William Robinson11 said:Hey there,
just so the admins don't get the wrong idea, I wanted to mention right off the bat that I’ve spent quite a bit of time scouring this forum and doing a ton of Googling, but I just couldn't find a single thread that hits on this exact topic (only some things that are somewhat similar, I guess).
About six months ago, I started digging into all these symptoms I've been having—and honestly, they aren't going away—so I've been researching for months, maybe even years now. They didn't really bother me that much at first, but I suppose they've become way more noticeable lately.
-My blood pressure usually sits somewhere between 140-150 systolic and 90-100 diastolic when I'm just resting. It tends to spike whenever I'm active, too.
-Waking up at night to pee (that's actually my oldest symptom, it's been going on for nearly four years). I wake up because it feels like my bladder is full, though it isn't always, but most of the time it is. At first, I could get about seven hours of sleep, then it dropped to six... and now I'm averaging maybe five to six hours a night.
-Because of all that, I've been feeling pretty irritable and nervous, and I frequently deal with these tension-type headaches.
I've gone through a whole mountain of tests; most of them came back fine, but a few were definitely off.
The imaging was okay: kidney ultrasound, heart scans, and an MRI of my brain.
For my urine tests, the elevated values were: urates, creatinine, and my aldosterone is slightly above the limit.
Everything else seems fine (VMA, catecholamines, and stuff like that).
-I wore a 24-hour blood pressure Holter monitor, and the readings were basically what I mentioned above, except for one weird thing: the values while I was lying down were totally normal (even though I wasn't actually asleep during that part of the day, I was just lying there).
My internist/cardiologist gave me a diagnosis of nephrogenic hypertension and prescribed a medication called "VAL" to bring my pressure down.
But the instructions say you shouldn't use it if there's any kind of kidney disease present or if someone has high aldosterone levels (mine is only just barely over the line, though). I guess I'm just worried because I'm not entirely sure if I should be taking it, since I still don't know what's actually going on with my kidneys...
-I'm 22 years old, I don't smoke, I don't drink (well, maybe a beer here and there), and I'm not overweight (though I probably could drop a few pounds). But the amount I sweat is definitely not normal for my age and build. Even when spring starts hitting, I begin sweating excessively just from stepping outside.
The internist told me I absolutely need to see a nephrologist, but the waiting list is two months long, and I really don't feel like waiting that long, so I was wondering:
Does anyone know of a private nephrologist in San Francisco or the surrounding area where the wait wouldn't be nearly as long?
And if anyone out there has had similar experiences or symptoms, I would truly appreciate any info you could share!🙂
What's your heart rate? If your pulse is consistently over 90, then your increased urination makes perfect sense—essentially, a higher heart rate speeds up blood filtration through the kidneys, so you produce more urine in the same amount of time compared to someone with a normal pulse. Of course, a fast pulse can (but doesn't always) cause excessive sweating due to increased skin blood flow. Given how warm the blood is and how quickly it reaches the capillaries in your skin, it makes sense why you're sweating so much. In my opinion, your kidneys seem fine, and there's really no need to panic over symptoms that every fifth guy your age deals with. Panicking won't help your blood pressure.
You should be able to find private specialists in San Francisco by checking the local listings in a paper like the San Francisco Chronicle—they usually have ads for private practices spanning a couple of pages.
I know for a fact that the Mayo Clinic or perhaps a large local medical group might have specialists available.
Check if the private clinic run by the head of the department for...
nephrology at the Washington, D.C. Medical Center under Dr. Dragana Ljutić—her private clinic is located right next to the main hospital building, on the east side near the local Target.
My recommendation: take Normabel 5 mg once daily before bed for the first two weeks, then move up to Normabel 5 mg twice daily before bed. Lorsilan can serve as a substitute if needed.
Best regards from Washington, D.C.,
Eric Wright29