Hormone-Related Blood Pressure Issues
Blood pressure can be affected by hormonal problems such as adrenal gland disorders, thyroid imbalance, or rare tumours like pheochromocytoma. When blood pressure remains uncontrolled despite medication, hormonal causes should be suspected. Dr. MK Azad uses advanced hormone tests and imaging to identify these conditions. Once the cause is diagnosed, specific treatment is provided to bring blood pressure under control. With accurate diagnosis and focused care, health risks are reduced, and long-term well-being is promoted.

হরমোন-সম্পর্কিত রক্তচাপের সমস্যা

রক্তচাপ হরমোনজনিত সমস্যার কারণে প্রভাবিত হতে পারে, যেমন অ্যাড্রিনাল গ্রন্থির বিকার, থাইরয়েডের ভারসাম্যহীনতা, বা ফিওক্রোমোসাইটোমার মতো বিরল টিউমার। যখন ওষুধ সত্ত্বেও রক্তচাপ নিয়ন্ত্রণে থাকে না, তখন হরমোনজনিত কারণ সন্দেহ করা উচিত। ডা. এম. কে. আজাদ আধুনিক হরমোন পরীক্ষার ও ইমেজিং প্রযুক্তির মাধ্যমে এসব সমস্যার সঠিক নির্ণয় করেন। কারণ চিহ্নিত হলে নির্দিষ্ট চিকিৎসা প্রদান করা হয়, যাতে রক্তচাপ নিয়ন্ত্রণে আনা যায়। সঠিক নির্ণয় ও লক্ষ্যভিত্তিক চিকিৎসার মাধ্যমে স্বাস্থ্যের ঝুঁকি হ্রাস পায় এবং দীর্ঘমেয়াদে সুস্থতা নিশ্চিত হয়।

🔬 Hormonal Causes of High or Low Blood Pressure – Treatment

By Dr. M K Azad
Diabetes, Hormone, Medicine Specialist & Interventional Endocrinologist
Consultant & Head, Department of Endocrinology, Government Employees Hospital, Fulbaria, Dhaka

FCPS (Medicine), MD (Endocrinology), DEM (BIRDEM), MPH (Epidemiology)
Advanced Hormone Training – Singapore, Korea

Blood pressure that is abnormally high or low may be driven by hormonal imbalances rather than heart disease alone. Dr. M.K. Azad specializes in identifying and treating these often-overlooked causes to provide long-term and targeted control of blood pressure.

⚠️ Hormonal Disorders That Can Affect Blood Pressure:

• Hyperthyroidism / Hypothyroidism

• Cushing’s Syndrome (excess cortisol)

• Pheochromocytoma (adrenal tumor releasing adrenaline)

• Hyperaldosteronism (excess aldosterone)

• Adrenal insufficiency (Addison’s disease)

• Acromegaly (excess growth hormone)

🩺 Step-by-Step Treatment Procedure:

1. Clinical Assessment & History Taking

• Detailed review of blood pressure fluctuations and symptoms like sweating, palpitations, weight change, or fatigue

• Physical exam focusing on endocrine signs (e.g., skin changes, facial features, obesity pattern, muscle weakness)

• Family history of endocrine hypertension

2. Specialized Hormonal Testing

• Cortisol (morning and 24-hr urine) and ACTH levels

• Thyroid function tests (TSH, T3, T4)

• Aldosterone-renin ratio (ARR)

• Plasma metanephrines (for pheochromocytoma)

• Electrolytes and blood sugar levels

• Adrenal or pituitary imaging if necessary

3. Customized Treatment Plan

• Hyperaldosteronism: Mineralocorticoid blockers (e.g., spironolactone) or surgery for adrenal adenoma

• Pheochromocytoma: Alpha-blockers and surgical removal

• Cushing’s Syndrome: Medical management or pituitary/adrenal surgery

• Thyroid Disorders: Hormone replacement (hypothyroidism) or anti-thyroid drugs (hyperthyroidism)

• Adrenal Insufficiency: Steroid replacement therapy (hydrocortisone/fludrocortisone)

4. Blood Pressure Monitoring & Medication Adjustment

• Tailored anti-hypertensive therapy alongside hormone correction

• Avoiding unnecessary lifelong medication when hormone imbalance is treatable

• Regular BP logs and telemonitoring if needed

5. Lifestyle, Diet & Long-Term Care

• Salt intake management (especially in aldosterone excess)

• Stress management and sleep hygiene

• Routine follow-up every 3–6 months to monitor hormone and blood pressure stability

📍 Clinic Address: Islami Bank Hospital and Cardiac Center, Mirpur
📞 For appointments 01810000123, 01327997655