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Doctor insights on: Is Adrenal Insufficiency Often Accompanied By Chest Pain

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Dr. David Geffner
261 doctors shared insights

Addison's Disease (Definition)

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


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Can adrenal insufficiency cause mood swings accompanied by anxiety and pain in the chest?

Can adrenal insufficiency cause mood swings accompanied by anxiety and pain in the chest?

Chest pain?: The mood swings and anxiety are very commonly associated with adrenal and thyroid problems while chest pain may accompany the anxiety, it needs to be evaluated separately to rule out other causes including those related to the heart, lungs or stomach. ...Read more

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Would acth and cortisol be low or high with adrenal insufficiency?

Would acth and cortisol be low or high with adrenal insufficiency?

Cortisol: Would be low. Acth would be high if it were an adrenal cause; low if it was a pituitary cause. ...Read more

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Will srni s help after an adrenal insufficiency is treated? Struggling with symptoms and bloodwork (cortisol) is on the low side of normal in the morn

Will srni s help after an adrenal insufficiency is treated? Struggling with symptoms and bloodwork (cortisol) is on the low side of normal in the morn

Proven?: Adrenal insufficiency diagnosis requires more than a morning cortisol. Is this addison's or is it more central, from the hypothalamus/pituitary? Other associated hormone deficiencies? Moods may be directly affected by hormone imbalances. A complete work up is essential. If adrenal insufficiency is being considered as a diagnosis an endocrinologist has to be involved. Feel better! ...Read more

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In adrenal insufficiency supplementation, does one single dose of 20 mg with a high peak cause more health problems than spreading out 10, 5 and 5 mg?

Adrenal: There is no quick and easy answer because your dose of cortisol will not be constant. Initially you are likely to start with a high dose followed by changes (downwards) as things cone under control. Your doctor will help you through this and you will feel much better. ...Read more

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Do patients with cyclic cushings have symptomatic adrenal insufficiency between episodes? Also, can cyclic cushings be diagnosed by a stimulation test?

No: No on both. Cyclic cushing is very hard to diagnose but there shouldn't be signs of adrenal insufficiency. Stimulation tests do not diagnose cushings. ...Read more

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What to be aware of when diagnosed with adrenal insufficiency?

What to be aware of when diagnosed with adrenal insufficiency?

ID and sick days: Patients should get a medical id bracelet denoting the adrenal insufficiency status, as any situation where you can't speak for yourself, additional steroids given by medical personnel may be life saving. Also, know your sick day rules and learn how to give Dexamethasone for days you can't swallow your steroid pills. ...Read more

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Can adrenal insufficiency have anything to do with miscarriages?

Possible: Given than 80% of all primary adrenal insufficiencies are due to autoimmunity (addison's disease), there is a chance that you may harbour other autoimmune diseases (clinically or subclinically) such as type i dm, lupus, or anticardiolipin antibodies syndrome, all of which are known to increases maternal-fetal morbidity including possible miscarriage. ...Read more

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Can adrenal insufficiency have anything to do with miscarriages?

Definitely: If adrenal insufficiency ( and all other endocrine deficiencies) is not properly replaced and normalized, you can definitely be prone to miscarriage. Discuss w/your endocrinologist. ...Read more

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Do women with addison's adrenal insufficiency have low estrogen ?

Not significantly: The adrenal glands produce hormones which are precursors to estrogen, but that only comprises a small amount relative to what the ovaries make. Ovaries are the source of most estrogen in females. If menstrual cycles are irregular in properly treated addison's disease, autoimmune disease of the ovaries may need to be considered also. ...Read more

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Do women with addison's disease/adrenal insufficiency also suffer from low estrogen ?

Not necessarily : If you are a post menopausal female your adrenal glands are providing your only source of estrogen. So if you have low adrenal function you could most certainly have low estrogen. However, you may also then have other low hormone levels like Progesterone and testosterone. The truth is most women do not suffer from low estrogen, you need very little but they frequently suffer from low progesterone. ...Read more

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Can you get home tests that tell you if you have adrenal insufficiency or problems with the gland?

No: An endocrinologist needs to be involved in order to diagnose adrenal insufficiency. Usually stimulation testing is necessary. If your pituitary gland is involved then other hormones will also be checked. The adrenal makes lots of different hormones. If the source of insufficiency is because of congenital adrenal hyperplasia or autoimmune disease, testing is a little different. ...Read more

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Is it possible to get home tests which tell you if you have adrenal insufficiency or problems with the gland?

Not a simple issue: Adrenal pathology is not an issue for self diagnosis. The tests for adrenal function often require collection of 24 hour urine and complicated tests. If you have a concern, please discuss the issue with your doctor. ...Read more

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What do you need to worry about when diagnosed with a problem like adrenal insufficiency?

What do you need to worry about when diagnosed with a problem like adrenal insufficiency?

Cause and Management: It is important to determine the reason for the insuffiency so that things likely to be associated with the different causes of adrenal insufficiency are properly followed. Treatment of adrenal insufficiency is vital to survival. It involves replacing cortisol with other steroids, like with hydrocortisone. Also important is how to deal with adrenal insufficiency during other illnesses. ...Read more

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Can you get adrenal insufficiency with any kidney disease?

No: The adrenal glands sit above the kidneys. Adrenal insufficiency is not typically associated with kidney disease because the kidney doesn't influence cortisol production in a significant way. However, if a patient is on steroids for immunosuppression related to kidney disease then adrenal insufficiency may be a concern when steroids are weaned. This is well known and monitored closely by doctors. ...Read more

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What lab tests (normal blood work) would be off with adrenal insufficiency?

Hormones/it depends,: This can have many tests that are off, primarily hormones like cortisol and aldosterone. Others can be affected as well like sodium and potassium, due to the lack of aldosterone. If the cause is from the hypothalamus, then acth can also be off and this tests is often used in the diagnosis of the kind of adrenal insufficiency. It would be best to see your doctor for these tests to find the cause. ...Read more

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What does a normal 24 hr urine cortisol indicate a year after being diagnosed with adrenal insufficiency? Do i still need my adrenals monitored?

Yes: A 24hr urinary free cortisol is a screening test for cushings syndrome. It is not usually used in adrenal insufficiency. Cushings syndrome is an overproduction of cortisol/steroids as opposed to the underproduction of cortisol/steroids in adrenal insufficiency. ...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)

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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Can you have both underlying adrenal insufficiency and thyroid disease, while treated with levoxyl (thyroxine)?

Can you have both underlying adrenal insufficiency and thyroid disease, while treated with levoxyl (thyroxine)?

Yes you can: And it will fall under the condition called autoimmune polyglandular syndrome type 2 (aps 2), also called schmidt disease. Risk of autoimmune diabetes is also higher in type 2 ( versus type 1, much rarer here in the us). ...Read more

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At university where seeing neurosurgery for spinal tumor but endocrinology there disagrees with mayo diagnosis of adrenal insufficiency, is it too dangerous to have neurosurgery there given ai issue?

Wrong forum: This forum is not suited for the complex issue you have questions about. There is insufficient means to evaluate your history and make reasonable suggestions. Please talk to all of your doctors involved for the best advice and best wisshes for your recovery. ...Read more

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When patient has been diagnosed with adrenal insufficiency at mayo but other endocrinologists disagree, causing harm with notes questioning diagnosis, leading to lack of trmt in hospital, what to do?

Adrenal insufficienc: You need to choose one endocrinologist and stick with them. If someone is questioning a diagnosis made by another doctor they can discuss the disagreement with that physician over the phone. What you have here is a failure to communicate. Good luck. ...Read more

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I have hypothyroidism with pos tpo, low-t, adrenal insufficiency. Have gotten worse on Synthroid (thyroxine) and trt. Does negative ANA rule out schmidt syndrome?

Not useful: ANA / anti-nuclear antibody isn't a marker for schmidt's. In fact, with your history, the question's perhaps moot. It's critical that you monitor your adrenal function -- especially since if you should for some reason get your thyroid replacement adjusted upward, you cover your possible underlying coexisting adrenal insufficiency. Not to do so can be catastrophic. You need a good endocrinologist. ...Read more

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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?

ACTH test: In addition to doing the acth test and seeing an endocrinologist, it would be important to know why you developed addisons. Autoimmune adrenal? Adrenal hemmorhage? Pituitary? ...Read more

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Last May I was diagnosed with Adrenal Insufficiency. I've been taking 30mgs. of Hydrocortisone. Lately, I feel sick after taking it. How to decrease?

Last May I was diagnosed with Adrenal Insufficiency. I've been taking 30mgs. of Hydrocortisone. Lately, I feel sick after taking it. How to decrease?

Please review: Any medication changes with your doctor. Particular when it comes from steroid replacement therapy in the setting of adrenal insufficiency. You want to have your prescribing doc on board to make sure you aren't going to harm yourself. It's possible that the hydrocortisone is causing some element of stomach upset that can be corrected by other means than changing your dose. ...Read more

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I have been diagnosed with Adrenal Insufficiency and am on Hydrocortisone. My bodies Cortisone has been depleted. will I ever be able to stop the Hyd?

Prob not: A temporary form of secondary adrenal insufficiency may occur when a person who has been taking a synthetic glucocorticoid hormone, called a corticosteroid, for a long time stops taking the medication. Corticosteroids are often prescribed to treat inflammatory illnesses such as rheumatoid arthritis, asthma, and ulcerative colitis. In this case, the prescription doses often cause higher levels than those normally achieved by the glucocorticoid hormones created by the body. When a person takes corticosteroids for prolonged periods, the adrenal glands produce less of their natural hormones. Once the prescription doses of corticosteroid are stopped, the adrenal glands may be slow to restart their production of the body’s glucocorticoids. To give the adrenal glands time to regain function and prevent adrenal insufficiency, prescription corticosteroid doses should be reduced gradually over a period of weeks or even months. Even with gradual reduction, the adrenal glands might not begin to function normally for some time, so a person who has recently stopped taking prescription corticosteroids should be watched carefully for symptoms of secondary adrenal insufficiency. ...Read more

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Has anyone seen a patient with adrenal insufficiency, intermittent ovarian failure, intermittent glucose intolerance, and thyroid values in normal range? Perhaps also with a pituitary tumor?

Pituitary tumors: You need an endocrinologist to sort this out. A big pituitary tumor (>10 mm) can wipe out other hormones; you could lose some (eg reproductive) but not others. Typically the last to go from a pituitary insult is TSH and acth (thyroid and adrenal), but odd things can occur. A micro tumor does not usually damage the rest of the pituitary, but may produce excess hormone (eg. Prolactin, acth). ...Read more

Dr. Oscar Novick
131 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


Dr. Cayce Jehaimi
381 doctors shared insights

Adrenal Insufficiency (Definition)

Adrenal insufficiency is either an absent or abnormally low production and/or secretion of hormones produced by the adrenal gland. Hormones produced by the adrenal glands include those involved with salt regulation, sugar metabolism, and sex hormones ...Read more