Hello doctor, I recently was referred to a renal specialist for low sodium levels by my primary care physician. After a complete kidney workup, he said that they were functioning well. But, he changed my hypertension medicine from Lisinopril to Losartan and discontinued my diuretics. As a result, my sodium level came up to the normal range. During the two-month time frame, I felt that Losartan made me very anxious, and I noticed hot flushes, which I never experienced before. My blood pressure was fluctuating, but he refused to put me back on Lisinopril, which I had taken for nine years. At this week's follow-up visit, I told him about the flushes and my blood pressure. I also have a white coat syndrome and get very nervous when I go there, causing my face to go red. He then said I might have carcinoid syndrome and wants me to take a 24-hour urine test. I researched this for days, on the internet, and I have no other symptoms of this syndrome, except for the flushing and uncontrolled blood pressure, which I never had until he changed my medications. I want your opinion as I am very upset and scared that I may have this syndrome. I hear that those 24-hour tests are highly inaccurate and I do not want to go for a list of unnecessary tests based on this renal specialist's opinion. I would appreciate your thoughts on this, as I heard this is a very rare disease. I am now back on my old Lisinopril medications with 12.5 mg of Hydrochlorothiazide. I am feeling better in just four days. My 4 PM flush is disappearing slowly.
Hello. Revert with more information to an internal medicine physician online -->