10 Common Symptoms And Signs Of High Blood Pressure

High Blood pressure is the measure of force against arteries. Do you have high blood pressure? Do you know what are common symptoms and signs of high blood pressure? This article will give you comprehensive information about common signs and symptoms of high blood pressure.

Usually people ignore high blood pressure. Even those who take medicine, only take anti hypertensive medication for short time. Studies have proved that 90% of high blood pressure patients show non compliance with their medication. If you will not control your blood pressure it may lead to serious problems with your Heart, Kidneys, Brain and Eyes. If you want to save these vital organs , then you will have to control your blood pressure with in limits.

Normal blood pressure is 120/80. If this reading goes above 140/90, then you consider yourself as a hypertensive patient. Between 120 and 140 is a pre hypertensive stage. which can be controlled even by natural measures like exercise, low salt intake, stop smoking, lower cholesterol, eat vegetables etc.

How will you come to know that you have high blood pressure?
High blood pressure typically has no symptoms at all, that is why we can call it as Silent killer. Although there are many coincidental symptoms that are widely believed to be associated with high blood pressure. These include headaches, nosebleeds, dizziness, a flushed face and fatigue. Although people with high blood pressure may have many of these symptoms, they occur just as frequently in those with normal blood pressure. Why these symptoms occur, If a person has high blood pressure that is severe or longstanding and left untreated, symptoms such as headache, fatigue, nausea, vomiting, shortness of breath, restlessness, and blurred vision can occur as a result of damage to the brain, eyes, heart and kidneys. In rare cases, high blood pressure may cause brain swelling, which can lead to drowsiness and coma.

Briefly Hypertension has following 10 common symptoms.
headache
Nosebleed (Epistaxis)
Breathlessness
tinnitus(Ringing in Ears)
sleepiness, Ansomnia
confusion
Fatigue
profuse sweating
vomiting
low libido or lack of sexual desire
Blurred vision

If you have not above symptoms, it does not mean that you have no high blood pressure. Remember most common symptom of high Blood pressure is that " It Has No Symptom". Best way to keep you healthy is to have your blood pressure checked at regular intervals.
Wish you all the good health.

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Pheochromocytoma Symptoms Diagnosis And Treatment

Pheochromocytoma is an important cause of secondary Hypertension. We have adnenal gland located at upper portion of each kidney. It is divided into adrenal cortex and adrenal medulla. Pheochromocytoma is a tumor of Adrenal Medulla. Normal function of adrenal medulla is to produce epinephrine or adrenaline. Which is responsible for controlling blood pressure and to help cope with stressful situations.
So majority of symptoms of pheochromocytoma are due to excess secretion of adrenaline from adrenal medulla. Most patients of pheochromocytoma have recurrent episodes of headache, sweating and a feeling of high anxiety. The following symptoms are listed from the most common to the least common
Headaches (severe)
sweating Episodes (generalized)
heart palpitations (tachycardia and palpitations)
Anxiety
nervousness (feelings of impending death)
tremors
Pain in the lower chest or upper abdomen
Nausea (with or without nausea)
Weight loss
Heat intolerance

These symptoms may come by situations which causes pressure over tumor like physical activity, exercise, defecation, anesthesia, or change in body position.

Who should be examined for Pheochromocytoma
Those who have uncontrolled hypertension
Those who have age between 40 and 60
Those who are already taking 4 antihypertensive drugs but blood pressure is not controllable.
Those who have episodes of above symptoms

Cause of pheochromocytoma is unknown, however some forms of this tumor runs in families like,
a-Multiple endocrine neoplasia, type II (MEN-II). In addition to a pheochromocytoma, people with MEN-II also have thyroid cancer. Other forms of MEN-II include pheochromocytoma with thyroid cancer and hyperparathyroidism (MEN-IIA), and pheochromocytoma with thyroid cancer and tumors of nerves in the eyes lips, mouth and digestive tract (MEN-IIB).
b-Neurofibromatosis 1 (NF1). Pheochromocytomas can occur in a small percentage of people with NF1, a syndrome that includes multiple tumors in the skin (neurofibromas), pigmented skin spots, tumors of the optic nerve of the eye, and bone diseases.
c-Von Hippel-Lindau (VHL) disease. People with this rare multi system disorder are at high risk of pheochromocytoma brain eye and kidney tumors.

Most pheochromocytomas are benign tumors and they don't spread to other parts of body however some forms do show metastasis (spread) to other parts of body like lungs, bones and brains. Usually only one gland is involved however this tumor can be present in both adrenal glands.

Investigations:
Blood and Urine tests: We perform blood and urine tests to diagnose pheochromocytoma. 24 hr urine collection is tested for epinephrine, norepinephrine and dopamine. This test is called VMA. Idea is just to check level of epinephrine and its metabolites in urine. If these are detected in urine in excess quantity, then tumor is diagnosed.

Abdominal scan.
Now you have diagnosed tumor by blood and urine tests, after that to find out location of tumor, do Ultrasound, CT scan of abdomen.

Complications:
If high blood pressure remained uncontrolled it may lead to complications of heart failure, infarction, cerebrovascular accident, vision damage and kidney failure.

Treatment:
First treatment is to control high blood pressure with medication like Alpha Blockers and Beta Blockers. When epinephrine is secreted by this tumor it acts on alpha and beta receptors present on heart and blood vessels, result is vasoconstriction and increase heart rate. Now if if we take drugs like alpha blocker and beta blocker, epinephrine will be blocked by these drugs to act on these receptors so result is vasodilation and slow heart rate. Common Alpha blockers are Prazosin (Minipress), Terazosin (Hytrin) Phenoxybenzamine( Dibenzaline). Common Beta Blockers are Atenolol(Tenormin), Carvedilol(Carveda), Metoprolol(Mepressor), Inderal.

Treatment of choice for this tumor is Surgery. After removal of this gland by surgery, blood pressure becomes normal with a day. There are two types of surgeries. General and Laproscopic surgery. However Surgery is not an option for those tumors which show metastasis to other parts of body. For that we use chemotherapy and radiations.

Whenever you have high blood pressure with any symptom, don't ignore it, you may be the patient of Pheochromocytoma. Always contact your Doctor.

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