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Shortness of breath, high blood pressure & other symptoms

Monday, June 29th, 2009
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Well it all started out about 2 weeks ago on monday. i was really having shortness of breath, my pulse was very high, high blood pressure, etc and i am 13 so this is abnormal. so i went to er because it started to get really bad, they said i was very dehydrated and my calcium levels were elevated,bout 10.3. so i drank much much water from then on helped a lot but the shortness of breath and heart things were still here just not as bad. so i wait about a week or two and i improve but a few days ago i would get a sort of numbness in my neck sensation that would last a few minutes then leave and now that’s gone. then i woke up feeling like clammy and feverish, you know the feeling you feel when you’re sick? except my stomach didn’t feel bad or anything. few hours..that went away, then just recently i read online the shortness of breath and stuff could be anxiety and that chilled me a ton i almost felt normal for a few days but now its back in a different way. today i went to another doctors office, they said pule and bp were fine but when they checked my report from er they said my wbc and a few other things were elevated which the er didn’t tell us. so they took more blood tests and said theyll be done by tomorrow at the most but at this moment im feelin bad. like i have this small lump on my right
bicep or whatever muscles on top that’s red and numb and the feeling spreads every once in awhile. and also i get this weird sensation like someone spraying ice cold mist on different parts of my body…like everywhere but it kind of pulses im not even sure if i can explain it..and the last thing is my legs are shaking or at least they feel like it but wheh i look at them or feel them they arnt but when i raise them the feeling sort of gets worst a little its almost like a tingling feeling. anyone know what i have? im really worried that tomorrow might not come to be honest:( oh yea and if this helps diagnose the tingling i sit in this chair in front of my computer ALOT but ive never had it before so yea. so basically these symptoms at this moment,numb lump on right bicep,shaking legs and body but not bad like internal,and the cold mist sensation

Answered by Maria/ MD Health Forum.com Team

Thanks for your question. Here at Dr Joshua.com, we just provide general information about medical conditions. Only your own doctors can make a diagnosis based on your health history and test results.

The normal values of blood tests may vary among different laboratories. If you will search the net for normal blood calcium level, you would find that the normal range in some sites is 8.5 to 10.2 mg/dL while others say that it is between 9-10.5mg/dL. Calcium is a mineral that has many important functions which include: transmission of nerve impulses, mediating the dilatation and constriction of the blood vessels, muscular contraction and release of some hormones. Concentration of calcium in the blood and fluid that surrounds cells (extra-cellular fluid) are firmly controlled to maintain physiological function. Excess entry of calcium into the extracellular fluid or a decrease in its urinary excretion are some of the factors that may result to an elevated calcium level.

There are several diseases that may cause above normal calcium levels. Increased calcium in the blood may be related to hyperparathyroidism, a disorder characterized by excessive production of parathyroid hormones. Increase in parathyroid hormone causes more calcium to be taken from the bone and more calcium to be reabsorbed by the kidney and intestines. Aside from elevated calcium level, a person with parathyroidism may complain of: fatigue, increased urine output, increased thirst, pain in the upper abdomen, muscle weakness and joint pains.

High calcium level is also present in patients with sarcoidosis, a disease in which inflammatory cells form in lymph nodes, liver, eyes, skin, lungs, or other tissues of the body. The cause of of sarcoidosis is unknown. It is thought to result from an infection or caused by an abnormal response of the immune system. The manifestation of sarcoidosis largely depends on which organs are involved. Its Common symptoms include: shortness of breath, fever, general feeling of discomfort, irregular heart beat, skin lesions, presence of lumps in the lymph glands, dry mouth, neurological changes, joint stiffness and headaches. Physical examination and some diagnostic tests will be carried out to confirm diagnosis. Blood tests may be requested by the doctor. Aside from elevated calcium level, another many people with sarcoidosis have high angiotensin-converting enzyme (ACE). High ACE level, however may also be caused by other diseases. Imaging procedures such as Xray and brochoscopy may also be requested. Further test to evaluate the lung function may be considered in patients who experience shortness of breath or if there are significant findings in the x-ray. Though any person can develop sarcoidosis but there are some common risk factors associated with this disease. It usually occurs in people between 20-40 years of age, it is quite uncommon in children.Geography and ethnicity is also believed to play a role because reported cases are commonly of Asian, German, Puerto Rican Irish and Scandinavian decent. Even if some of the symptoms that you have mentioned may manifest in sacoidosis, they may also occur in other disorders. Hence, a careful evaluation of a doctor is very important.

You mentioned that your blood pressure was also elevated. High blood pressure in general is either due to unknown cause or related to underlying diseases. It may be caused by kidney problems, hormonal disorders, abnormalities of the aorta-the main blood vessel that carries oxygenated blood to the body, or a narrowing of some smaller arteries. Your medical and family history along with physical examination are necessary to establish a baseline. Diagnostic tests may also be considered to find out underlying diseases that may cause high blood pressure. Tests could include urine testing, blood chemistry including lipids and other tests to check on the kidneys. Imaging procedures to evaluate the size and electrical activity of the heart may also be performed.

Overweight teens are at a higher risk for high blood pressure. Other factors that affect blood pressure include familial history of hypertension, alcohol intake and use of some drugs. Managing high blood pressure will depend on its underlying cause and your doctor’s assessment.

References:
Henke, C. E., G. Henke, L. R. Elveback, C. M. Beard, D. J. Ballard and L. T. Kurland. 1986. The epidemiology of sarcoidosis in Rochester, Minnesota: a population-based study of incidence and survival. Am. J. Epidemiol. 123:840–845.

Baughman RP, Lower EE, du Bois RM. Sarcoidosis. The Lancet 2003/3/29;361(9363):1111-8.

http://www.aafp.org/afp/20060501/1558.html accessed 28.6.09


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