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Posted by reissla on April 03, 2000 at 13:52:26:

In Reply to: Re: Spiking Blood Pressure posted by Dave Smith on January 20, 2000 at 12:26:00:

: : : Hi! I'm a 44 y/o female with Fibromyalgia (severe) In the past year my blood pressure has gone from 120 over 77 and spikes to 154 over108. I have also gained about 30 pounds in this year, as I can no longer do an aggressive exercise routine, due to pain and fatigue of FMS. Does anyone have a problem with blood pressure spikes due to chronic pain? I am now on Covera, which is for onset Hypertension. Any comments?

I thought I had high blood pressure as well - had to quite exercising and gained lots of weight. However, I was finally diagnosed with a pheochromocytoma, which is a small usually benign tumor that attaches itself to any place but usually on the adrenal gland. Loud noise, anxiety and hypertension are all signs. I've enclosed the following from the pheo website - it might help.

Pheochromocytoma is a very rare tumor. The symptoms of pheo vary, but the most common symptoms of pheo are severe hypertension, either sustained or episodic, pallor, headache, severe sweating, palpitations and anxiety. Although these are the most common symptoms reported, others who have posted to this board may have had other symptoms. Many other more common illnesses also exhibit all or some of these symptoms. It is very important to seek proper medical attention should you have any of these symptoms, especially if they occur suddenly. At this point I would like to state that most of our members who have regularily posted to our support site, have had either recurring pheo or malignant pheo, both of which are extremely rare occurences. A lot of cases of recurring pheos are related to genetic disorders such as VHL and MEN syndromes. In most cases, about 90%, once a pheo is diagnosed and removed, the individual is cured, and will probably never have another pheo again (although these individuals need to be followed for the rest of their life). If your doctor is suspicious of pheochromocytoma there are some standard tests that are initially performed. 24 hour urine tests for catecholamines, metanephrines and VMA are fairly standard in the beginning. These must be performed correctly; the urine must be kept refridgerated during collection, and an acid preservative added to the collection bottle. In some cases, unless an individual has an episode during collection, the urine test could be negative, with a pheo present. There is a blood test available which tests Plasma Metanephrines and Catecholamines, which has been approved for diagnosis of pheochromocytoma. Should you and your physician suspect pheochromocytoma, or if you have VHL or MEN, I would suggest this blood test. If you email me at I would be more than happy to give you more information. Once a diagnosis of pheo has been established and the tumor located, surgical removal of the tumor is standard treatment if possible. This is the most difficult part, as many patients are operated on by inexperienced surgeons. It is vital to ask your surgeon how many patients they operate on for pheo. An experienced surgeon will do no less than 3-4 a year.

: : I was on 50mg Atenolol and Procardia 30mg, and Xanax after gall bladder surgery. Before the Procardia my pressure would spike constantly from not only pain, but from anxiety about it. Since then I am only on Procardia and Xanax and my opressure is steady again. So anxiety and pain do raise your BP but relax and it will help.

: : Hi Marsha

: : I suffer Chronic Pain and I also have mild hypertension. You don't say if you are taking any pain control medication because some of these can cause changes in blood pressure. In addition, increases in your pain levels will almost certainly raise your BP and the weight gain won't help either! Relax, although your "Spiked" readings are slightly high they are not all that high on a consistent basis.

: : All the best for the future and don't giv up hope!

: : Pat

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