Doctor insights on:
Adrenal Insufficiency Acth
Dx with adrenal insufficiency, before acth test could be done, sent to ER was given IV steroids. Doc does blood work often looking at cortisol levels, but should she still do the acth test?
Chronic adrenal insufficiency. You may consult this site for more information on this topic. http://www.mayoclinic.org/diseases-conditions/addisons-disease/home/ovc-20155636 For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any ...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
On a ACTH stimulation 3 time point base number 8, 30 min =23.5, 60 min = 39.6 does this suggest secondary adrenal insufficiency?
Not Enough Info: The baseline of 8 mcg is a borderline morning value and normal in the evening. The time of the day, ACTH value, reason for the test, how long the condition has been present for are all important. If it is secondary adrenal insufficiency it is likely new in onset. This test does completely rule out primary adrenal insufficiency though. ...Read moreSee 1 more doctor answer
Cortisol: Would be low. Acth would be high if it were an adrenal cause; low if it was a pituitary cause. ...Read more
Acth stim test for secondary adrenal insufficiency. What to expect? Feel better if positive? Feel worse if negative? And why?
Maybe 2: For secondary adrenal insufficiency we will sometimes do a lo/hi dose acth test using two doses to elicit a response from adrenals. The Insulin tolerance test is another good way to determine cortisol insufficiency as well as gh deficiency which can be seen with acth deficiency. If you're deficient in acth you'll get steroid replacement which will make you feel better. ...Read moreSee 1 more doctor answer
Low cortisol. Low acth but normal stimulation test. Could I still have secondary adrenal insufficiency?
Yes: Without more information, I can not say for sure you have it, but this is essentially the def of secondary adrenal insufficiency. Secondary AI is a condition where the adrenal gland still has function, but is not being told to produce cortisol by the pituitary gland. There are other tests, but initial dx usually made by low baseline cortisol with ACTH injection causing nl cortisol by adrenal gland ...Read more
After acth stimulation test confirms adrenal insufficiency does it always need to be treated and/or followed up and how often?
Yes: Adrenal insufficiency means that your body is not able to produce enough steroids. Depending on the cause of adrenal insufficiency, you can be deficient in more than one steroid (cortisol and/or aldosterone). Your body needs these hormones, so it is important to follow-up with your dr. The frequency depends on how stable the disease is for the patient. ...Read more
Can adrenal insufficiency cause terrible lightheaded spells w/ fogginess? If so, which condition? I'm having acth stim test.
Yes indeed: There are other, more common causes, especially if the picture does not otherwise suggest addisonism. I agree with the decision to have an acth stimulation test as part of your workup, though there are many other causes. I trust cerebrovascular disease has also been considered. ...Read moreSee 1 more doctor answer
Is adrenal insufficiency after pituitary tumor removal permanent? How long before most usually gain pituitary function for acth back?
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
Md ordered acth stim test. I have connective tissue disease. What could be possible causes of adrenal insufficiency (besides steroids)?
Normal ACTH stimulation test could I still have secondary adrenal insufficiency? I have low blood pressure and low blood sugar
Yes: The ACTH stimulation test is primarily a test for primary adrenal insufficiency or long standing secondary adrenal insufficiency. If secondary adrenal insufficiency has not been there too long the ACTH stimulation test may very well be normal. Other tests, based on cause that can answer this including: Low dose ACTH Stim, Insulin Tolerance, Metyrapone (now available again) & CRH stimulation test. ...Read more
Low adrenal function: The adrenal glands make a number of different hormones, most importantly cortisol. When a person's adrenals cannot make normal amounts of cortisol, they are diagnosed with adrenal insufficiency, or failure. This can be due to a problem in the adrenals (infection, tumor, bleeding, auto-immune destruction) or in the pituitary or parts of the brain that control the adrenals. ...Read moreSee 1 more doctor answer
Multiple causes: Infections of the gland by bacteria, including meningococcus and tb, metastatic tumors and primary tumors of adrenals, metabolic disorders, e.g., congenital adrenal hyperplasia, lack of pituitary stimulation, amyloid infiltration and sudden stoppage of steroid treatment etc. ...Read more
Adrenal cortex loss: Hi. Adrenal deficiency refers to Addison's disease, primary adrenal cortical failure, where the body is deficient in two vital adrenal cortical steroid hormones, cortisol and aldosterone. Central/pituitary adrenal insufficiency is deficient only in cortisol (not aldosterone). Cortisol is a vital "stress" hormone, and is necessary for life in the long run and the acute physiologic stress setting. ...Read more
Over-treatment: In patients with adrenal insufficiency because of adrenal cortex dysfunction or central acth deficiency, over treating with steroids (ie: hydrocortisone, prednisone, dexamethasone) can certainly lead to osteoporosis. Patients with adrenal insufficiency are closely followed by their endocrinologists. ...Read moreSee 1 more doctor answer
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
It is one of several pituitary hormones - acth for short (the others control the thyroid gland, gonad glands, and others) that controls adrenal gland function in primarily making the hormone called cortisol (not to be confused with "adrenaline"), though the adrenal gland also ...Read more
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