Pheochromocytoma Hypertension Treatment in India

Aarav Saxena, a 42-year-old software architect...

Aarav Saxena, a 42-year-old software architect and father of two, had always been the calm center of his busy household. Over the past year, he began experiencing terrifying, unpredictable episodes of pounding headaches, profuse sweating, and a racing heart that made him feel like he was having a panic attack. His blood pressure readings at home were alarmingly high and erratic. After multiple ER visits dismissed as anxiety, a persistent primary care doctor ordered a 24-hour urine test for metanephrines. The results were sky-high, and an abdominal MRI revealed a 4.5 cm right adrenal mass, a pheochromocytoma. The neurosurgeon, Dr. Chen, explained that while the tumor was on his adrenal gland, its surgical removal (adrenalectomy) fell under neurosurgical care due to the complex involvement of surrounding nerves and blood vessels, and the critical need to manage catecholamine surges during surgery. Aarav was terrified of surgery but more afraid of the next 'attack.' The treatment involved two weeks of alpha- and beta-blocker medication to stabilize his cardiovascular system pre-operatively. The minimally invasive laparoscopic surgery went smoothly, with the anesthesiologist meticulously managing his blood pressure. Post-procedure, Aarav spent one night in the ICU for monitoring. His recovery at home was gradual but steady; the debilitating episodes were gone immediately. Within six weeks, his blood pressure normalized without medication. Emotionally, he moved from a state of constant, fearful anticipation and feeling 'broken' to profound relief and gratitude. He regained his sense of control and safety in his own body, cherishing the quiet moments with his family without the shadow of the next crisis.