Q: acth lab <5 1 wk p completing 15day prednisone taper. is adrenal suppression artificial? concerned?20mg x3tabsx 5days, x 2x 5 days, x1 x 5 days.

Normal: Acth is supposed to be low if you are taking prednisone. It should bounce back once the drug is stopped.

Q: what are early signs of acute adrenal crisis?

See below: Patients with acute adrenal crisis may have weak and rapid pulse, cold skin, low blood pressure, fast and labored breathing, and can turn dusky or blue. Without immediate and intensive treatment, this condition can be fatal.

Q: which symptoms are signs of active adrenal tumor?

Various: Symptoms will depend on the final product produced by the tumor cell line. If predominantly cortisol secreting, you would expect cushing's manifestations as such rounded face, purple striae marks on abdomen, hair loss, muscle weakness, easily bruisability, etc. On the other hand, if the tumor is predominantly secreting androgens, then you would expect worsening acne, hirsutism, and also hair loss.

Q: what are the signs and symptoms of adrenal crisis?

Adrenal Crises: SYMPTOMS OF ADRENAL CRISES Fever Suddenpain in abdomen.lower Back&amp;legs Convulsions Hyperkalemia(High level of K) High level of CALCIUM Confusion,Slurred Speech Psychosis Reduced level of glucose Reduced level of Sodium Low Blood Pressure Vomiting &amp;Diarrhea Syncope low T4 level It is caused due to Deficiency of Cortisol.It may be due to Addison's diseaseor Crticosteride biosynthesis enzyme defect

Q: can you please tell me about the actual signs and symptoms of adrenal crisis?

Life-threatening....: Dehydration, low blood sugar and low blood pressure and abnormal levels of many of your body's electrolytes among other things. A lot of good information is available here: http://www.Nlm.Nih.Gov/medlineplus/ency/article/000357.Htm.

Question 1

what treatments are available for adrenal suppression?

Accepted Answer

Adrenal Insufficient: There are herbal remedies, including ginseng, ashwaganda and rhodiola, and also dhea.

Question 2

if high cortisol can decrease serotonin levels then can low cortisol(like due to iatrogenic adrenal suppression) increase serotonin levels?

Accepted Answer

That: Is a tricky one because   there  is  not enough  evidence of low cortisol causing low levels of serotonin. Depression, chronic and severe, is associated with low serotonin and could lower cortisol levels.

Question 3

is the risk of adrenal suppression/insuffiency increased or the same at, let's say, 35 mg prednisone compared to 45 mg? or any dosage above 7.5 equal?

Accepted Answer

Yes: adrenal suppression is dose related and can even occur at the replacement dose of 7.5 mg prednisone or equivalent. You have to take higher dose for stress situations ie infections bacterial or viral with increased dose of steroid.

Question 4

is it risky to be on 0.05 mg florinef (fludrocortisone) ever other day for pots? i struggle with when off it. concern for bones, thinning skin, adrenal suppression

Accepted Answer

Non-issues: B"sd Florinef (fludrocortisone) is the only aldosterone like agent available. To my knowledge, unlike corticosteroids it does not suppress the pituitary adrenal axis or cause thinning of the skin.  If anything it should decrease renal calcium excretion and possibly decrease bone loss.  the main concerns; 
1.hypokalemia 
2. hypertension, especially when supine. 
glad to discuss further

Question 5

florinef (fludrocortisone) for pots. wish 2wean off eventually but sx come back. are most w/pots on longterm?isn't it  bad to be on longterm(bones,adrenal suppression)

Accepted Answer

Currently there is: no cure for POTS. All treatments are palliative to avoid symptoms and complications from syncope. It is a molecular genetic abnormality of the autonomic nervous system. Although there is potential for long term side effects from the Florinef (fludrocortisone) the alternative is harm and disability from non treatment. Of course Sx come back without Florinef (fludrocortisone). Ask about other therapies that might be reasonable.

Question 6

acth lab <5 1 wk p completing 15day prednisone taper. is adrenal suppression artificial? concerned?20mg x3tabsx 5days, x 2x 5 days, x1 x 5 days.

Accepted Answer

Normal: Acth is supposed to be low if you are taking prednisone. It should bounce back once the drug is stopped.

Question 7

what are early signs of acute adrenal crisis?

Accepted Answer

See below: Patients with acute adrenal crisis may have weak and rapid pulse, cold skin, low blood pressure, fast and labored breathing, and can turn dusky or blue.  Without immediate and intensive treatment, this condition can be fatal.

Question 8

which symptoms are signs of active adrenal tumor?

Accepted Answer

Various: Symptoms will depend on the final product produced by the tumor cell line. If predominantly cortisol secreting, you would expect cushing's manifestations as such rounded face, purple striae marks on abdomen, hair loss, muscle weakness, easily bruisability, etc. On the other hand, if the tumor is predominantly secreting androgens, then you would expect worsening acne, hirsutism, and also hair loss.

Question 9

what are the signs and symptoms of adrenal crisis?

Accepted Answer

Adrenal Crises: SYMPTOMS OF ADRENAL CRISES
Fever
Suddenpain in abdomen.lower Back&amp;legs
Convulsions
Hyperkalemia(High level of K)
High level of CALCIUM
Confusion,Slurred Speech
Psychosis
Reduced level of glucose
Reduced level of Sodium
Low Blood Pressure
Vomiting &amp;Diarrhea
Syncope
low T4 level
It is caused due to Deficiency of Cortisol.It may be due to Addison's diseaseor Crticosteride biosynthesis enzyme defect

Question 10

can you please tell me about the actual signs and symptoms of adrenal crisis?

Accepted Answer

Life-threatening....: Dehydration, low blood sugar and low blood pressure and abnormal levels of many of your body's electrolytes among other things.  A lot of good information is available here: http://www.Nlm.Nih.Gov/medlineplus/ency/article/000357.Htm.

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Doctor answers about:

Adrenal suppression signs

A member asked:

What treatments are available for adrenal suppression?

A member asked:

If high cortisol can decrease serotonin levels then can low cortisol(like due to iatrogenic adrenal suppression) increase serotonin levels?

A member asked:

Is the risk of adrenal suppression/insuffiency increased or the same at, let's say, 35 mg prednisone compared to 45 mg? or any dosage above 7.5 equal?

A member asked:

Is it risky to be on 0.05 mg florinef (fludrocortisone) ever other day for pots? i struggle with when off it. concern for bones, thinning skin, adrenal suppression

A member asked:

Florinef (fludrocortisone) for pots. wish 2wean off eventually but sx come back. are most w/pots on longterm?isn't it bad to be on longterm(bones,adrenal suppression)

A member asked:

Acth lab <5 1 wk p completing 15day prednisone taper. is adrenal suppression artificial? concerned?20mg x3tabsx 5days, x 2x 5 days, x1 x 5 days.

A member asked:

What are early signs of acute adrenal crisis?

A member asked:

Which symptoms are signs of active adrenal tumor?

A member asked:

What are the signs and symptoms of adrenal crisis?

A member asked:

Can you please tell me about the actual signs and symptoms of adrenal crisis?

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