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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Body Pain, Weakness & High Blood Pressure

Dr., hi, thank you for reading this. To make a very long story short I would like to know what your opinion is regarding my recent situation. I ve been diagnosed with Undifferentiated Connective Tissue Disease, Raynaud s, Fibromyalgia. I ve just been to see a new rheumatologist because my previous one has retired. The new physician was disturbed to find out I don t produce cortisol anymore, have high levels of aldosterone (I think that s what its called), occasional 2.4 levels of potassium requiring IV treatment, face burning/tingling, arm numbness, all over burning or cold sensations, sinus tachycardia, a shadow that showed up on my back left side of skull during a brain MRI and horrible flares of all over body pain, weakness, nausea, headaches, high blood pressure and so many other symptoms. She is sending me to an endocrinologist and neurologist and she briefly mentioned multiple sclerosis at my appointment. I ve never been told I have lesions but with all other symptoms I m worried they will be enough to diagnose MS or the other end of the spectrum and get told nope, no lesions, no MS, good luck with the excruciating existence you experience! That s a nightmare in its own right. Anyway, I guess I just wanted to hear your thoughts and if I came in your office with this information and presentation, what would you say? Thank you in advance for your opinion.
Mon, 10 Aug 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I read carefully your question and understand your concern.

Your symptoms seem to be related to a metabolic disorder and a hormonal imbalance. High levels of aldosterone may be related to primary hyperaldosteronism or Conn's syndrome. This is a disorder characterized by an overproduction of aldosterone from the adrenal glands, leading to high blood pressure and other cardiac and kidney complications. While low blood potassium is classically described this is only present in about a quarter of people.

I recommend consulting with the endocrinologist and perform further blood lab tests and abdominal MRI to determine the diagnosis.

Regarding MS, it is a diagnosis based mainly in an abnormal physical examination for neurological signs and an abnormal brain or spine MRI, where specific lesions are reveled. Sometimes it may mimic this clinical scenario, but suspicions are raised only in case of an abnormal physical examination.

I would like to know if you have ever performed a brain or spine MRI? It is the most important examination in the diagnosis of MS, but it is usually performed only if neurological signs are encountered during physical examination.

So I recommend consulting with the neurologist for a careful physical examination, to exclude this disorder.

Hope to have been of help!

Best regards,
Dr. Iliri
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Suggest Remedy For Body Pain, Weakness & High Blood Pressure

Hello! Thank you for asking on HCM! I read carefully your question and understand your concern. Your symptoms seem to be related to a metabolic disorder and a hormonal imbalance. High levels of aldosterone may be related to primary hyperaldosteronism or Conn s syndrome. This is a disorder characterized by an overproduction of aldosterone from the adrenal glands, leading to high blood pressure and other cardiac and kidney complications. While low blood potassium is classically described this is only present in about a quarter of people. I recommend consulting with the endocrinologist and perform further blood lab tests and abdominal MRI to determine the diagnosis. Regarding MS, it is a diagnosis based mainly in an abnormal physical examination for neurological signs and an abnormal brain or spine MRI, where specific lesions are reveled. Sometimes it may mimic this clinical scenario, but suspicions are raised only in case of an abnormal physical examination. I would like to know if you have ever performed a brain or spine MRI? It is the most important examination in the diagnosis of MS, but it is usually performed only if neurological signs are encountered during physical examination. So I recommend consulting with the neurologist for a careful physical examination, to exclude this disorder. Hope to have been of help! Best regards, Dr. Iliri