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I am a woman of 58, post-menopausal, who has been overweight for many

years.. Until recently I always had a heartbeat in the mid-70's and normal blood

pressure, 120/80.  In 2006, I began following a diet for 18 months to lose

weight and lost about 55 lbs.  One of the diet's benefits was low salt

intake.  Recently, because of family illness ending in the death of both my

parents within a month, I abandoned the diet.  My salt intake was greatly

increased and I regained more than 10 lbs in a short period of time.  Upon my

return to work at the beginning of October 2008, I began experiencing sudden,

strange sensations of warmth many times throughout the day.  In connection with

this sensation, I felt drained.  No one around me recognizes that I'm not

feeling well and I am able to carry on with my normal activities. 

 

When I went to doctors with this problem, my heartbeat was low:  55 bpm and 51

bpm.  But at the same time, my blood pressure is somewhat elevated, up to 177/57

at one point and routinely 140/70.  I've had foot and leg cramping at night for

awhile.  And some isolated instances of muscle twitching.  I'm told my blood

potassium is normal.  When I collected 24-hour urine samples, I produced 4000

milliters and 2900 milliters of urine.  The doctors ruled out pheochromocytomas,

but are surprised when I suggest hyperaldosteronism.  

They say it's rare and I get the impression that with a normal potassium level

(though I've told them I've upped my intake of foods rich in potassium and

decreased salt intake), they don't want to proceed with the tests that might be

needed to diagnose it.

 

What tests would be useful?  Your thoughts would be appreciated.  Thanks.  

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