Question 1

what causes elevated dheas, cortisol and epinephrine levels? thanks in advance

Accepted Answer

DHEA-s: One common cause in females is PCOS (Polycystic ovarian syndrome).

Question 2

24 hour urine dopamine level is very high. the range is up to 500. my level was almost 700. what can cause this. all else normal (epinephrine, norepinephrine, metenephrine , etc) although plasma epinephrine was elevated 2 x range ? urine normal?

Accepted Answer

: I assume you had these tests because of high blood pressure. I assume you're not taking any meds that can raise urinary dopamine. A study showed that elevated urinary dopamine alone wasn't diagnostic of pheochromocytoma. Elevated plasma epinephrine alone is nonspecific &amp; seen in stress, vigorous exercise, alcohol use,smoking, caffeine excess. An endocrinologist can advise you best.

Question 3

is it normal to have a high number of neutrophiles in the blood (85.81 ,should be between 40-70) and a low level of lymphocyte (9,68 , should be between 22-44) after being injected local anesthesia lidocane hydrochloride 2% and epinephrine 1:100 ?

Accepted Answer

: I would ask team doing the injection neutrophiles can tend to aggregate along vessel walls and in the spleen.  A shot of epinephrine, if if gets directly into you blood stream, can make spleen contract and may disturb peripheral count for a bit. Was the injection being given to drain an infection. Infection can increase neurophil %.  Discuss with local team what is "normal" in folks like you there

Question 4

what does gait weakness mean? also, any idea what would cause elevated epinephrine levels and heart rates that race multiple times a night and races at the slightest movement?

Accepted Answer

Pheochromocytoma: A pheochromocytoma is a growth in the area of the adrenal glands that causes hypertension, elevated catecholamine levels and palpitations. It is not a common condition and an endocrinologist is best qualified to evaluate for one and I recommend that you consult one in view of your symptoms. He/she will order the appropriate tests and refer you to a cardiologist if it is deemed advisable.

Question 5

had 24 hour urine for catecholamines and 5 hiaa. results were elevated epinephrine levels. what could that mean? my symptoms include episodes or rapid/forceful heartbeat, tingling in hands...

Accepted Answer

Further testing: The 24 hr urine is a screening test, and if abnormal, may require more detailed blood testing, or even referral to an endocrinologist.  This raises the question of a possible adrenal gland abnormality, but epinephrine levels may be elevated just in response to stress.

Question 6

my epinephrine levels are less than 10 and it says the normal range is 10-200. what could this be?

Accepted Answer

Means nothing: You should not draw any conclusion from it.  Maybe 19 out of 20 people run a spot Epinephrine of 10 or above, but if you didn't, it's nothing at all.

Question 7

does a comprehensive metabolic test check cortisol & epinephrine levels? if not, how is it checked?

Accepted Answer

Cortisol and epi: These hormones are not checked as part of routine blood work.  On the other hand, it is not necessary to check them unless there is suspicion of an adrenal disorder, such as Cushings, Addison's, or pheochromocytoma.  And the work up of those conditions is more complicated than just a single blood test.

Question 8

can panic cause elevated epinephrine in urine?

Accepted Answer

YES: Epineprine, adrenalin is the cause.

Do consult with a Urologist.
                    Best Wishes,
              Arthur Hoffman,MD.FAPS,FIPS

Question 9

can anxiety like attacks cause elevated epinephrine in urine?  i'm not anxious but suffer strange attacks daily/nightly! annoying!!!!

Accepted Answer

See your doctor : Anxiety attacks can occur due to a variety of causes. See your doctor for an evaluation.  For instance, you could have a thyroid disorder. A condition called pheochromocytoma which is a tumor of the adrenal gland can cause an elevation of urinary catecholamines. This condition also causes anxiety along with other symptoms. See your doctor who can evaluate you and treat your condition. Best!

Question 10

elevated blood epinephrine (2 times the range.) very high blood pressure during the day (140-160/90-95) but very low in evening and at night. 95/50. causes? work up other than epinephrine. normal?

Accepted Answer

: The epinephrine could be released at some times in the day causing elevated blood pressure and then not at other times. There could be a tumor releasing the epinephrine and this needs to be ruled out. An endocrine doctor should be seen to diagnose this possibility. It is called pheochromocytoma. If present, it needs to be removed-some are benign others malignant. Get this checked! Good luck!

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A member asked:

What causes elevated dheas, cortisol and epinephrine levels? thanks in advance

A member asked:

24 hour urine dopamine level is very high. the range is up to 500. my level was almost 700. what can cause this. all else normal (epinephrine, norepinephrine, metenephrine , etc) although plasma epinephrine was elevated 2 x range ? urine normal?

A member asked:

Is it normal to have a high number of neutrophiles in the blood (85.81 ,should be between 40-70) and a low level of lymphocyte (9,68 , should be between 22-44) after being injected local anesthesia lidocane hydrochloride 2% and epinephrine 1:100 ?

A member asked:

What does gait weakness mean? also, any idea what would cause elevated epinephrine levels and heart rates that race multiple times a night and races at the slightest movement?

A member asked:

Had 24 hour urine for catecholamines and 5 hiaa. results were elevated epinephrine levels. what could that mean? my symptoms include episodes or rapid/forceful heartbeat, tingling in hands...

A member asked:

My epinephrine levels are less than 10 and it says the normal range is 10-200. what could this be?

A member asked:

Does a comprehensive metabolic test check cortisol & epinephrine levels? if not, how is it checked?

A member asked:

Can panic cause elevated epinephrine in urine?

A member asked:

Can anxiety like attacks cause elevated epinephrine in urine? i'm not anxious but suffer strange attacks daily/nightly! annoying!!!!

A member asked:

Elevated blood epinephrine (2 times the range.) very high blood pressure during the day (140-160/90-95) but very low in evening and at night. 95/50. causes? work up other than epinephrine. normal?

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