What causes pheochromocytomas?
Pheochromocytomas and paragangliomas are catecholamine secreting tumors that typically produce the type of symptoms you are reporting.
Paragangliomas are similar to pheochromocytomas except that they are found outside the adrenal gland in various places such as inside the belly or neck area.
Further there are neurological conditions such as dysautonomia (also called autonomic dysfunction) which is a disturbance of the autonomic nervous system which can also have swings in blood pressure from high to low
There are several neurological conditions broadly classified under Dysautonomia, which can potentially cause these blood pressure swings.
I would suggest seeing a Neurologist who will examine you systematically and arrive at the right diagnosis
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