Doctor insights on:
Cortisol Stim Results
Test adrenal fxn.: This test is to check on whether or not your adrenal glands are working right. The acth action is to increase production and release of corticosteroids. In the test, a small amount of synthetic acth is injected and the amount of cortisol the adrenals produce in response is measured. This is used to check for things like primary and secondary adrenal insufficiency, and addison's disease. ...Read more
Saliva cortisol tests are abnormally low. Serum cortisol tests are normal. Dr says i don't need an acth stim test due to serum results. Agree?
Yes: If your saliva cortisol tests are low, then you have adrenal insufficiency. Acth stim test will only help determine if the cause is in the adrenal glands, pituitary gland or hypothalamus. Without other hormonal abnormalities or abnormal levels of sodium or potassium, this test is generally not needed and treatment for the adrenal insufficiency can be done. ...Read moreSee 1 more doctor answer
Poor correlation: Hi. Oral cortisol (aka hydrocortisone) does not reliably affect ACTH secretion nor aldosterone levels. That is somewhat unfortunate for those of us treated adrenal insufficiency, since determination of proper dose is based solely on clinical response, and not labs. Aldosterone is driven by the renin-angiotensin system bypassing the pituitary. UIHC is excellent, so you have great docs close at hand ...Read more
Acth stim test. Results of rise of cortisol and 17-0hp normal. What causes moderate elevation of androstenedione, slight elevation testosterone?
Can ACTH test rule out Cushing's? ACTH stim. Cortisol levels: T0: 9.1 T30: 16.6 and T60min: 18.6. Should I have 24 hr cortisol levels checked?
Wrong test: Hi. The ACTH-stim test is not a test for Cushing's. It's a test for adrenal insufficiency, more exactly, PRIMARY adrenal insufficiency. So no, an ACTH-stim test cannot rule out Cushing's. Someone needs to suspect you of Cushing's to order the 24h urine cortisol. We don't have any info to make us suspect Cushing's in you, so we can't say if you SHOULD have a 24h urine cortisol. Your ACTH-stim is nl ...Read more
Serum cortisol 145 ng/ml and acth plasma 25.00. I'm showing strong symptoms of adrenal insufficiency mainly skin bronzing. What domy results indicate?
Units of measure: Cortisol level is completely normal for a random morning sample and not suggestive of adrenal insufficiency. Acth units of measure are missing. Is this pmol/l or pg/ml? Even in extremely rare cases of acth resistance, nearly all patients are cortisol deficient. But your cortisol result is fine for morning random. Other things can cause bronzing like certain medication and hemochromatosis. ...Read more
Acth stim test.My baseline cortisol was 17.5. After 30 min, cortisol =22. After 60 min, =26.I thought cortisol should raise 20pts but i was told normal.?
Perhaps: In healthy individuals, the morning cortisol level should double from a baseline of 20-30 µg/dl within 60 minutes. The baseline cortisol level in people with adrenal insufficiency is usually below 15 µg/dl. An acth stimulation test that raises the cortisol concentration to 20 µg/dl would support the diagnosis. Make sure you have the right units. ...Read more
Acth stim test done. Acth was 12 at baseline cortisol 1. At 30 minutes cortisol was 22.7 then 1hr at 29. Does this indicate secondary ai?
Adrenal insuff: The results of the acth stim test suggest that ai is not an issue. The cortisol level responded as expected to the stimulation. If at the start of the test, you were ill then it might suggest that you have a relative ai as your initial cortisol level was 1 (ok if your healthy and not stressed, but in an ill person the cortisol should be higher in response to stress). ...Read more
Serum cortisol 145 ng/ml, acth plasma 25. I have skin bronzing since two years.Should I do acth stimulation test as well?
No: If it is 14.5 mcg/dl this is normal am cortisol.Bronzing is due to excess acth either from a low cortisol (addison's) or a pituitary or ectopic tumor making too much acth and elevated cortisol. See an endocrinologist. ...Read more
ACTH challenge done10am, baseline ACTH less than 5, cortisol is at 8 (mayo range) symptoms of Adrenal fatigue, Autoimmune, pots. Tests still needed?
What test?: Are you asking whether the ACTH challenge is needed after it has been done? This is best discussed with your endocrinologist who can explain to you the rationale behind his request. ...Read more
Most helpful test: The 24 urine cortisol testing is one of the most sensitive tests and gives a better picture over the course of the day instead of just getting a sample from you a single time. There are blood tests and saliva tests which can be falsely be falsely elevated or falsely low depend L depending on your other medications and the time the test is performed. The best is to see an endocrinologist to help. ...Read more
What does my lab results mean?
Glucose SerPl QN
Result:54 mg/dL (Low)
Chloride SerPl QN
Result:97 mmol/L (Low)
Result:2-5 /hpf (Abnormal)
Abnormal tests: It is hard to interpret these results without knowing why the test was done and getting a complete history and physical exam. You have have low blood sugar and urine analysis shows Red Blood cells. You surely need further evaluation including blood test ., repeat urine test with culture and may need imaging of your kidneys like ultrasound and /or cat scan and for BloodcSugar more testing as well ...Read more
I show symptoms of adrenal insufficiency. I did an acth plasma test which showed 25.00 and serum cortisol that showed 145ng?
ACTH stim: I don't understand the units of measure for either acth or cortisol. If there is any question of addison's disease i would expect a very elevated acth level. Secondary adrenal insufficiency concern might merit a low/hi dose acth stim test. If you have secondary adrenal insufficiency you may also need a MRI of your brain and pituitary in addition to looking into other pituitary hormone deficiency. ...Read moreSee 1 more doctor answer
Lab tests: SED 25, glucose 80, luteinizing horm 5.0, thyroid stimulating horm 0.966, FSH 7.1. All on 12/17/14. Related to chronic hives?
No: See a dermatologist. Do you take aspirin or any meds or any herbs or vitamins, etc.? Hives for over 6 weeks is termed chronic urticaria and is usually not allergy. Meanwhile you can try Zyrtec (cetirizine) (cetirazine) 1 or 2 a day. Sometimes larger doses may be used. There is a chance it could make you sleepy. ...Read more