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