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What are the primary symptoms of hyperaldosteronism?
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high blood pressure. In addition, a patient may experience orthostatic hypotension, or reduced blood pressure when a person stands after lying down. Constipation, muscle weakness
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By what other terms is hyperaldosteronism known?
Conn's syndrome, primary aldosteronism, and secondary aldosteronism
What is the treatment for hyperaldosteronism?
Patients may choose to work with their physician or alternative provider to control hypertension with diet, stress reduction (including massage, meditation, biofeedback, and yoga), and other remedies
Hyperaldosteronism - primary and secondary?
DefinitionPrimary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone.Alternative NamesConn syndromeCauses, incidence, and risk factorsPersons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone.In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition.Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of high blood pressurein some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. The condition is common in people ages 30 - 50.Secondary hyperaldosteronism is generally related to high blood pressure. It is also related to disorders such as:Cirrhosis of the liverHeart failureNephrotic syndromeSymptomsFatigueHeadacheHigh blood pressureIntermittent paralysisMuscle weaknessNumbnessSigns and testsAbdominal CT scanECGPlasma aldosterone levelPlasma renin activitySerum potassiumlevelUrinary aldosteroneOccasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth.This disease may also affect the results of the following tests:CO2Serum magnesiumSerum sodiumUrine potassiumUrine sodiumTreatmentPrimary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication.Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include:Spironolactone (Aldactone; Aldactazide), a diuretic ("water pill")Eplerenone (Inspra), which blocks the action of aldosteroneSurgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.Expectations (prognosis)The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition.ComplicationsImpotence and gynecomastia(enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon.Calling your health care providerCall for an appointment with your health care provider if you develop symptoms of hyperaldosteronism.
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