U.S. doctors online nowAsk doctors free
Chicago, IL
A 41-year-old female asked:

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?

1 doctor answer1 doctor weighed in
Dr. Elden Rand
Cardiology 23 years experience
ACTH Stim Test: ACTH stim test is used to see if one's adrenal glands respond properly to stimulation. Think of AM cortisol as a snapshot; it does not tell if your adrenal glands respond. The test: draw blood cortisol, then give synthetic ACTH. Then after 30min and 60 min (usually), blood cortisol is then drawn. The cortisol level in the blood should rise significantly. If not, adrenal function is impaired.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 17, 2020

Disclaimer:

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.