Q. My brother has high BP, mood swings, night sweat, etc. What does it indicate?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jan 24, 2016 and last reviewed on: Apr 02, 2019

Hi doctor,

My brother is 34 years old. He was diagnosed to have high blood pressure in his 20 years of age. He feels palpitations and sweats at night while sleeping even in cold weather. Many times the sole of his feet get swollen. He remains in haste, cannot wait for long, and gets anxious many times. He forgets things easily that is things where he had kept earlier like taking mobile or purse or identity card with him while going to office. He dislikes delay in anything because he cannot wait much. He gets angry and irritated if the person before him works slowly or not able to understand what he said. He does not have patience and has little tolerance for delays and imperfection. He used to talk more negative about girls. He knew that is wrong but by saying so he feels relaxed. Though he accepts his faults, he is impulsive about scolding others for their imperfection, shortfalls, weakness and sluggishness. He lost his father at the age of 12. His father died of heart attack and his mother is suffering from chronic schizophrenia.



Welcome to

First, regarding his mental condition, it seems that he is suffering and there is a definite need for treatment. The problem becomes more acute considering positive family history of schizophrenia in mother.

Most of his symptoms indicate mood disorder which includes both bipolar disorders as well as depression.

Now regarding his physical condition, I feel there is a definiteneed to evaluate for pheochromocytoma.

It is a condition where high secretion of brain chemicals (noradrenaline) resulting in high blood pressure, irritability, instability, and swelling of feet. Even his psychiatric condition can be explained by the same disorder.

Considering all these, please take to him to a doctor for physical evaluation about the possibility of pheochromocytoma. He will take a more detailed history and will suggest some investigations which include vanillylmandelic acid (VMA) level.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Postpartum Depression

History of bipolar disorder ... Family history of depression or other psychological disorders ...   Read full

Am I suffering from schizophrenia?

Having said this, the symptoms are more indicative of anxiety disorder with added obsessive and compulsive behavior ... This is more likely as you are already suffering with hypochondriasis, which is again a ...   Read full

Depression - Awareness, Self-Diagnosis, and Treatment Modalities

According to statistics provided by WHO, depressive disorders are predicted to be the major cause of mortality and morbidity in the world in the next three years ...   Read full


Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»
Importance of Sex Hormones - Types, Functions, Normal Ranges, and Roles
Sex hormones are steroids produced in the body that control sexual development, pregnancy, and overall health. Read belo...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.