Doctor insights on:
Lab Tests For Adrenal Function
Are the lab tests PT, PTT, BMP, celiac profile, and thyroid profile give off any markers to check for Crohn's Disease or are these tests irrelevant?
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
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
Would menstruation affect these lab results: CBC, metabolic panel, lipid profile, TSH, and Vitamin D?
Menstruation: Unlikely, but please see your doctor to get all your lab results up to date. ...Read more
If cortisol blood test came back normal, could salivary cortisol lab show diff? Dr is checking for adrenal fatigue.
It depends: This is serious business. The real question is, "Do you have Addison's disease?" A spot serum cortisol is often normal even in Addison's, making the diagnosis tricky. There are decision levels for the easy screens that your physician is aware of, but if there's any doubt, you'll probably get an ACTH stimulation test. Avoid "pop"/"fad" diagnoses like "HPA axis fatigue". Best wishes. ...Read more
Is a blood cortisol test sufficient in diagnosing Cushing's or Addison's? Or are urine tests better?
Tricky diagnoses: A spot cortisol is famously neither sensitive nor specific for either diagnosis. Both are rare, but missing either is deadly. If you have any reason to be concerned you are an adrenal patient, get with a competent physician who knows how to do the workup, now. ...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
Have had abnormal liver function tests for 20 years, no health issues, except thyroid. Could sun thyroid medication affect blood tests for liver?
Should seek Endocrin: An endocrinologist is the right specialist to order the test for investigating pituitory tumors. Usually they would obtain hormonal levels of blood which originate and are made by the pituitory which is master gland controlling production of all hormones made in our bodies. These can increase or decrease due to a tumor in this gland. ...Read more
Dermatomysositis.Wat are the blood tests needed,EMG results wheldl,refused tisue test,&muscle biop.wat are genetic blood tests,may explain kids sympt
Several things: but first, the muscles break down. Measuring muscle proteins in the blood (CPK, Myosin) will be positive if the disease is active. The pattern of the pain, violet eyelids, sky high muscle enzymes would be pretty diagnostic. Biopsy (which isn't taht bad) would be definitive. EMG (as painful as biopsy) would just show sick muscle. ...Read more
Electrophoresis: Blood counts can suggest thalassemia (small red blood cells). Some thalassemia can be confirmed with electrophoresis, which quantifies the different types of hemoglobin present in rbcs. Similar studies can be done on the parents for additional info. ...Read moreSee 1 more doctor answer
Relation of thyroid function to suspected CFS: TSH test =1.1. All other conditions ruled out (except CFS). Would T3, T4 & RT3 tests clarify further?
CFS TSH: Yes without them you do not know what is going on. CFS is basically a diagnosis. Exclude all causes of fatigue. Then only CFS remains. ...Read more
It might,,: This is at the upper limit of normal for most lab reference ranges, so it depends on whether or not you have symptoms of hypothyroidism, and your other thyroid readings like freet4, etc.. It would be smart to see your doctor to get these tests of you haven't and to discuss therapy. Good luck. ...Read more