This is totally not budget related but there are a lot of you and I thought possibly someone might have gone thru this and have advice. My 10 year old has developed off and on high blood pressure. It first came to attention at one of his GI appts (he has acid reflux) and we checked it at home with a monitor. It was 158/103 one check and the ped told me to bring him to the ER. They did blood work and an EKG and it was normal. By the time we followed up with the ped (just 3 days later), the BP was normal. It stayed normal for about 2 months and now is elevated again. They did do a renal ultrasound which was normal. Because it's elevated again, the ped wants me to take him to a cardiologist. I should say that he is very tall and always has been. He's 10 and is 5'5" and weighs 114 lbs. He is not overweight and he is pretty active. He also just started puberty. Has anyone gone thru this? Any advice is appreciated. Update: Thank you for the good thoughts and prayers, everyone! Got mostly good news. They have no idea what is causing the hypertension but she said b/c it seems to spike and then go back to normal that she's not worried aobut it for now. We'll monitor it at home and doctor appts. They did some tests to rule out Marfan Syndrome (the ped wanted it ruled out, people with Marfan's are often unusually tall). There was a valve issue that came up on the sonogram. He has a thickening of the bicuspid valve which causes it to not close all the way (she said it's trileaflet but thicker than normal). She said it's trivial but she wants him to have a sonogram each year for the next 2-3 years to see if there are any changes. He might have been born with it or it can be caused by infection. As long as it doesn't change, it should be fine. She said that it's very unusual to have this happen to this particular valve, she hasn't seen it before, she said a bunch of times that it is perplexing. It can be connected to connective tissue disorders so they'll keep an eye on it to make sure it doesn't change. She said it does not cause hyptertension. So, good news mostly and we'll cross our fingers that this is the end of the problems! If anyone has any info or experience with this, I'd be happy to hear.