5 weeks ago i was sick for 7 days - headaches, diarrhea, fatigue, hot & cold sweats at night & headrushes. BP was 160/95. Usual Bp 125-130/75-80.
4 weeks later i feel some of the symptoms still lingering - very faint headrushes every couple of days, sometimes feel they are linked to abdominal discomfort. Headrushes not as strong as they were when - more like a tingling in head. No pain. Vague abdominal discomfort, bit of episodic diarrhea. Random tingling in hands & feet. BP has been between 125-135 / 70/85 most days for the last 4 weeks with one spike of 145/90.
Ive got full appetite & lots of energy, just feel persistent nagging symptoms (5 weeks now) which make me anxious.
24hr urine test showed slightly elevated adrenaline - 104 nmol, diabetes was negative, Chest CT scan showed nothing & a KUB ultrasound & pelvic ultrasound showed nothing.
I have been quite stressed at work, not sure if its related. I have also started a yeast free, gluten free diet.
High Blood Pressure and Hypertension Answer A17480
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by elevated BP on and off, the headrushes more like a tingling in the head sometimes linked with hot and cold sweats, abdominal discomfort and a bit of episodic diarrhea. You have also made a mention of elevated epinephrine in 24 hour urine sample.
With the given history the possibility of pheochromocytoma can be considered in your case. MRI scan can be used to find the tumor as it is more sensitive than CT scan. CT abdomen is good for tumors >1 cm. Surgical resection of the tumor is the treatment of choice and usually results in cure of the hypertension. Careful treatment with alpha and beta blockers is required preoperatively to control blood pressure and prevent intraoperative hypertensive crises.
Other possibilities that need to be considered include hyperthyroidism, hypoglycemia and porphyria.
You must continue follow up with your personal physician for the definitive diagnosis and treatment as the same is not possible online.
Hope this helps.Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional/
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