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Doctor insights on: Addisonian Crisi

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What is acute adrenal crisis?

What is acute adrenal crisis?

Low cortisol state: Acute adrenal crisis is defined by the sudden drop in Hydrocortisone (or its equivalent) in the body, prompting acute physiological changes such as low blood sugar, lethargy, nausea, low blood pressure and sometimes even coma and death. Immediate steroid replacement is needed to reverse the above either via mouth (if the individual is stable and able to swallow) or via intra muscular/intravenous. ...Read more

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Dr. Hirenkumar Italia
132 doctors shared insights

Addisonian Crisis (Definition)

Addisonian or acute adrenal crisis is a life-threatening condition that occurs when there is not enough cortisol, a hormone produced by the adrenal glands. It can manifest with fatigue, nausea, poor appetite, fever, joint pain, fatigue, coma, or seizure. Addison's disease is usually treated ...Read more


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Is sickle cell crisis more severe in sickle cell thalassemia or sickle cell alone?

Is sickle cell crisis more severe in sickle cell thalassemia or sickle cell alone?

Most less severe: Most are less severe in sickle cell thalassemia, but depends. HbS/B(0)thal: similar to HbSS in severity maybe slightly less severe. HbS/B(+)thal: has 60% HbSS and 30% HbA, thus less severe than HbSS (sickle cell alone). HbS/A-thal: less severe than HbSS due to decreased HbSS amount. ...Read more

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Symptoms of lupus crisis?

Symptoms of lupus crisis?

It depends: The symptoms of a lupus flare depend on the exact organ systems involved and the extent of the involvement. ...Read more

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What are symptoms of sickle cell anemia crisis?

What are symptoms of sickle cell anemia crisis?

Pain.: When red cells sickle, they become rigid and block the flow of blood. If this happens in muscle or bone, the result is pain. In the lung it's pain and shortness of breath. In the brain, it can cause a stroke. Any organ can be effected. A painful crisis happens when blood flow is interrupted. They are episodic and unpredictable. ...Read more

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Could sickle cell crisis cause lost of oxgen to brain?

Could sickle cell crisis cause lost of oxgen to brain?

Yes: Patients with sickle cell disease are at an increased risk of developing strokes which could affect oxygen delivery to the brain. ...Read more

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Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Great question!: Even people with adrenal problems often make a little bit of cortisol. This little bit can be enough to keep them from getting very sick. In hypothyroidism the body's need for cortisol goes down and the little bit you make lasts longer. So if a person has both thyroid and adrenal disease, treating the thyroid without treating the adrenal problem first causes the little cortisol to run out quicker. ...Read more

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What is oculogyric crisis?

What is oculogyric crisis?

Dyskinesia: It's a type of dyskinesia (movement disorder showing either diminished movement or too much movement, with tics and jerks, etc) involving the muscles of the eye. It's acute, and can be relieved quickly also. It's most commonly seen with medicines that block the neurotransmitter dopamine, such as haldol, stelazine, and thorazine -- but also newer antipsychotics, as well as the GI drug reglan (metoclopramide). ...Read more

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Can sickle cell crisis cause lost of pregnancy?

Can sickle cell crisis cause lost of pregnancy?

Yes: Women with sickle cell disease who become pregnant are at higher risk for complications such as miscarriage, premature birth, and low birth weight. Sickle cell disease symptoms often worsen during pregnancy and pain crises become more frequent. However, with careful prenatal care and monitoring, serious problems can be avoided. ...Read more

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Does addisonian crisis lead to abdominal pain?

Does addisonian crisis lead to abdominal pain?

Yes it can...: Most definitely. Here's more info which you might find useful: http://www.Nlm.Nih.Gov/medlineplus/ency/article/000357.Htm. ...Read more

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What are the tests for addisonian crisis?

What are the tests for addisonian crisis?

21 hydroxylase AB: An addisonian crisis is when your body is in shock from adrenal insufficiency. To diagnosis addison's disease, the combination of blood tests for electrolytes, glucose, 21 hydroxylase antibodies, and a high dose acth stimulation test would help make or reject the diagnosis. ...Read more

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Person w/ SCAD deficiency, autism, mood disorder. Acutely became agitated, aggressive. Labs/UA wnl except B12 >1999 pg/mL; Folate (folic acid) >19 .9 ng/mL? toxic?

Person w/ SCAD deficiency, autism, mood disorder. Acutely became agitated, aggressive. Labs/UA wnl except B12 >1999 pg/mL; Folate (folic acid) >19 .9 ng/mL? toxic?

How old are you?: We need to know your age. Please put it in your public profile. We cannot answer questions from minors. Knowing your country or state helps, too. Age, location, and gender, can affect our answer, since some conditions are more likely in different places or in different age groups. Be honest! You expect if of us, & we expect it of you! List any meds you take, & any chronic medical problems, too. ...Read more

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Does high reticulocyte count mean sickle cell crisis?

Not necessarily....: Patients with sickle cell disease have elevated reticulocyte counts at baseline, as their red cells have significantly reduced half lives relative to normal rbcs. More rapid red cell synthesis, reflected by the high retic count, is needed to maintain steady state, albeit lower than normal. Are you having other symptoms suggesting vaso occlusive crisis? If so, you should seek medical attention. ...Read more

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How can I treat sickle cell crisis?

Aggressively: Treatment is of an urgent nature and requires hospitalization typically. The emphasis is on aggressive IV fluid replacement, pain control, treatment of underlying issues such as infection, bloood transfusion or exchange as determined by your hematologist. ...Read more

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Could cymbalta (duloxetine) cause addisons crisis for a patient with addisons?

Cymbalta (duloxetine) ; Addison's: No there is no correlation between the two that I am able to find. Best wishes. ...Read more

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Differences between an identity crisis and severe depression?

Differences between an identity crisis and severe depression?

Physicial symptoms: Generally, severe depression would include physical symptoms such as changes in appetite, energy, and sleep. These are not necessarily part of an identity crisis. Identity crisis may also have more prominent anxiety without depressive affect. If you're wondering about yourself, it's a good idea to share your concerns with a mental health professional. ...Read more

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Could oxygen therapy be usedto reduce a sickle cell crisis?

Could oxygen therapy be usedto reduce a sickle cell crisis?

No; treats it.: Sickle cell crises are often precipitated in low oxygen tension situations. Oxygen therapy can help avaid a crisis and/or help treat an evolving one and decrease rbc sickling. ...Read more

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Can we use hydroxyurea with sickle cell anemia patient?

Can we use hydroxyurea with sickle cell anemia patient?

HU in sickle cell: Certain patients with sickle cell can be helped by Hydroxyurea (hu). Initially, Hydroxyurea was thought to increase fetal hemoglobin levels (not carrying the sickle cell mutation), but more recently, hu has been shown to decrease high white blood cell counts which can lead to vaso-occlusive crises. Talk with your hematologist to see if hu is right for you. ...Read more

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