Testing was done correclty it seems to me.

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>> Just a refresher on my sxs. Dec ,2008 woke with a headache and it

>> has not gone away (3 years), new onset of high BP 162-170/100 and

>> found out recently low K (3.1) in 2008. Also tachycardia, sever

>> fatigue, palpatations, dizziness and feeling like I will pass out.

>> Pain in legs ( much like lactic acid build up) going up stairs or

>> inclines, exercise intolerance. Much work up for high BP by

>> cardiologist, many meds, work up by neuro on headaches. I am a

>> physical therapist so I knew to continue to push for an answer as

>> my BP was normal one day and then not the next. Put on ACE and my K

>> was 3.7. 2010 put on Maxide for swelling in the legs after being on

>> a plane, had gained 10 lbs of fluid and K+ dropped. Placed on 20meq

>> and went down again, increased to 40meq. Taken off ACE due to

>> possible cause of burning mouth syndrome and in 1 month my K+ on 40

>> meq was 2.8. Cardio put me on Spiro but did not want to do any

>> testing. Pushed for tests but current endo I saw said no way I had

>> it. Did find I had hypogammaglobulinemia and started IGg treatments.

>> Got the testing done after being off Spiro for 6 weeks and other BP

>> meds 4 weeks. I tried hard to get 4000mg of sodium for the testing

>> but I do not take in much sodium so I know I kept falling short.

>> Here are the results. My question is since I did not get enough

>> sodium, does this negate the test. I go to a new Endo in 2 weeks,

>> but unsure if they will take me seriously. Been to 4 so far.

>>

Renin is very low 0.33

Aldo is not 9 mg.

Your salt excretion is not clear. Is the 163 the excretion of Na in

24 hrs or the concentration (mM/L).

Same for the U aldo is it per 24 hr or the concentration.

If the latter then your ENa is 1.2 x 163 = 195.6 mM so good.

Urine volume 1200 cc x urine Na concentration.

At the present it appears you have early PA. See my evolution article.

I would recommend DASHing till your urine Na is less than your urine K

and see if your BP and K and you get better.

Keep us posted.

CE Grim MD

>> Renin .33 norm (1.31-3.95) with salt excretion >150 .39-1.31

>> Aldosterone 9 ng/Dl (0-30), Creatinine .91 Norm. K+ 2.5 (2.5-5.4)

>> Urine testing as follows: Total vol. 1200, creatinine 1.3 (.8-1.8),

>> sodium 163mM (40-220) K+ 30mM (25-125)aldosterone 7 ug/L.

>> From what I have read, it is important to get an excretion of at

>> least 200-250 sodium for the urine tests to be accurate.

>> ANy ideas?