hyperaldosteronism.
No symptoms, but in my 6 monthly blood test to assess my anti - convulsive medication standard, and while expecting hyperkalemia, as it has always been high, aldosterone level has been discovered as being very high.
Is this dangerous.?
I have had terrible itching on my back for 3 days, and I wonder if that is related.

Thank you
doctor
Answered by Dr. Shehzad Topiwala (3 hours later)
Brief Answer:
Hyperaldosteronism

Detailed Answer:
The itching is likely unrelated to hyperaldosteronism.

Hyperaldosteronism can be dangerous if untreated as it can lead to very high blood pressure and low blood potassium.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
ARR (Aldosterone Renin Ratio)= Plasma Aldosterone Concentrations / Plasma Renin Activity
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting but the ARR requires a morning blood collection. Request your endocrinologist for instructions if (s)he orders this test for you.
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
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Suggest Treatment For Hyperaldosteronism

Brief Answer: Hyperaldosteronism Detailed Answer: The itching is likely unrelated to hyperaldosteronism. Hyperaldosteronism can be dangerous if untreated as it can lead to very high blood pressure and low blood potassium. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) ARR (Aldosterone Renin Ratio)= Plasma Aldosterone Concentrations / Plasma Renin Activity 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting but the ARR requires a morning blood collection. Request your endocrinologist for instructions if (s)he orders this test for you.