Discussions By Condition: I cannot get a diagnosis.

High BP in 13 yr old

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: andersonpsg
  • January 11, 2009
  • 02:20 PM

So...just before Christmas, DS (13) came to us saying his chest was hurting. We gave him Advil (diagnosed w/ costochondritis last March) & told him to rest. A couple days later he said his chest hurt & felt dizzy. Gave advil again. Next day complained of feeling dizzy. Checked BP w/ home monitor & it seemed high. We continued to check for a couple of days & his BP stayed around high 140s-mid 150s / high 80s with a pulse between 92-115. We felt that he was feeling dizzy because of the high BP & pulse.

We took him to the doctor who ran blood tests to check his thyroid & ordered a chest x-ray & rib scan. A week later we got those results & all came back normal.

We took him last Monday to a cardiologist who did EKG & Echocardiogram. Only showed fast heart rate, but all was okay with his heart.

She did confirm that chest pain IS from the costochondritis & advised Advil 3x's a day for 10 days. After a full day on the advil, DS's BP & pulse came down. I was hoping the pain was possibly the cause of these other symptoms.

On Tuesday, doctor ran a blood test to check for pheochromocytosis ~ still waiting on lab results.

While taking a shower yesterday, DS felt dizzy again. Checked BP & it was 160/92 w/ a pulse of 115! YIKES! What could be going on? Why okay for 3 days & then wham!

Just wondered if anybody here might have any suggestions. I'm hoping the lab results will be back tomorrow (Monday) for the pheochromocytosis ~ not expecting anything there...

What do you think? Thanks so much!

OH ~ almost forgot....for the past several months DS has also had VERY cold hands....to the point his fingers turn blue. He has always had sweaty hands, so the pediatrician wasn't concerned...

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6 Replies:

  • Renal artery stenosis,I'm almost positive,is a far likelier cause of his hypertension than is pheochromocytoma.Or he could have idiopathic hypertension.
    richard wayne2b 1232 Replies
    • January 11, 2009
    • 02:32 PM
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  • With his fingers turning blue,however,I would want to rule out a catecholamine excess(pheochromocytoma).
    richard wayne2b 1232 Replies
    • January 11, 2009
    • 02:35 PM
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  • If you ignore Blaze's ''spam,''that would be a correct thing to do.
    richard wayne2b 1232 Replies
    • January 12, 2009
    • 01:44 AM
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  • Thank you for your suggestions. Just to give an update.... The blood sample was sent in 2 weeks ago to test for pheochromocytoma. After 1-1/2 wks, the lab co. finally admitted to having lost the sample. DS was out of town on a school field trip until Friday afternoon, so we go back tomorrow for another sample. I sure hope the lab co. gets it right this time! His BP is staying 150-160s over high 80s-90s (2x's it was over just over 100) & pulse is always over 100.... poor kid! Not feeling super great these days!
    andersonpsg 2 Replies
    • January 18, 2009
    • 10:23 PM
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  • Again, does he use a cell phone? http://highstrangeness.tv/articles/cellphone.php Cell Phones Increase Blood Pressure - The June 1998 The Lancet reported that radiation from mobiles caused an increase of blood pressure. Dr Braune and colleagues in Freiburg, Germany, attached mobiles to the right side of the heads of ten volunteers. The phones were switched on and off by remote control without the volunteers knowing - so that any radiation effect could be separated from the psychological effect of holding a mobile phone. Their blood pressure rose each time by between 5-10mm Hg which is enough to cause a stroke in those at risk for one. blaze.. that is a small increase.. 5-10mm Hg) and being a child... that small increase dont fit this child. Where is it saying that cell phones can cause large BP raises??
    taniaaust1 2267 Replies
    • January 19, 2009
    • 08:47 AM
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  • Hhhmmmm...odd! I did reply yesterday to you, Blaze, but don't see it... My son has had a cell phone since September. For the most part it sits on his dresser, in his backpack & on occasion in his pocket. He uses it about 10 minutes per month ~ very seldom. Thank you for the suggestion. We will keep that in mind.
    andersonpsg 2 Replies
    • January 19, 2009
    • 00:10 PM
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