Get Virtual Care
For Businesses
About Us
A member asked:
Always so cold, low blood pressure 77/42 sometimes. low blood sugar. acth stimulation test ok. but sometimes low cortisol. ideas?
A doctor has provided 1 answer
Sounds adrenal: B"sd this is challenging - does sound like adrenal insufficiency - probably due to hypothalamic / pitiutary dsyfunction. The options are extensive work up, or limited work up with a trial of glucocorticoids and possibly mineralcorticoid - fludrocortisone. Steroid therapy has its own significant side effects, so needs to be expertly managed, with frequent attempts to wean off the steroids.
Answered 2/22/2016
1.6k views
Thank
Related Questions
A member asked:
43 yro f tested high for cortisol in afternoon 28 ug/dl After suppression test am cortisol 3.7 and ACTH 2.0 CT showed adrenals normal. Ideas?
A doctor has provided 1 answer
A member asked:
My symptoms: dry red cheeks resembling moon face, belly fat, excessive sweating, acne.But cortisol and acth blood test came up normal. Is it cushings?
A doctor has provided 1 answer
A member asked:
24 hours urinary free cortisol level(3 samples) is high,but acth (blood)is normal.Have I got Cushing's syndrome or these values depends to my obesity?
A doctor has provided 1 answer
A member asked:
Blood cortisol(8am.) in range but >5mcg/dl.ACTH in range but >15pg/ml.many symptoms of Cushing's syndrome.should I need other exams?thanks
A doctor has provided 1 answer
A member asked:
I have many symptoms of Cushing's syndrome but ACTH and cortisol(blood) in range.my dr suggest me MRI hypophysis. It's really necessary?thanks
4 doctors weighed in across 2 answers
People also searched for:
Lightheaded, fatigue, low blood pressures, salt cravings. On very high salt and florinef. Normal AM cortisol. Doctor ordered ACTH stim test. What is that checking and will it likely be normal since AM cortisol was normal?
Normal ACTH stimulation test could I still have secondary adrenal insufficiency? I have low blood pressure and low blood sugar
Acth plasma and cortisol blood tests were normal but I have strong addisons symptoms with bronzing.What to do? Should I do an acth stimulation test?
My cortisol + ACTH are both very low. I also have severe nausea, fatigue, and low blood pressure. My ACTH stim test showed that I do *not* have adrenal insufficiency. Could the low cortisol still be the cause of the nausea? If so, how do I raise it?
I have a reverse sleep schedule. If I have cortisol and acth blood tests, should I do them at a different time than most people? I sleep 5am-2pm.
Didn't find what you're looking for?
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your questionMore of what we treat
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.
HIPAASecure
SOC 2 Type 2Certified
JCAHOAccredited
Download HealthTap
Video visit and message your doctor
