Although all medical school texts state that hypertension is idiopathic (of unkown cause), they do suggest reducing sodium intake and taking diuretics to eliminate sodium. This is reminescent of the attitude during the plague, we don't know what causes the plague, but god must be mad, so we should kill the Jews.
Over 25 million people worldwide take daily thiazide for life in order to eliminate Na. Doctors prescribe it so often, that pharma has incorporated it in the same pill as losartan, termisartan, etc, and the combination is often cheaper than buying the single antihypertensive!
Unfortunately, thiazide has long been known to eliminate magnesium and potassium along with Na. Moreover, magnesium and potassium deficiency have long been known to cause or exacerbate hypertension, so the patients taken thiazide often started out with a mild Mg deficiency that the physician will unintensionally and routinely exacerbate with the thiazide. Furthermore, thiazide reduces urate elimination, exacerbating or causing hyperuricemia which not only contributes to hypertension but also to gout, cardiovascular and kidney disease, etc,
Therefore, we can conclude that over 25 million people are being killed very slowly by iatrogenic hyperuricemia and depletion of Mg & K (though often unintentionally) and nobody gives a damm.
If you are not taking thiazide, it is quite probable that you have a relative or acquaintance who is, another silent victim of the Thiazide Holocaust.
It is a shame that in college doctors are taught that hypertension is idiopathic, which discourages them from searching for the cause of hypertension in each of their patients.
There are dozens of causes of hypertension, including an excess of many hormones such as parathyroid (grossly underdiagnosed in the elderly), cortisol, thyroid, epinephrine, norepinephrine, resistin, endothelin, angiotensin, etc, neurotransmitters such as serotonin, etc, cardiovascular malformations, such as beadstring renal arteries in fibromuscular dysplasia, advanced atherosclerosis, etc, but perhaps the most common and easily corrected cause of hypertension resulted from prolonged hyperuricemia. Uric acid is involved in a downward spiral:
Serum uric acid>5 increases angotensin II production, which increases smooth muscle cell uptake of sodium urate and efflux of Mg and K, which causes vasoconstriction and hypertension.
The body's diuretic is taurine, which causes sodium urate efflux and increased cell uptake of Mg and K. Unfortunately taurine production can be reduced and taurine can be lost in urine in the early early stages of kidney damage (aminoaciduria, often brought about by combined hypertension, hyperuricemia, homocysteinemia, high acrolein, etc, which are often caused by a high (Fe+Mo)/Cu).
Accordingly, donating blood until 35<ferritin<58 in order to dump excess Fe and Mo, taking 2 mg/d Cu, 1,4 g/d fish oil (to increase adiponectin and antiinflammatory eicosanoids and reduce inflammatory eicosanoids) and 2 g/d taurine and taking periodic hot brine baths to reduce homocysteine, uric acid, urea, etc, and to increase atrial natriuretic peptide, adiponectin (which blocks many inflammatory andhypertensive hormones and other substances) not only resolve hypertension but many other conditions.
I haven't been satisfied with any doctor, including naturopathic, in their diagnosis troubleshooting. Cardiologists are just drug dealers. They will at least get an echocardiogram, but that does not detect any of the numerous causes for hypertension. Naturopathic doctors and practitioners just use anecdotal evidence which merely induces one size fits all.
Naturopathic doctors first want you to be on an anticandida diet. If that does not work, then a gluten free diet, if that doesn't work....
During the first meeting with my cardiologist and without any tests, he gives me a script for Calcium Channel blocker. I ask why, because I supplement with magnesium in larger than normal dose. He says, "Because all my patients are on it." So, I tell him I'll try it for a month. Unfortunately it did bring my BP down considerably. I suspect that I cannot take enough magnesium without being subject to diarrhea. The next thing he scripts is beta blocker. Oh bother. Again I say I will try for one month. Very bad bronchitis with this. I google info and discover that all beta blockers may cause bronchitis. I tell him and he says, "Absolutely they do not. Keep taking." After a while, I say I have no confidence in beta blocker and am not going to take. I'm the 1% population that has this bronchial tube constriction. BTW, ashwagandha is a natural beta blocker, but again - how much to take?. Then the jerk wants me to take an ACE inhibitor instead. Gee, I don't know any natural substitute for that. And I am severely allergic (Anaphylaxis) to Aspirin, and besides I would rather take nattokinase. I'm surprised he hasn't tried to put me on statins. Neither he nor my GP have ever taken cholesterol reading on me. So, I take nattokinase and serrapeptase sort of regularly. Meanwhile I am doing well and doing everything else to try to get off of the CCB and ACE inhibitor. Exercise, lower sodium, no sugar, hawthorn berry, magnesium, more balanced minerals, etc.
This is why I believe that cardiologists are just drug dealers.
But really, as you say, there are numerous causes. I'm pretty convinced that a life and career of high stress has put me where I am with my health. However, I have retired for 6 years and still have not improved my stress level. It seems that if I have nothing to worry about, I invent something.
"Lord, make me pure—but not yet." - Saint Augustine
As I said doctors, including cardiologists are taught that it is idiopathic, so they are expected simply to diagnose idiopathic hypertension after 5 minutes (as if hypertension were a disease, not a symptom) and to prescribe antihypertensives, if one doen't work keep trying others, there are dozens of them.
Hypertension is not more a disease than fever or hyperuricemia are. They are all simply symptoms and cannot be diagnosed as diseases.
Let me give you an example, my father, who was 84 yo at the time.
He went to see the dentist because a molar was hurting badly. The dentist determined that it had to be extracted, but the roots were too deep so he referred my dad to a surgeon.
The surgeon checked B.P. before surgery and found it very high, so he told my dad to go to his doctor to bring down the B.P. for surgery. The physician asked for the normal tests: Na, Cl, K, total cholesterol and triglycerides, all of which were normal. He diagnosed idiopathic hypertension and prescribed an antihypertensive. After taking it for a while, B.P. remained high and molar pain intense, so my dad went to see a cardiologist. The cardiologist asked for the same tests and again diagnosed idiopathic hypertension and prescribed another antihypertensive, whcih again didn´t work. Fed up with doctors in his town, he went to see the husband of his step daughter from his second marriage, a famous internist in Guadalajara, the second largest city in México with several million people. The brilliant internist ordered the same tests, again diagnosed idiopathic hypertension and prescribed another antihypertensive. When B.P. remained high after 4 days of taking it, my dad phoned his step son-in-law, who told him to double the dose. After 3 weeks in pain my dad finally told me. I told him to take viagra, which was conceived for hypertension and only discovered to work for ED during clinical trials). Immediate B.P. went down and his molar was extracted. The following day I ordered the same tests I ask all my patients. His Ca was very high, phosphorus very low, so I ordered a parathyroid hormone test. Which was over ten fold higher than ideal. Had I not dicovered the hyperparathyroidism his bones would have become so weak that they might break while standing still, he would have lost his short term memory and mind (often misdiagnosed as Alzheimer's), developed severe gastric ulcers, kidney stones, etc,
He is now 90 yo and his labs are better than almost everybody I treat, including 6 and 16 yo people. His short term memory is much better than it was before he came to me and he is no longer constipated.
Parathyroid hormone causes bones to dissolve and the kidneys to eliminate P and Mg but not Ca, so that every day Ca/(Mg+P) is higher, causing major muscular and nervous problems, etc, Unfortunately, hyperparathyrodism is grossly underdiagnosed, as are sleep apnea and dozens of other common and fatal diseases, which cause hypertension.
I thought phosphorus was high in cases of hyper-parathyroid.
Doctors have a tendency to over dispense drugs with hypertensive patients. This is due to lazy diagnosis. They do not recognize what alternative therapies that their patients are using, and no fault of their own. People are indiscriminate too in their self diagnosis and use of alternative therapies. I found out that supplementation of potassium with the use of ACE inhibitors is a very bad thing. A high potassium diet does not supply as much potassium as a supplement normally does.
Vitamin D is a good thing with hyper-parathyroid, but minerals need to still be in good balance. Sometimes the glands can put them out of balance no matter what you try.
Iodine therapy may not be good either. One does not have the means at home to discover Hashimoto's or Graves disease.
What is your discipline in the health field? It is evident that you practice such and with clientele.
You seem to be confusing hyperparathyroidism (HPTH) with hyperthryroidism (HTH), two completely different beasts.
Thyroid hormone (TH) regulates metabolic rate (it is the body's accelerator). Parathyroid hormone (PTH) regulates serum Ca and P levels by causing bone resorption and vit D production and stopping Ca elimination when Ca is low. Iodine has a lot to do with TH, but little to do with PTH. PTH does increase P and Mg elimination, causing deficiencies.
I studied civil engineering and metallurgy and became enthralled by medicine 26 years ago when physicians almost killed my young wife and I cured her and have taught myself medicine. I always loved chemistry, biology and physics and that helped me a lot. I have never met a physician who understood even the basics of these sciences. Physicians are not trained to look at cause and effect but have a dogmatic view and treat mostly symptoms. Naturopaths, herbalists and nutritionists are not much better.
A few examples of how deficient conventional medical resoning is.
1) Doctors add good cholesterol (HDL) with bad cholesterol (LDL) to yield total cholesterol! this is like adding your debts and income, instead of subtracting or dividing them to get a meaningful number. In any event, cholesterol is a lousy indicator of cardiac event risk, much less meaningful than uric acid, homocysteine, troponin, ferritin, insulin, etc, which they ignore.
2) Although 90% of people with hyperuricemia never develop gout, even with higher urate levels than people with gout, all medical text and almost all journal articles, websites (wiki, etc,) state that gout is caused by hyperuricemia.
3) By law, lab reference values (on which doctors base their diagnoses) are obtained in the most stupid possible way: Only the highest and lowest 2.5% of the people who were analyzed the previous year (most of which were sick and went to see a doctor) must fall outside the range (95% of all people analyzed must fall inside the range!). This obviously makes the tests pretty useless to diagnose disease in the early stages, when it is easier to correct.
4) Doctors tell people to avoid eggs in order to keep cholesterol down, unaware of the fact that we synthesize more cholesterol from a bowl of white rice in our liver than we get from a couple of eggs (one of the most complete foods, full of vits, minerals, fatty acids, excellent protein, etc,).
Only numerically challenged people could reason like that.
You seem to be confusing hyperparathyroidism (HPTH) with hyperthryroidism (HTH), two completely different beasts.
Oh right. My confusion. Pardon that. I am well aware that they provide separate functions. I was thinking too much of my own situation. I also know the relationship of numerous glands working together. For example, when the adrenals are weak or even fatigued, they can have a marked effect on the thyroid. This is mostly what I deal with in my life. And many glands are directly affected by the functions of the hypothalamus, which may even be considered the master gland.
Actually I suspect some cases of hypertension to be caused by a microbe. Clearly MMS reduces or eliminates hypertension for some people.
Hypertension is not a diagnosis in and of itself, it is merely a symptom...although a serious one. It is what I call a basket diagnosis. You cant have a real diagnosis without an etiology.. and for HTN, they really have none... like many of their other fabricated diagnosis out there...
In deed, bad flora can cause hypertension. For example, in Mexico I've found that 1 in 6 people have active giardiasis and even more have it dormant. Giardia flattens the gut villi, causes lactose intolerance (lactose-free milk sells extremely well in Mexico), and several deficiencies, which can cause hypertension, colitis, depression, heart disease, skin diseases, etc, and which I cure in a week.
Giardia is extremely easy to acquire because water is not well treated, it is chlorine resistant, its spores measure only two microns and pass through most domestic filters and because vegetables are often irrigated with water contaminated with fecal matter. Once you acquire giardia you never eliminate it unless you treat it. My worst case was a 74 yo woman on 7 heart medications, plus antihypertensives and an antidepressive. From what she said I concluded that she acquired it when she was 3. She thought colitis was part of life and initially felt strange without it. We eliminated the medications and she improved so much that her sons (migrant workers in the US) didn't recognize her when they came to visit for christmas.
Doctors diagnose these people with nervous colitis, an extremely stupid term, since the nervous system has little to do with colitis, while giardia runs rampant.
Yes. Thanks. I have been supplementing and trying to balance my minerals. I am using colloidal minerals, instead of crushed rocks. I should not have to do that, but most times my diet doesn't measure up to the norm. Being underweight forever, I've always felt I could indulge. Foolish me.
I agree with Arrow that hypertension is a "basket diagnosis". It should be considered a syndrome.
A syndrome involves a group of symptoms. For example, hypertension is part of metabolic syndrome. Like I sad hypertension is simply a symptom, caused by many conditions, much like fever or a rash. Unfortunately, it takes a lot of knowledge and effort to find the actual disease behind hypertension in each individual and I appear to be the only idiot interested in wasting all that time learning and treating each patient, instead of making a fortune prescribing antihypertensives in a 5 minute consult without any knowledge or interest in curing the patient.
I feel that hypertension is never alone in its symptoms. Kind of like Irritable Bowel Syndrome, that has several causes that are caused by other causes. Hypertension can be caused by another symptom of high cholesterol which is caused by inflammation which is caused by.... See what I mean?
Of course, I know you are right. It just seems that something that has a cause which was caused by another cause, and on and on, would be best classified as a syndrome. Words don't matter and won't give grants for more study. It's just bad no matter what.
As I said a syndrome has several symptoms or even several conditions involving several symptoms each. Hypertension is a single symptom (high blood pressure measured in a minute). Fever is also a single symptom (high temperature measured in seconds) and can be caused by hundreds of different diseases or combinations of diseases. A rash is also a single, rapidly identifiable symptom, whcih can be caused by many diseases.
Diagnosing hypertension is as ridiculous as diagnosing fever.
The only reason doctors started considering hypertension as a disease is that it is much easier to call an idiopathic disease a symptom which is caused by many diseases than to be familiar with and to look for those diseases in each patient. It is much easier to falsely teach medical students that hypertension is an idiopathic disease and that they need not waste time finding the underlying diseases than to spend a semester or two teaching them the myriad diseases that cause it and how to identify or rule them out in each patient and how to treat them.
High bad cholesterol and triglycerides (dyslipidimia) is not a disease, only a symptom and it does not cause hypertension but often coexists with it. Both hypertension and dyslipidimia can be caused by several diseases, for example incipient diabetes type II (insulin resistance induced by low omega 3, Cr, vit B1 and B6, etc, and excess Fe, Mo, Pb, simple carbs, saturated fats, etc,). Instead of treating the disease and correcting it, doctors simply treat 3 symptoms indepently with statins to try and reduce LDL (they don't even reduce triglycerides or increase HDL), antihypertensives and thiazide to reduce B.P. and metformin to lower glucose. This patient also probably has high uric acid and homocysteine, but doctors almost never check homocysteine and if there is no gout, doctors will usually ignore the high uric acid. If there is gout, they will prescribe another medication only to reduce uric acid (which is being increased bythe thiazide!).
None of these medications deals with the causes, but each treats a single symptom for a while and has several side effects, especially the thiazide, the subject matter of this thread and which will eventually kill the patient by depleting Mg and K, raising uric acid, etc,