Unexplained high blood pressure in 20 year old
I recently saw a very interesting patient.
20 year old male college student (whom I will call Mr. X) with no known past medical history was referred to the medical clinic by his dentist for high blood pressure. During the office visit, Mr. X did not complain of any symptoms and said that he felt fine. On pressing a little further he said that at times he had headaches for which he takes over the counter painkillers.
Past medical history, family history and social history were unremarkable.
On examination his blood pressure was 180/116 in right arm and 175/110 in left arm. Heart rate was about 80. Rest of the physical exam was normal.
I tried to ask Mr. X if he was taking any drugs especially cocaine, marijuana or over the counter medications (besides painkillers - NSAIDS), but he denied.
Unable to explain the high blood pressure, I asked Mr. X to get some blood work done and asked him to come back in a week.
Next week Mr. X is back, asymptomatic with a high BP similar to the previous visit. His blood work is normal. Now I decide to start a million dollar work up to get to the root of his mysterious hypertension.
But then he tells me something interesting - cramps. He has been having mild cramps from weight lifting and exercising in the gym for about 3-4 weeks.
With a rush of adrenaline surging in me, I ask Mr. X “how many times do you work out in a week”
Mr. X - “Daily, I am trying to build some serious muscles”
Me - “I hope you are not taking steroids for body building”
Mr. X - “No, no, not at all. I know they are bad. I actually use this wonderful pre-workout supplement which I purchased from the internet. It does not have any steroids in it and works great”
Me - “And what is the supplement”
Mr X - “NO-xplode”
Case solved. Next week Mr. X’s blood pressure is 120/80.
(This is one of the many patients which I have seen and heard from colleagues, in which people get duped by fraudulent internet companies that sell FDA unapproved, non-tested diet supplements, body building supplements, herbal medicines and a whole lot of other stuff which can be extremely harmful. If you are taking any such supplement please consult your doctor).
Technorati Tags: Body building, Drugs, Hypertension, NO-xplode, Steroid, Supplement
Powered by MightyAdsense
September 11th, 2007 at 6:23 am
Good day mate! I was surfing the internet Tuesday afternoon during my break, and found your blog by searching Yahoo for \”male marijuana\”. This is a topic I have great interest in, and follow it closely. I liked your insight on Unexplained high blood pressure in 20 year old, and it made for good reading. What do you think of these hydroponics gardens?
October 25th, 2007 at 7:34 pm
[...] Administrator placed an observative post today on Unexplained high blood pressure in 20 year old.Here’s a quick excerpt:X) with no known past medical history was referred to the medical clinic by his dentist for high blood pressure. During the office visit, Mr. X did not complain of any symptoms and said that he felt fine. On pressing a little further he … [...]
January 3rd, 2008 at 11:34 am
BSN’s NO-Xplode is one of the most popular pre-workout supplements on the market. NO-Xplode is an an “all-in-one” product: it’s formulated to provide nitric oxide, creatine, electrolyte replenishment/hydration, and—most importantly—a workout boost, simultaneously.
If there’s a “fly in the NO-Xplode ointment” it’s that a class-action lawsuit is currently being filed against BSN. The lawsuit claims that although BSN claims No-Xplode contains a special form of creatine (CEM3 — a derivative of creatine ethyl ester), it only contains plain old creatine monohydrate.
For a complete review of NO-Xplode and more details on the class action suit…
http://bodybuilding.ultimatefatburner.com/BSN-NO-Xplode.html
February 13th, 2008 at 3:48 am
“This is one of the many patients which I have seen and heard from colleagues, in which people get duped by fraudulent internet companies that sell FDA unapproved, non-tested diet supplements, body building supplements, herbal medicines and a whole lot of other stuff which can be extremely harmful.”
Is there any way we can find about these fraudulent internet companies. They’re really putting people at risk.