Has anyone been diagnosed with pseudopheochromocytoma

Posted by lisa11 @lisa11, Sep 7, 2024

Hi. I had man symptoms of pheochromocytoma (tumor on adrenal gland) including very high blood pressure, high heart rate, sweating, flushing, terrible anxiety (unprovoked) and others. Your body essentially goes in to fight or flight mode for no reason. I was given clonidine for these rare occasions. Otherwise BP was normal. The episodes became more severe and frequent and I had the testing done for this which came back negative. Apparently out of 300 people tested only 1 will actually have tumor. So the rest of us are referred to as Pseudo pheo. Just trying to reach out to others for support. Thanks for any feedback.

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Profile picture for lisa11 @lisa11

I am sorry you've had to deal with this the better part of your life. Pheochromocytoma is very rare from what I understand. I read that for every 300 people who have symptoms and get tested, only one will actually have the tumor. Pseudo causes many of the same symptoms because the sympathetic nervous system goes haywire. My symptoms were extremely high blood pressure and heart rate, horrible anxiety, nausea, flushing, dizziness. I would bet you could find a group if you initiated asking on some different forums. Take care.

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@lisa11 PSEUDOpheochromocytoma is even MORE rare than a "pheo" and the symptoms are the same. Please don't ever minimize someones experience because it is different than yours. I also have a "pseudo-pheo" and it's debilitating at times.

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Profile picture for ksdm @ksdm

It sounds like a panic attack to me, especially if the testing was negative.

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@ksdm It is definitely NOT a panic attack and calling it that can be offensive to those of us who suffer with this debilitating condition. While it does include intense anxiety, there are many other factors involved. During a flare is the ONLY time I battle intense anxiety. It is very frustrating indeed.

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Profile picture for lisa11 @lisa11

I notice you're not on an alpha blocker. While we know what works for one may not work for another person it's my understanding from all the reading I've done, the most common recommendation is for a beta blocker, alpha blocker and antidepressant with others as deemed necessary by doctors. I was on Toprol and doxazosin and amlodipine which was changed to atenolol and terazosin. Amlodipine was stopped. I was definitely over drugged in the beginning with side effects. I would encourage you to look into articles by Dr. Samuel Mann. Maybe an alpha blocker would help?

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@lisa11 Hi. I was put on doxazosin for a pseuo pheo but it lowered by blood pressure too much. My normal bp is 110/70 on average but during a pseudo pheo, the top number almosts doubles. I did see a doctor today that recommended Ketamine treatments. Have you heard of this for the condition? Thx.

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Profile picture for lisa11 @lisa11

@help4nurse I'm sorry you're having to deal with this and know how stressful this would be. I was going to be referred to an endocrinologist in Madison. He said, the only positive way to diagnose it is to test blood during an attack. Which means being off all medicines and being in a hospital. In other words, that's not going to happen. So pseudopheo is a diagnosis of exclusion. Many doctors aren't familiar with it. I keep referencing Dr. Samuel Mann as his articles explain it and hopefully your doctor would recognize his work as legitimate. He recommends some combination of alpha, beta blockers, antidepressant, and acknowledging psychological components. Many people think there is no psychological component. It's complicated and beyond what I understand. For some it's just their coping style that sends nervous system into overdrive. I've had many unexplained physical problems related to stress since mid 30's. This one came on when I was 67. Take care.

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@lisa11 Hi. I just wanted to comment that I too was diagnosed in my early 60's after my 3rd flare. It was recently recommended to try Ketamine treatments and I am considering that. I have also read that it tied to early childhood trauma, which I can relate to. I'm curious if that is also the experience of other people who suffer from pseudo-pheo.

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Profile picture for lisa11 @lisa11

@angellreo Hi. I take Atenolol, terazosin and Sertraline. I live in an area where there are no endocrinologists and would have to travel at least 5 hours, so my PCP consulted with an endo who said this protocol is what is generally recommended and it has been working for me. I know the anxiety is something so frightening when you've never experienced it. The trick is finding the right dosage for you. I recommend looking up Dr. Samuel Mann who specializes in pseudopheo and has several articles about it.

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@lisa11 Hello again. I'm sorry an endo is so far from you. I live within 2 hours of a major city but have found endos are in limited suppy right now. It's crazy. My pcp had never heard of it but recommended talk therapy for help with emotion regulation during a flare. I met with a psychiatic nurse yesterday and she recommended Ketamine nasal spray. Have you heard of that treatment. At this point, I'll eat dog food if it will work!

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Profile picture for kyleespearman @kyleespearman

I have. I'm going to be getting the tumor removed once I get the medications to make your blood pressure stable before surgery. However I don't have high blood pressure, but the doctors say that doesnt mean it won't spike within any given moment since its producing hormones.

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Hello @kyleespearman and welcome to Mayo Connect. I see that you are anticipating surgery in the near future. As this is your first post, p!ease share a little about your history with this tumor.

Is this a recent diagnosis for you?

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Profile picture for angellreo @angellreo

@lisa11 PSEUDOpheochromocytoma is even MORE rare than a "pheo" and the symptoms are the same. Please don't ever minimize someones experience because it is different than yours. I also have a "pseudo-pheo" and it's debilitating at times.

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@angellreo

I wasn't minimizing anything. My only goal on this site is to try to help as I was seeking for help. You misinterpreted.

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Profile picture for angellreo @angellreo

@lisa11 Hello again. I'm sorry an endo is so far from you. I live within 2 hours of a major city but have found endos are in limited suppy right now. It's crazy. My pcp had never heard of it but recommended talk therapy for help with emotion regulation during a flare. I met with a psychiatic nurse yesterday and she recommended Ketamine nasal spray. Have you heard of that treatment. At this point, I'll eat dog food if it will work!

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@angellreo

I haven't heard of Ketamine for this condition and don't know much about it. I would try it if I needed to. The episodes are awful.

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Profile picture for lisa11 @lisa11

@angellreo

I wasn't minimizing anything. My only goal on this site is to try to help as I was seeking for help. You misinterpreted.

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@lisa11 I apologize for that comment. I in the throes of a flare and it makes me have a sharp tongue. I regret being rude and hope you will forgive me. No excuse. 🙁

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Profile picture for lisa11 @lisa11

@angellreo

I haven't heard of Ketamine for this condition and don't know much about it. I would try it if I needed to. The episodes are awful.

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@lisa11 I've since done research and found it can actually make the condition worse. So little confidence in our medical system.

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