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When I say a side of the bump I mean on the adrenal.CEOn Feb 20, 2010, at 2:11 PM, moseleymand@... wrote:Side of bump? The one on my head? didn't realise I'd told you that if that's what you mean.Oh, okay thought it maybe meant it was her right adrenal gland or something.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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When I say a side of the bump I mean on the adrenal.CEOn Feb 20, 2010, at 2:11 PM, moseleymand@... wrote:Side of bump? The one on my head? didn't realise I'd told you that if that's what you mean.Oh, okay thought it maybe meant it was her right adrenal gland or something.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Oh! I see :) I can't even blame it on being blonde anymore..I haven't had the money to get my hair done ha haSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sat, 20 Feb 2010 14:25:17 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol When I say a side of the bump I mean on the adrenal.CEOn Feb 20, 2010, at 2:11 PM, moseleymandhotmail (DOT) co.uk wrote:Side of bump? The one on my head? didn't realise I'd told you that if that's what you mean.Oh, okay thought it maybe meant it was her right adrenal gland or something.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Oh! I see :) I can't even blame it on being blonde anymore..I haven't had the money to get my hair done ha haSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sat, 20 Feb 2010 14:25:17 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol When I say a side of the bump I mean on the adrenal.CEOn Feb 20, 2010, at 2:11 PM, moseleymandhotmail (DOT) co.uk wrote:Side of bump? The one on my head? didn't realise I'd told you that if that's what you mean.Oh, okay thought it maybe meant it was her right adrenal gland or something.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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I've got bruises on my hands and something I've noticed on me and my brother, very red knuckles on our hands.Mines worse as the skin is so thin on my hands, dehydratedSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sat, 20 Feb 2010 13:16:47 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Have her get and read and follow DASHOn Feb 20, 2010, at 11:53 AM, moseleymandhotmail (DOT) co.uk wrote:Oh! Please forgive me for doubting pa, when you are an expert. I just couldn't understand why I have such a reaction to K foods. I was so scared as started getting the tight chest.My way of feeling better must be affecting my bp then,making it low?My nan has just been rushed to a+e high bp, faint, mum just said she is hysterical and keeps saying about the loud noises in her ears. I wish I could help her :( I am sure we have inherited it from her.The gps don't take any notice of her just goes on and off bp meds all the time.Thankyou, tc Getting molasses tomorrow then. Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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I've got bruises on my hands and something I've noticed on me and my brother, very red knuckles on our hands.Mines worse as the skin is so thin on my hands, dehydratedSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sat, 20 Feb 2010 13:16:47 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Have her get and read and follow DASHOn Feb 20, 2010, at 11:53 AM, moseleymandhotmail (DOT) co.uk wrote:Oh! Please forgive me for doubting pa, when you are an expert. I just couldn't understand why I have such a reaction to K foods. I was so scared as started getting the tight chest.My way of feeling better must be affecting my bp then,making it low?My nan has just been rushed to a+e high bp, faint, mum just said she is hysterical and keeps saying about the loud noises in her ears. I wish I could help her :( I am sure we have inherited it from her.The gps don't take any notice of her just goes on and off bp meds all the time.Thankyou, tc Getting molasses tomorrow then. Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom? Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Max, excellent suggestion. I'll do it. Thank you - Suzanne

>

> After I learned about this fact from Dr. Grim, I made a label and attached

> it to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:

>

> Notice to Lab Technologist: Apply

> -No tourniquet

> -No fisting/pressure

> -Only in relaxed mode

>

> Consequently, I noticed that junior technologists at the lab that usually

> were practicing on my previous blood draws immediately gave up the form to

> the most senior technician. This senior tech also told me that for blood

> draw without tourniquet it is best to drink several glasses of water before

> coming to the lab, drinking water made it easy to find veins.

>

> Max.

>

> |

> |I have never had blood drawn without a tourniquet. Even

> |though I have very easily accessed antecubital veins, since so

> |many " technicians " now now are not phlebotomists but people

> |with about 5 minutes of " training " on how to draw blood,

> |usually they cannot hit the vein unless it is out like

> |Popeye's. They always ask me to pump my fist; I " m sitting

> |there looking at my vein thinking I could just draw the blood

> |myself... (I am a nurse).

> |

> |Has anyone had blood drawn for K according to Dr Grim's

> |guidelines, or have you gone in with the instructions and been

> |successful?

> |

>

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Max, excellent suggestion. I'll do it. Thank you - Suzanne

>

> After I learned about this fact from Dr. Grim, I made a label and attached

> it to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:

>

> Notice to Lab Technologist: Apply

> -No tourniquet

> -No fisting/pressure

> -Only in relaxed mode

>

> Consequently, I noticed that junior technologists at the lab that usually

> were practicing on my previous blood draws immediately gave up the form to

> the most senior technician. This senior tech also told me that for blood

> draw without tourniquet it is best to drink several glasses of water before

> coming to the lab, drinking water made it easy to find veins.

>

> Max.

>

> |

> |I have never had blood drawn without a tourniquet. Even

> |though I have very easily accessed antecubital veins, since so

> |many " technicians " now now are not phlebotomists but people

> |with about 5 minutes of " training " on how to draw blood,

> |usually they cannot hit the vein unless it is out like

> |Popeye's. They always ask me to pump my fist; I " m sitting

> |there looking at my vein thinking I could just draw the blood

> |myself... (I am a nurse).

> |

> |Has anyone had blood drawn for K according to Dr Grim's

> |guidelines, or have you gone in with the instructions and been

> |successful?

> |

>

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My guess is that that is a lab myth or mythter. They can use t to find veins if needed but release it for min befoe drawing lights. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 9:10 AM, MaxJasper <maxjasper@...> wrote:

After I learned about this fact from Dr. Grim, I made a label and attached

it to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:

Notice to Lab Technologist: Apply

-No tourniquet

-No fisting/pressure

-Only in relaxed mode

Consequently, I noticed that junior technologists at the lab that usually

were practicing on my previous blood draws immediately gave up the form to

the most senior technician. This senior tech also told me that for blood

draw without tourniquet it is best to drink several glasses of water before

coming to the lab, drinking water made it easy to find veins.

Max.

|

|I have never had blood drawn without a tourniquet. Even

|though I have very easily accessed antecubital veins, since so

|many "technicians" now now are not phlebotomists but people

|with about 5 minutes of "training" on how to draw blood,

|usually they cannot hit the vein unless it is out like

|Popeye's. They always ask me to pump my fist; I"m sitting

|there looking at my vein thinking I could just draw the blood

|myself... (I am a nurse).

|

|Has anyone had blood drawn for K according to Dr Grim's

|guidelines, or have you gone in with the instructions and been

|successful?

|

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My guess is that that is a lab myth or mythter. They can use t to find veins if needed but release it for min befoe drawing lights. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 9:10 AM, MaxJasper <maxjasper@...> wrote:

After I learned about this fact from Dr. Grim, I made a label and attached

it to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:

Notice to Lab Technologist: Apply

-No tourniquet

-No fisting/pressure

-Only in relaxed mode

Consequently, I noticed that junior technologists at the lab that usually

were practicing on my previous blood draws immediately gave up the form to

the most senior technician. This senior tech also told me that for blood

draw without tourniquet it is best to drink several glasses of water before

coming to the lab, drinking water made it easy to find veins.

Max.

|

|I have never had blood drawn without a tourniquet. Even

|though I have very easily accessed antecubital veins, since so

|many "technicians" now now are not phlebotomists but people

|with about 5 minutes of "training" on how to draw blood,

|usually they cannot hit the vein unless it is out like

|Popeye's. They always ask me to pump my fist; I"m sitting

|there looking at my vein thinking I could just draw the blood

|myself... (I am a nurse).

|

|Has anyone had blood drawn for K according to Dr Grim's

|guidelines, or have you gone in with the instructions and been

|successful?

|

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Never heard of it nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 8:44 AM, moseleymand@... wrote:

Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom? Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>

Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol

These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Never heard of it nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 8:44 AM, moseleymand@... wrote:

Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom? Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>

Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol

These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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Why do you need to draw blood this way?

RE: Re: question about cortisol

After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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Why do you need to draw blood this way?

RE: Re: question about cortisol

After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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For explanation of taking blood for K-test without using tourniquet or fisting or pressure, take a look at:

Effects of Tourniquet Technique, Order of Draw, and Sample Storage ...

by RS Rosenson - 1998 - Cited by 14 - Related articlesEffects of Tourniquet Technique, Order of Draw, and. Sample Storage on Plasma Fibrinogen, S. Rosen- son,* Beth A. Staffileno, and C. ...

-----Original Message-----From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StoneSent: Sunday, February 21, 2010 13:14hyperaldosteronism Subject: Re: Re: question about cortisol

Why do you need to draw blood this way?

RE: Re: question about cortisol

After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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For explanation of taking blood for K-test without using tourniquet or fisting or pressure, take a look at:

Effects of Tourniquet Technique, Order of Draw, and Sample Storage ...

by RS Rosenson - 1998 - Cited by 14 - Related articlesEffects of Tourniquet Technique, Order of Draw, and. Sample Storage on Plasma Fibrinogen, S. Rosen- son,* Beth A. Staffileno, and C. ...

-----Original Message-----From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of StoneSent: Sunday, February 21, 2010 13:14hyperaldosteronism Subject: Re: Re: question about cortisol

Why do you need to draw blood this way?

RE: Re: question about cortisol

After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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So the K is represents the real body blood K not the K in the blood trapped in your arm during exercise.See the article in our files for more details. CE Grim MDOn Feb 21, 2010, at 2:13 PM, Stone wrote:Why do you need to draw blood this way? RE: Re: question about cortisol After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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So the K is represents the real body blood K not the K in the blood trapped in your arm during exercise.See the article in our files for more details. CE Grim MDOn Feb 21, 2010, at 2:13 PM, Stone wrote:Why do you need to draw blood this way? RE: Re: question about cortisol After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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This is a good principle article but does not discuss K as the one in our files does.On Feb 21, 2010, at 2:34 PM, MaxJasper wrote:For explanation of taking blood for K-test without using tourniquet or fisting or pressure, take a look at: Effects of Tourniquet Technique, Order of Draw, and Sample Storage ...by RS Rosenson - 1998 - Cited by 14 - Related articlesEffects of Tourniquet Technique, Order of Draw, and. Sample Storage on Plasma Fibrinogen, S. Rosen- son,* Beth A. Staffileno, and C. ... Re: Re: question about cortisolWhy do you need to draw blood this way? RE: Re: question about cortisol After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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This is a good principle article but does not discuss K as the one in our files does.On Feb 21, 2010, at 2:34 PM, MaxJasper wrote:For explanation of taking blood for K-test without using tourniquet or fisting or pressure, take a look at: Effects of Tourniquet Technique, Order of Draw, and Sample Storage ...by RS Rosenson - 1998 - Cited by 14 - Related articlesEffects of Tourniquet Technique, Order of Draw, and. Sample Storage on Plasma Fibrinogen, S. Rosen- son,* Beth A. Staffileno, and C. ... Re: Re: question about cortisolWhy do you need to draw blood this way? RE: Re: question about cortisol After I learned about this fact from Dr. Grim, I made a label and attachedit to my monthly blood requisition form for K,Na,Cl,CO2,Agap as follows:Notice to Lab Technologist: Apply-No tourniquet-No fisting/pressure-Only in relaxed modeConsequently, I noticed that junior technologists at the lab that usuallywere practicing on my previous blood draws immediately gave up the form tothe most senior technician. This senior tech also told me that for blooddraw without tourniquet it is best to drink several glasses of water beforecoming to the lab, drinking water made it easy to find veins.Max.||I have never had blood drawn without a tourniquet. Even |though I have very easily accessed antecubital veins, since so |many "technicians" now now are not phlebotomists but people |with about 5 minutes of "training" on how to draw blood, |usually they cannot hit the vein unless it is out like |Popeye's. They always ask me to pump my fist; I"m sitting |there looking at my vein thinking I could just draw the blood |myself... (I am a nurse).||Has anyone had blood drawn for K according to Dr Grim's |guidelines, or have you gone in with the instructions and been |successful?|

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Anyone experience a smell about them selves too? Not b0 more of a ammonia sort of smell..Sorry about my weird questionsSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Sun, 21 Feb 2010 09:56:40 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol Never heard of it nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 8:44 AM, moseleymandhotmail (DOT) co.uk wrote: Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom? Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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NH4 smell usually means urine.Is that what your mean?On Feb 22, 2010, at 11:54 AM, moseleymand@... wrote:Anyone experience a smell about them selves too? Not b0 more of a ammonia sort of smell..Sorry about my weird questionsSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sun, 21 Feb 2010 09:56:40 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol Never heard of it nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 8:44 AM, moseleymandhotmail (DOT) co.uk wrote: Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom?Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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What's NH4? Thanks for replying.I don't really know how to describe it. Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2@...>Date: Mon, 22 Feb 2010 13:58:12 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol NH4 smell usually means urine.Is that what your mean?On Feb 22, 2010, at 11:54 AM, moseleymandhotmail (DOT) co.uk wrote:Anyone experience a smell about them selves too? Not b0 more of a ammonia sort of smell..Sorry about my weird questionsSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sun, 21 Feb 2010 09:56:40 -0800hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol Never heard of it nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 21, 2010, at 8:44 AM, moseleymandhotmail (DOT) co.uk wrote: Sweating at night, the sweat is changing the colour of bed sheets? Is this a symptom?Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 13:47:27 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol These are not related. side of bump and your complaints. Some people have 100 mm hg difference between the two arms from several causes. Most likely rusty and blocked arteries to one arm more than another in a nan.CEOn Feb 20, 2010, at 1:25 PM, moseleymandhotmail (DOT) co.uk wrote:Dr,grimMy nan is going in ambulance. First of all they checked bp and was okay. Then they checked on her right arm and it was high just on the right side? So they are taking her in now.Just seems a bit suspect could the right adrenal gland be the one with PA maybe? My weakness spasm is on the right side aswell.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 11:32:03 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You will retain K till your body stores are OK then you will dump it in your urine. PA makes you waste K in urine and unless you also restrict Na K will still be wasted. CE Grim MDOn Feb 20, 2010, at 10:51 AM, moseleymandhotmail (DOT) co.uk wrote:Ha ha was a small bottle of rum and I had half ...:)Dr. grim, would I retain potassium with pa? Why am I reacting to potassium foods. I thought potassium would make me feel better...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Sat, 20 Feb 2010 10:30:37 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol And the size of the drinks was? ;-)On Feb 20, 2010, at 2:22 AM, moseleymandhotmail (DOT) co.uk wrote:No, I didn't though I had a 3-4 drinks, I've never been a drinker was into my gym too much! It was new years eve that's why I went out....to sit round friends as so fed up about what was going on. Had no idea about foods, salt etcSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 19:20:39 -0600hyperaldosteronism <hyperaldosteronism >Subject: Re: Re: question about cortisol A seizure after alcohol usually means u drank way too much. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertensionOn Feb 19, 2010, at 4:25 PM, moseleymandhotmail (DOT) co.uk wrote: Not that I know of, I've been single for quite a long time. Parents never mentioned, I lived there for a while when I first fell ill.Okay, ill mention to my GPI've also got (on the right side too) flatterned nasal cartilage, trouble breathing out the right side (frequent sinus problems). When they did mri to check for a stroke, I had a big cyst in my lower sinus on the right side, apparently very common though.At the begining when I had this massive massive onset or the straw finally broke (after operation, made redundant,lots of antibiotics) etc I had a seizure after drinking alcohol..Thanks, Dr.GrimSent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 16:01:33 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol I suggest you both get tested for OSA-obstructive Sleep apnea. Also make folks get up to pee a lot. Do you snore as well?CEGOn Feb 19, 2010, at 3:36 PM, moseleymandhotmail (DOT) co.uk wrote:Well, she definitely snores loud, I don't know about sleep apenea, she visits the loo quite a bit I think.I can see a difference in her physically, along with the personality changes. At the moment she looks bigger, face is full again.We both have periods of bad nightmares and I've slept walked for years. My Mum and Dad said I was screaming in my room one night and there was something going on with what sounded like a plastic bag! I don't know what I was doing.More recently, even last night I jumped up very quickly, heart pounding its all very strange.Another thing is the way I shut myself off from meeting people, or I don't like being around too many people. I get panic attacks. If something exciting happens I over react to the point of I can feel my jaw clenching! Or if I get scared it feels like an exaggerated response to stress..its horrible..I can watch a film a start really sweating and the feeling lasts for ages...Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 14:36:52 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol Some Cushing's will have sleep apnea i suspect with lots of snoring. This leads to poor sleep and daytime sleepyness.On Feb 19, 2010, at 1:01 PM, moseleymandhotmail (DOT) co.uk wrote:Her creatinine is 51. Range 60-110Sleep - I meant that she sleeps okay. Cushings stops you sleeping doesn't it? From what I've read anyway.Sent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 11:51:34 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol My guess is you mean her creatinine is too high. No good reason to measure creatine.Not sure what you mean by sleep...On Feb 19, 2010, at 8:54 AM, moseleymandhotmail (DOT) co.uk wrote:My sister, who is also having problems has just got her blood results. Her creatine is deficent well under same as mine.Her tsh is also 0.68 her T4 is 13.4 but not done her T3. Also, her B12 is right at the bottom of the range.The thing that makes me think sister can't have cushings is that she can sleep....Practically the same as mine. Its definatley in my family.My neice is also having bloods as she is being very dizzy, vomiting and allergies, hair falling out,fussy about eating - always not hungry strange spots / rash like I get..She is only 8 years old...bless herSorry ill shut up now...tc mandySent using BlackBerry® from OrangeFrom: Clarence Grim <lowerbp2mac>Date: Fri, 19 Feb 2010 08:20:53 -0600<hyperaldosteronism >Subject: Re: Re: question about cortisol You should recall that blood K is not a very good indicator of K stores as most K is inside the cells. Urine K is best way to keep track of balance if intake high and urine low then you are holding on to K Symptoms may be a better guide to K in cells that blood K. Esp as many do not follow our goallines to get an accurate K.CE Grim MDOn Feb 19, 2010, at 7:50 AM, moseleymandhotmail (DOT) co.uk wrote:Okay, thanks.Sorry, if I am asking too much of this forum, I just have such different fluctuating symptoms.Its so frustrating. I won't post again until I have some recent results. Whilst I am waiting to go in barts I am going to ask my gp to test my potassium.TcMandySent using BlackBerry® from OrangeFrom: "kappi98" <kappi98amsn>Date: Fri, 19 Feb 2010 13:21:34 -0000<hyperaldosteronism >Subject: Re: question about cortisol Please take alook at this case study: http://www.eje-online.org/cgi/content/full/153/5/629The 2005 study suggests that your consultant may be in the right ballpark! DASHing can be tricky. You need to know what your Na and K levels are so that you do not throw your K level off by DASHing. I do not DASH to the max because my K levels have stabilized in the normal range following my DASH-like diet. This is a support group, not a group of medical doctors! Let common sense prevail when it comes to managing YOUR health!!! -------------------------------------------------------------------------------------------------------------- > >> > >>> > >>> Do any of you also have a high cortisol and ACTH level? I have had > >>> three cortisol tests and only one has been high when I was feeling > >>> really bad and before low salt diet. I'm wondering if the possible > >>> PA caused higher levels of cortisol and ACTH? Or possibly they are > >>> independent of each other? > >>> > >>> > >>> I have some symptoms and tests that point to Cushings and some > >>> symptoms and tests that point to PA. Is it possible to have both? > >>> I know salt has something to do with both... > >>> > >> > >> > >> > > > >>

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I think I have this smell. Do you have it behind the ears?

> >>>>>>>>> > >>

> >>>>>>>>> > >>>

> >>>>>>>>> > >>> Do any of you also have a high cortisol and ACTH

> >>>>>>>>> level? I have had

> >>>>>>>>> > >>> three cortisol tests and only one has been high when I

> >>>>>>>>> was feeling

> >>>>>>>>> > >>> really bad and before low salt diet. I'm wondering if

> >>>>>>>>> the possible

> >>>>>>>>> > >>> PA caused higher levels of cortisol and ACTH? Or

> >>>>>>>>> possibly they are

> >>>>>>>>> > >>> independent of each other?

> >>>>>>>>> > >>>

> >>>>>>>>> > >>>

> >>>>>>>>> > >>> I have some symptoms and tests that point to Cushings

> >>>>>>>>> and some

> >>>>>>>>> > >>> symptoms and tests that point to PA. Is it possible to

> >>>>>>>>> have both?

> >>>>>>>>> > >>> I know salt has something to do with both...

> >>>>>>>>> > >>>

> >>>>>>>>> > >>

> >>>>>>>>> > >>

> >>>>>>>>> > >>

> >>>>>>>>> > >

> >>>>>>>>> > >

> >>>>>>>>> >

> >>>>>>>>>

> >>>>>>>>>

> >>>>>>>>>

> >>>>>>>>

> >>>>>>>>

> >>>>>>>>

> >>>>>>>

> >>>>>>>

> >>>>>>>

> >>>>>>

> >>>>>>

> >>>>>>

> >>>>>

> >>>>>

> >>>>>

> >>>>

> >>>>

> >>>

> >>>

> >>>

> >>

> >>

> >>

> >

> >

>

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