Question: Hello Dr., I really need help! I've been going round and round with an unknown health condition. I posted this to a Nephrologist but am not getting a response. I was in florinef for a month in January at .2 for low BP as a trial. Withdrew and lost 5 lbs of water in a week or so with constant urination. Then started vomiting, nausea, loss of appetite ect. Prescribing Dr. said medication was not the reason. For the past 10 months have had severe hypotension with tachycardia, weight loss ect. My potassium kept going low anywhere from 3.4-3.0. Sodium anywhere from 3.7-3.2. They would give me iv solution but that would make me more sick. I went to a Nephrologist who did urine sodium, potassium and chloride. Sodium was abnormal, range 30-90 my result 28 low. Serum osmolality 266 and I have several urinalysis tests showing specific gravity of 1.003-1.005. I have seen it go up to 1.010 but that is not the norm since I have had about 15 urine tests done all with low specific gravity. GFR is good >80 except two times 62nb. I have been told to take salt for hypotension but my bp never rises, I take 3000mg per day. I have never had anxiety before this happened and now I feel like my body won't calm down. Been to the psych doc and have medication but I still can't think clearly, eyes get blurry and have no energy. Also I urinate less than before but am drinking enough water. I also want to mention that the salt pills I take are supposed to make my bp increase and instead they make it go down. My last standing bp was 88/60. Thank you in advance, Brooke 1 day ago

Thank you!! I have had endocrine tests done and cortisol morning anywhere from 7-17. Aldosterone last two levels 3 and 4. They say everything is fine. I do not have dark marks but am XXXXXXX all the time even without sun. I am mainly German. I'm wondering about Diabetes Insipidus or Siadh. What do you think? Thank you!

I do have pituitary adenoma but only hormone that came back high was prolactin, I think that is correct. I'm at a loss with the endos I've seen as they say I'm fine so I just go everyday feeling terrible. Thank you

I know there is a problem because I can't eat very well, think clearly, have blurry vision and if I go off Florinef for even three days I feel so dehydrated and the water just goes through me. I asked my Nephrologist why my specific gravity is always lower than normal and he said I'm well hydrated. So, I said then I should not have tachycardia of 140 then if I come off Florinef. I'm so sad and distraught and terribly scared.

One last question please. I used to feel little anxiety but now I feel like my body won't calm down. Have tried different meds but they don't work. Do adrenal problems cause this type of reaction in the body? My Neurologist said my norepinephrine is high but how to get that down is beyond me. Thanks

Ok thanks for your quick response to me. I do have all three of those.

I had that checked through urine but came back negative. I know it is growing slightly in my pituitary because 3 years ago it was 1cm and now it's 2cm. There is also calcification there too.