Hyperaldosteronism (patient information): Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(15 intermediate revisions by 9 users not shown)
Line 1: Line 1:
__NOTOC__
'''For the WikiDoc page for this topic, click [[Hyperaldosteronism|here]]'''
'''For the WikiDoc page for this topic, click [[Hyperaldosteronism|here]]'''
{{SI}}
{{Hyperaldosteronism (patient information)}}
{{CMG}};  {{AE}} Jinhui Wu, M.D.


'''Editor-in-Chief:''' Meagan E. Doherty
==Overview==
 
Primary and secondary hyperaldosteronism are conditions in which the [[adrenal gland]] releases too much of the hormone [[aldosterone]].
{{EJ}}
 
==What is Hyperaldosteronism?==
Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone [[aldosterone]].


==What are the symptoms of Hyperaldosteronism?==
==What are the symptoms of Hyperaldosteronism?==
Line 19: Line 17:
==What are the causes of Hyperaldosteronism?==
==What are the causes of Hyperaldosteronism?==
Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone.
Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone.
 
In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the [[adrenal gland]] that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of [[hypertension]] in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. Secondary hyperaldosteronism is generally related to [[hypertension]]. It is also related to disorders such as:
In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the [[adrenal gland]] that mimics the primary condition.
 
Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of [[hypertension]] in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland.  
 
Secondary hyperaldosteronism is generally related to [[hypertension]]. It is also related to disorders such as:
* [[Cirrhosis]] of the [[liver]]
* [[Cirrhosis]] of the [[liver]]
* [[Heart failure]]
* [[Heart failure]]
* [[Nephrotic syndrome]]
* [[Nephrotic syndrome]]


==Who is at risk for Hyperaldosteronism?==
==Who is at highest risk?==
The condition is common in people ages 30 - 50.
The condition is common in people ages 30 - 50.


==How to know you have Hyperaldosteronism?==
==Diagnosis==
* Abdominal [[CT]] scan
* Abdominal [[CT]] scan
* [[ECG]]
* [[ECG]]
Line 39: Line 32:
* Serum potassium level
* Serum potassium level
* Urinary aldosterone
* Urinary aldosterone
Occasionally, it is necessary to insert a catheter into the veins of the [[adrenal gland]]s to determine which of the adrenals contains the growth.
Occasionally, it is necessary to insert a catheter into the veins of the [[adrenal gland]]s to determine which of the adrenals contains the growth.
This disease may also affect the results of the following tests:
This disease may also affect the results of the following tests:
* CO2
* CO2
Line 53: Line 44:


==Treatment options==
==Treatment options==
Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication.
Primary hyperaldosteronism caused by a tumor is usually treated with [[surgery]]. Removing adrenal tumors may control the symptoms. Even after surgery, some people have [[hypertension]] and need to take medication.
 
Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include:
Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include:
* [[Spironolactone]] ([[Aldactone]]; [[Aldactazide]]), a [[diuretic]]
* [[Spironolactone]] ([[Aldactone]]; [[Aldactazide]]), a [[diuretic]]
* [[Eplerenone]] ([[Inspra]]), which blocks the action of [[aldosterone]]
* [[Eplerenone]] ([[Inspra]]), which blocks the action of [[aldosterone]]
Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.
Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.


Line 67: Line 56:
The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition.
The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition.


===Possible Complications===
==Possible complications==
[[Impotence]] and [[gynecomastia]] (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon.
[[Impotence]] and [[gynecomastia]] (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon.


Line 73: Line 62:
*http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm
*http://www.nlm.nih.gov/medlineplus/ency/article/000330.htm


{{SIB}}
 
{{WH}}
{{WH}}  
{{WS}}
{{WS}}
[[Category:Patient Information]]
 
'''Bold text'''
 
[[Category:Endocrinology]]
[[Category:Patient information]]

Latest revision as of 18:58, 26 July 2016

For the WikiDoc page for this topic, click here

Hyperaldosteronism

Overview

What are the symptoms?

What are the causes?

Who is at highest risk?

Diagnosis

When to seek urgent medical care?

Treatment options

Where to find medical care for (Condition)?

Prevention

What to expect (Outlook/Prognosis)?

Possible complications

(Condition) On the Web

Ongoing Trials at Clinical Trials.gov

Images of (Condition)

Videos on (Condition)

FDA on Hyperaldosteronism

CDC on Hyperaldosteronism

Hyperaldosteronism in the news

Blogs on Hyperaldosteronism

Directions to Hospitals Treating Hyperaldosteronism

Risk calculators and risk factors for Hyperaldosteronism

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jinhui Wu, M.D.

Overview

Primary and secondary hyperaldosteronism are conditions in which the adrenal gland releases too much of the hormone aldosterone.

What are the symptoms of Hyperaldosteronism?

What are the causes of Hyperaldosteronism?

Persons with primary hyperaldosteronism have a problem with the adrenal gland that causes it to release too much aldosterone. In secondary hyperaldosteronism, the excess aldosterone is caused by something outside the adrenal gland that mimics the primary condition. Primary hyperaldosteronism used to be considered a rare condition, but some experts believe that it may be the cause of hypertension in some patients. Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland. Secondary hyperaldosteronism is generally related to hypertension. It is also related to disorders such as:

Who is at highest risk?

The condition is common in people ages 30 - 50.

Diagnosis

  • Abdominal CT scan
  • ECG
  • Plasma aldosterone level
  • Plasma renin activity
  • Serum potassium level
  • Urinary aldosterone

Occasionally, it is necessary to insert a catheter into the veins of the adrenal glands to determine which of the adrenals contains the growth. This disease may also affect the results of the following tests:

When to seek urgent medical care

Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism.

Treatment options

Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have hypertension and need to take medication. Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism include:

Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.

Where to find medical care for Hyperaldosteronism

Directions to Hospitals Treating Hyperaldosteronism

What to expect (Outlook/Prognosis)

The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition.

Possible complications

Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon.

Sources


Template:WH Template:WS