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Doctor insights on: Doctors Adrenal

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What kind of doctor treats adrenal glad cancer help please!?

What kind of doctor treats adrenal glad cancer help please!?

Adrenal cancer: This is usually treated by the oncologist (or oncologic surgeon), but if the adrenal cancer is secreting hormones, then an endocrinologist may be involved. ...Read more

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Should i contact a different doctor for adrenal mass went to a urologist after a CT scan for kidney stones showed an adrenal mass. Urologist sent me for a MRI and had me do a 24 hour urine test to see why i had kidney stones. I am more worried about the

Should i contact a different doctor for adrenal mass went to a urologist after a CT scan for kidney stones showed an adrenal mass.  Urologist sent me for a MRI and had me do a 24 hour urine test to see why i had kidney stones.  I am more worried about the

The most common: Adrenal mass seen in about 15% of patients is an adrenal adenoma which is a benign tumor. It is easy to characterize on MRI because we can show there is fat in the tumor. This usually (94% accurate) means that the adrenal tumor is benign. But we make sure by following the tumor with additional MRI studies, which do not use harmful radiation. Ultrasound is not as accurate for followup. ...Read more

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How can doctors tell if an adrenal tumor is benign or malignant?

How can doctors tell if an adrenal tumor is benign or malignant?

Size and feature: Tumors > 6 CM are high risk for malignancy. Tumors 4-6 CM are in the gray zone (you need to look at other fearues as well). Tumors < 4 CM are less likely to be malignant. There are features on the imaging studies that can also help your physcian determine the likelihood of tumor malignancy potential (hounsfield units, contrast wash out...). ...Read more

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Need doctor's help! will my adrenal glands make my heart beat fast?

Need doctor's help! will my adrenal glands make my heart beat fast?

Possible: Certain tumors of the adrenal gland may cause palpitation and fast heartbeat. This is however a rare cause of fast heartbeat. ...Read more

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Hello doctor I have question what's the consequences of having one adrenal gland?

NONE: You only need one.....it will make the necessary hormones (will "hypertrophy=grow)" ) to COMPENSATE for the missing gland...The PITUITARY or "master" gland will assure that happens! Hope this is helpful Dr Z ...Read more

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How come so many medical doctors do not believe that adrenal fatigue is a real issue?

How come so many medical doctors do not believe that adrenal fatigue is a real issue?

Fatigue: Fatigue is real. There's no denying your symptoms. But if the ACTH stimulation test is normal, then your adrenals are functioning normally. Some people get convinced that their symptoms "must be from my hormones", and some practitioners unnecessarily treat with hormones. This distracts from trying to figure out the real problem. ...Read more

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Have a small adrenal nodule. Doc wants me to see an Endo. What happens at the first visit?

Have a small adrenal nodule. Doc wants me to see an Endo.  What happens at the first visit?

Adrenal nodule: I specialize in this and recommend you go to hyperaldosteronism@yahoo.com where there have been over 3,000 like you over the last 15 years. The Endo should take a detailed BP history, ask about symptoms of low K: fatigue, brain fog, muscle cramps and getting up at night to pee more than twice. Measure BP both arms and listen for abdominal bruits if you have HBP. Also collect a detailed FH of HTN. ...Read more

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My adrenal levels are twice the norm. But my doctor said I can take steroids to lower it. How does this work?

My adrenal levels are twice the norm. But my doctor said I can take steroids to lower it. How does this work?

Good question: Significant reduction in androgen levels of adrenal source (such as dhea-s & androstenedione) if the body is subjected to exogenous steroids such as Dexamethasone due to creation of negative feeback on the pituitary gland causing decreased acth production. This in turn will reduce the signaling to the adrenal gland that will reduce overall adrenal hormone production and improved clinical symptoms. ...Read more

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I have all the symptoms of an adrenal problem including pheochromocytoma but my doctor refuses to test me. Where do I go from here?

I have all the symptoms of an adrenal problem including pheochromocytoma but my doctor refuses to test me. Where do I go from here?

Go elsewhere : Find another doctor. Ask friends/family for someone they like. It appears that ur not on any blood pressure meds which makes pheo less likely, btw. It is possible that by talking to you, examining you, looking at ur vitals, labs etc, there is no need for further testing. Still, if u r not happy, find another physician. ...Read more

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Hi doctors, regarding to zona riticulars in adrenal cortex , how do these nuclei even produce hormons while they are pyknotic, , ? Giant thank,

Hi doctors, regarding to zona riticulars in adrenal cortex , how do these nuclei even produce hormons while they are pyknotic, , ? Giant thank,

Sloppy language: I'm glad you're reading closely. When a pathologists says "pyknotic nucleus", that cells is very dead. Some anatomists use the term more loosely for any cell with a preponderance of heterochromatin even if it's alive. We pathologists can't use any other term and wish all anatomists would say "condensed" for such nuclei instead of "pyknotic" -- it's the term other scientists use. ...Read more

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Can you tell me what it mean when the doctor's find a 9mm nodule on your adrenal gland?

Incidentaloma: This was undoubtedly found on a ct or MRI that was done for some other reason. These incidentally discovered "incidentalomas" are usually benign lumps and of no significance. There are 2 questions your doctor will want to ask: 1. Is the nodule secreting any hormones, like adrenaline, cortisol, etc; and 2. Is the nodule growing, which would raise a suspicion for cancer. ...Read more

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I was diagnosed with an adrenal tumor. My doctor says it's benign, but i'm having a lot of pain. Should I be worried?

I was diagnosed with an adrenal tumor. My doctor says it's benign, but i'm having a lot of pain. Should I be worried?

Location: Most adrenal nodules are of benign nature and remain stable and non functioning, however they should be monitored on an interval based on size and location. Although you did not describe the nature and location of pain, you will need to discuss this further with your physician. Adrenal neoplasms can be dynamic and there is many cases reports of non secretory nodules becoming hornonally active. ...Read more

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I suspect adrenal problems but doctors can't seem to diagnose or treat me. What should I do? Don't feel well, tired, lightheaded. Blood tests BP good

I suspect adrenal problems but doctors can't seem to diagnose or treat me. What should I do? Don't feel well, tired, lightheaded.  Blood tests BP good

Adrenal problem: Of course, it would be important to discuss your symptoms with the doctor and why, specifically, you feel they are adrenal related. You describe very general symptoms with several causes, and your normal blood pressure, although not excluding adrenal disease, may lower it as a suspect. Visit your doctor. Discuss the possibilities and which tests or symptoms might hone in on your problem. ...Read more

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Doctor wants to do ultrasound to rule out adrenal tumour. He wants to send me for a abd ultrasound. How could I ask for an MRI?

Doctor wants to do ultrasound to rule out adrenal tumour. He wants to send me for a abd ultrasound. How could I ask for an MRI?

You can ask but: what test is to be done is based on medical decision , after clinical examination physician will decide which test to be done first. Less expensive least invasive test will be done first Why should an insurance pay an expensive test If you have to pay from your pocket which test you choose? ...Read more

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What would cause a mildly thickened adrenal gland.My CT report says I have this but my doctors have not recommended any follow up.Not sure what to do.

What would cause a mildly thickened adrenal gland.My CT report says I have this but my doctors have not recommended any follow up.Not sure what to do.

Benign process: Fullness in the adrenal gland can be due to a benign process, like an adenoma, or malignancy from lung or other types of cancer. Measuring hounsfield units on ct can be helpful (usually hu of 20 or less is benign). If the area is equivocal, then a dedicated ct or MRI of the adrenals can be performed. Did your ct report have hu for the adrenal gland? Do you have a history of lung cancer? ...Read more

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If I suspected that I had Adrenal Insufficiency, would it be advised to supplement with Salt Tablets? (Before seeing a Doctor)

If I suspected that I had Adrenal Insufficiency, would it be advised to supplement with Salt Tablets?
(Before seeing a Doctor)

No: Just get seen. Most folks who think they have adrenal insufficiency feel sick because of a difficult life situation. Some really have it. An ACTH stimulation test is cheap enough and accurate. Best wishes. ...Read more

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Is it rude to call my doctor to ask for an MRI instead of an ultrasound to look for an adrenal tumour? Already had an u/s last year. Waste of time

Is it rude to call my doctor to ask for an MRI instead of an ultrasound to look for an adrenal tumour? Already had an u/s last year. Waste of time

You are not rude for: asking questions and being your own advocate. Go ahead and ask your doc. It is true that ultrasound is not the best exam for adrenal tumors, especially if it is small. CT shows the adrenal glands VERY well, and is less expensive than MRI, but has radiation exposure, so it's a toss up in that regard. If you have studies on a disc, I can explain them at HealthTap Concierge healthtap.com/saurbornmd ...Read more