Pheochromocytoma signs symptoms diagnostic investigations treatment and management. Pheochromocytoma is a rare tumor of the adrenal gland
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Pheochromocytoma, tumor, signs, symptoms, causes, diagnosis, treatment, metanephrines pheochromocytoma, management
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Pheochromocytoma is an important cause of secondary hypertension. We have the adnenal gland located in the upper part of each kidney. It is divided into adrenal cortex and adrenal medulla. Pheochromocytoma is a tumor of the adrenal medulla. The normal function of the adrenal medulla is to produce adrenaline or adrenaline. Being responsible for controlling blood pressure helps to cope with stressful situations.
Thus, most of the symptoms of pheochromocytoma are due to excessive secretion of adrenalin from the adrenal medulla. Most patients with pheochromocytoma have recurrent episodes of headache, sweating, and high anxiety. The following symptoms are listed from the most common to the most common
Headache (severe)
Sweating episode (generalization)
Heart beat (tachycardia and heart beat)
Anxiety
Tension (impending death's feelings)
Tremor
Lower chest or upper abdominal pain
Nausea (with or without nausea)
Weight loss
Heat intolerance
These symptoms can come from situations that cause pressure on the tumor such as physical activity, exercise, defecation, anesthesia, or changes in body position.
Who should be tested for pheochromocytoma
People who have uncontrolled high blood pressure
40 to 60 years old
People who have already taken four antihypertensive drugs but can not control their blood pressure.
People who have episodes of the above symptoms
The cause of pheochromocytoma is unknown, but some forms of this tumor are performed in families such as,
A- Multiple endocrine neoplasia, type II (male-II). In addition to pheochromocytoma, people with MEN-II also have thyroid cancer. Other forms of male-II include pheochromocytoma with thyroid cancer and hyperparathyroidism (MEN-IIA), and gods in thyroid cancer and the lips, mouth and gastrointestinal tract (MEN-IIB) of the eye
b-Neurofibromatosis 1 (NF1). Pheochromocytomas are a form of people with NF1 that is a syndrome that includes skin (neurofibromas), pigmented skin spots, tumors of the optic nerve of the eye, and multiple tumors in bone disease.
c-Vonhippel-Lindau (VHL) disease. People with this rare multisystem disorder are at increased risk for pheochromocytoma brain eyes and kidney tumors.
Most chromochromocytomas are benign tumors, but spread to other body sites where some forms show metastases (spreads) to other body sites like lung, bone and brain but this tumor is both adrenal glands May exist.
Research:
Blood and urine tests: A blood and urine test to diagnose pheochromocytoma. The 24hr urine collection is tested for adrenaline, noradrenaline and dopamine. This test is called VMA. The idea is simply to check the level of epinephrine and its metabolites in urine. Tumors are diagnosed if they are detected in excessive amounts of urine.
Abdominal scan.
Now you will do an ultrasound CT scan of the abdomen, which then diagnoses the tumor by blood and urine tests to locate the tumor.
complications:
If high blood pressure remains free it may lead to complications of heart failure, infarct formation, cerebrovascular accident, visual field damage and renal failure.
Treatment:
The first treatment is to control high blood pressure with drugs such as alpha blockers and beta blockers. When epinephrine is secreted by this tumor, it acts on the alpha and beta receptors present on the heart and blood vessels and the result is vasoconstriction and now if we take drugs like alpha blockers and beta blockers, Epinephrine is a common alpha blocker to function in these receptors by these agents: prazosin (minipress), terazosin (hytrin) phenoxybenzamine (dibenzalin). Common acupuncture blockers are atenolol (tenormin), carvedilol (carbeda), metoprolol (mepressor) and inderal.
The treatment of choice for this tumor is surgery. After removing this gland by surgery, blood pressure will be normal in one day. There are two types of surgery. General and laparoscopic surgery. However, surgery is not an option for those tumors that show metastases to other parts of the body. To that end, we use chemotherapy and radiation.
Whenever you have high blood pressure with any symptoms, don't ignore it, you may be a patient with pheochromocytoma. Always contact your doctor.
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How to reduce blood pressure symptoms
Blood pressure is the pressure applied to the arteries. Blood pressure can vary from person to person. When your blood pressure is measured it is expressed in two numbers like 120/80. The figure above shows the pressure when the heart pumps up blood and muscles contract. If your blood pressure is measured as 140/90, patients with high blood pressure or high blood pressure should therefore reduce your blood pressure levels. However, you need to. ..
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Article body:
Blood pressure is the pressure applied to the arteries. Blood pressure can vary from person to person. When your blood pressure is measured it is expressed in two numbers like 120/80. The figure above shows the pressure when the heart pumps up blood and muscles contract. If your blood pressure is measured as 140/90, patients with high blood pressure or high blood pressure should therefore reduce your blood pressure levels. But as you get older, check your blood pressure as it gets older with age, it's over normal blood pressure levels
Reducing blood pressure to normal levels helps reduce the risk of serious health problems such as heart or kidney disorders. You can lower your blood pressure in several ways. First, if you are overweight, you will lose your weight within the range of your height, body structure, and age guidelines BMI, or Body Mass Index, ideal for you Weight is the best way to determine what is. This measure takes into account your height and weight.
However, don't start a crash diet, as this can create further problems for your body. By eating your weight on a sensible diet and taking a form of exercise, exercise helps to transfer unwanted pounds and also plays a positive role in reducing high blood pressure. The daily system of exercise that is trying to take in is easy to take walks or tonnes or more aerobic exercise
Further reduce hypotension, avoid intake of salt diet-reduce alcohol. Food-rich, including calcium, potassium and other fish oils, help reduce magnesium and help with high blood pressure.
You need to maintain a healthy lifestyle to control your blood pressure. Some of the essential and essential tips follow a healthy diet with low salt and sodium, maintain a healthy weight, and are physically active and have an alcohol intake
Since high blood pressure can cause serious health problems and can damage the body, maintain your blood pressure level or reduce it if it rises One of the important revelations regarding lowering blood pressure Is the intake of sesame oil. Using sesame oil instead of other edible oils helps reduce blood pressure or lower blood pressure. Sesame oil contains about 43 percent of polyunsaturated fatty acids, which affect blood pressure and help lower blood pressure
Lifestyle changes help with reduced blood pressure but are not normal enough. It is important to keep taking the medication prescribed by your doctor. Thus, a healthy lifestyle with drugs can lower blood pressure.
If you are suffering from high blood pressure, consult your primary care physician before performing any other procedures.
Very interesting blog. Its an informative topic.
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