Hyperaldosteronism
Our hyperaldosteronism specialists in New York are here for you. Our team of endocrine doctors near you are dedicated to supporting your success and ensuring that you regain your metabolic health and overall wellness.
What Is Hyperaldosteronism?
Hyperaldosteronism is a condition where the adrenal glands produce too much aldosterone, a hormone that helps regulate blood pressure by controlling sodium and potassium levels in the body. This excess aldosterone can lead to high blood pressure and other health issues. Hyperaldosteronism can be caused by a benign tumor in the adrenal gland (primary aldosteronism) or other underlying health problems (secondary aldosteronism). Early diagnosis and treatment are important to manage symptoms and prevent complications.
The symptoms of hyperaldosteronism often include high blood pressure that is difficult to control, fatigue, muscle weakness, and headaches. Some people may also experience excessive thirst and frequent urination. In more severe cases, the imbalance of sodium and potassium can lead to muscle cramps or spasms, palpitations and paresthesias. If you have any of these symptoms, it's important to see a healthcare provider for evaluation and proper management.
What Are the Causes of Hyperaldosteronism?
The most common cause of primary hyperaldosteronism, also known as Conn syndrome, includes bilateral adrenal hyperplasia and aldosterone-producing adenomas. Less common causes include unilateral adrenal gland hyperplasia and certain genetic conditions. Secondary hyperaldosteronism is caused by other health issues such as kidney disease, heart failure, liver cirrhosis, or conditions that affect blood flow to the kidneys. Understanding the underlying cause is crucial for effective treatment and management of the condition.
What Are the Treatments and Therapies for Hyperaldosteronism?
The treatment of hyperaldosteronism focuses on reducing blood pressure and preventing damage to organs. For those with unilateral disease, such as an aldosterone-producing adenoma or adrenal carcinoma, surgery is usually recommended. For bilateral disease or if surgery isn't an option, medical management with medications such as spironolactone or eplerenone is preferred. In some cases, additional blood pressure medications or specific treatments for rare genetic forms of the condition may be needed. Regular monitoring of blood pressure and hormone levels is essential to ensuring effective management.
How Can Well by Messer Help You with Hyperaldosteronism?
At Well By Messer, our team of hyperaldosteronism specialists starts with screening tests to measure plasma renin activity (PRA) and plasma aldosterone concentration (PAC) to detect imbalances. For confirmation, we use aldosterone suppression testing, such as oral sodium loading and urine aldosterone measurement. In specific cases, additional testing may not be needed. To identify the cause, we use adrenal CT scans and, if necessary, adrenal vein sampling. Based on the diagnosis, we prescribe appropriate medications, such as aldosterone receptor antagonists, and refer patients to top surgeons for adrenal gland surgery if required. Our goal is to provide personalized, effective treatment for each patient.
Meet the Well by Messer (WBM) Team
Under the leadership of top endocrinologist in New York, Dr. Caroline Messer, our caring and talented team of board-certified endocrinologists, psychologists, nutritionists, and personal trainers will be dedicated to supporting your success and regaining your metabolic health at our metabolic centers in Manhattan.
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