What should be done about primary aldosteronism?

Patient's question:

Recently, my appetite has been poor, and I've been a bit swollen all over. I feel very weak. When I went to the hospital for a check-up, they said it was kidney disease. What should I do about hyperaldosteronism?

Doctor's answer:

Primary aldosteronism can lead to hypertension, and this type of hypertension is often difficult to control. After aldosterone levels rise, on one hand, it can increase blood pressure; on the other hand, it can also cause electrolyte imbalances, leading to increased potassium loss. In this case, further careful examination of the adrenal glands is necessary to identify the primary inflammation causing continuous increases in aldosterone, and treatment should be targeted at the cause.

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