Hello, the dear doctor! At mine 13 years or summer sons recently sharply podn...

[Taisija]

Hello, the dear doctor! At mine 13 years or summer sons have recently sharply risen arterial pressure (154 on 139)!!! It or Him very much znobilo. Has spent inspection. US has not revealed any deviations or rejections in kidneys. The cardiogram also. The doctor has advised to check up adrenals and a pituitary body (tomography). Such pressure was only once, then all was normalized. It would be desirable to hear your opinion. Thankful in advance.

[Krivskaja L.K.]

Dear Taisija! Certainly, it is possible to make US of adrenals and to hand over krov-on a hydrocortisone, and mochu-on adrenal metabolites (to exclude kortikosteromu and a pheochromocytoma). But the main thing now, in my opinion, on a regular basis to supervise a BP (measure in the morning and in the evening). Unitary rise AD-about what does not speak. If povotorjatsja-it will be necessary to survey. Except for the set forth above analyses, it is necessary to look renin-an angiotensin of a blood plasma, hormones of a thyroid gland (TTG, 4). Though, it can be and hardly proceeding vegeto-a vascular dystonia pubertatnogo the period.

[Taisija]

Dear Lyudmila konstantinovna! Many thanks for the detailed answer. At the son, really, TTG povyshen-6, 2. And more one serious problem - is strongly increased a liver - the right share - 159 mm, left - 60 mm, ehogennost is raised or increased. Attributes of a fatty dystrophia. 11 months ago all was in norm or rate. What could entail such changes and how to treat? In advance it is very grateful

[Krivskaja L.K.]

Zdravsvtujte, Taisija! In occasion of TTG-rising of a BP is observed just at ponirzhenii TTG. If TTG, developed or produced by a pituitary body, it is raised or increased (as a result of a depression of function of the thyroid gland) - pressure as a rule normal or is a little bit lowered. But there is also other reason of rising TTG: rising of intracranial pressure (it is not connected immediately with a thyroid gland). It occurs or happens during puberty and wears the name a subthalamic syndrome pubertatnogo the period (youthful dispituitarizm). On-that can just be accompanied by rising of a BP. The reasons of a fatty dystrophia of a liver mnogo-it is in absentia difficult to speak. Thus, to you are necessary: the pediatrist (if potrebuetsja-the hepatologist), the endocrinologist and the neurologist. The problem uneasy and in absentia to discuss it or her is not meaningful. Find an out-patient department, most likely, paid where there will be all experts.