Related symptoms?

[mamabearjj]

My five year old daughter was found to have high blood pressure ( typically between 90th and 95th percentile) almost two years ago.  She also has a history of headache and nighttime enuresis.  About a year ago she developed strong underarm body odor.  She has had blood and urine work, kidney work up and echo.  She has also been tested for allergies and had her vision tested.  None of the tests have revealed anything sinnificant other than trace protein in urine and high calcium levels.  She was diagnosed with sleep apnea in March but since having her tonsils removed this has been resolved.  She continues to have excessive nightime urination, frequent headaches, elevated blood pressure and body odor.  Could these symptoms be related to an endocrine problem?  What should my next step be in finding answers for these problems?  Thank you!

[mamabearjj]

Thank you for your response.  She has been being seen now for over a year by a nephrologist and her bp has consistently been monitored there, at our family physician, and at home with a small cuff.  She recently had a 24 hr ambulatory monitor that revealed even higher readings (average 122/80) than what is normally recorded.  She is a tall, but very lean and active 5 11 mo old.  Her nephrologist put her on 2.5 mg of Lisinopril starting this weekend.  He is speculating that she could have some kidney scarring from a past kidney infection that could be causing her htn.  My daughter is adopted and I do not have any medical history, so I have just been trying to research other possible causes as I am not crazy about her being on medication withour knowing the cause of the problem. I have researched a bit about possible endocrine problems and her excessive urine output, body odor and high sodium made me wonder if this could be endocrine related.   thank you again for your input.

[Deanna L Aftab Guy, MD]

It is hard to tell and I would be sure that your pediatrician considers referral to see a nephrologist and or an endocrinologist, the body odor may be related to adrenal hormones and this can be a normal variation on the adrenal gland development or an abnormal secretion of adrenal hormones, especially with high blood pressure this needs explored further, ask to see a specialist and let your pediatrician guide things based on priority, I would first clear up the hypertension issue, is it a small cuff? is she overweight? did they measure at least 3 separate times? make sure this is followed up.

[mamabearjj]

correction.......her SODIUM, not calcium levels were found to be high.