- Male
- 29 Years
- 5 days ago
Question
It was 7 years ago when my blood pressure was first identified as high during a routine check-up. After monitoring for a week, I was diagnosed with hypertension and started on medications, which I continue to take. My yesterday reading was 170 by 120. Current medications are Nexovas M 50, Telista 40, and Minipress XL 2.5. I also have a 15 year history of depression and a 4 year history of anxiety disorder, for which I take medications. My cardiologist suggested testing for pheochromocytoma. Urine reports were normal, but blood tests showed elevated metanephrines and normetanephrines. I underwent an MIBG scan, and no tumor was detected. Kindly suggest possible reasons for my high blood pressure and the elevated blood levels. Does this indicate anything else since pheochromocytoma has been ruled out? I do not smoke or drink.
Answered by 1 Apollo Doctors
Dr Bhanu Prakash
General Practitioner
- MBBS
- AFIH
- Advanced certificate in critical care medicine
- Fellowship in critical care medicine
- 10+ Yrs
When pheochromocytoma is ruled out, elevated catecholamines can still be due to chronic stress, anxiety, certain medications, or sleep disturbances. Resistant hypertension can occur due to multiple interacting conditions. Continued BP monitoring and possibly adrenal imaging may help.
Dr. Bhanu Suggests...
Take a METANEPHRINES FRACTIONATED RANDOM URINE Test or Take a Cortisol Test Test
Answered 5 days ago
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