Doctor insights on:
Lupus And Adrenal Function
Clarify: I'm not sure what your question is. Testosterone should be used with caution in patients with conditions involving edema, such as impaired kidney function, as the hormone may worsen edema. One of the adverse effects of testosterone is an increase in serum creatinine concentration. ...Read more
How does continuous anxiety affect a person with primary addison's disease and zero adrenal function?
Worry: Anyone with generalized anxiety is likely to have a heightened sense of apprehension and worry (even to the point of paranoia), which is likely to become more apparent when faced with a medical problem. Simply getting a new medical diagnosis will probably worsen the anxiety. There is no direct connection between addison's disease and anxiety. ...Read more
Yes: Symptoms of adrenal insufficiency include hypoglycemia, dehydration, weight loss, and disorientation. Symptoms may also include weakness, tiredness, dizziness, low blood pressure that falls further when standing (orthostatic hypotension), cardiovascular collapse (failure), muscle aches, nausea, vomiting, diarrhea, etc... Heart rate can increase if there is dehydration or low blood pressure. ...Read moreSee 1 more doctor answer
For patients with partial adrenal insufficiency, does hydrocortisone replacement of 20-30 mg daily cause iatrogenic cushings given that the pituitary and adrenals still function to some degree?
Depends: It really depeds what you mean by cushings. You may get some of the characteristics..Weight gain, immune dysfunction, but the classic physical signs are likely absent. The dose of 20-30 mg of hc is actually a bit above the "physiologic " dose of hc that would be similar to what the adrenals normally produce. As a result, the pituitary/adrenal are essentially shut down. ...Read moreSee 1 more doctor answer
What can cause symptoms of overactive sympathetic nervous system and elevated epinephrine? Thyroid fine, heart tests fine except for tachycardia.
Is central diabetes insipidus related to adrenal insuffiency? Im having an ACTH test to check adrenal function.
Can be: Hi. If you have Addison's (skin, crease, gum, and scar darkening, malaise, nausea, dizziness, vital signs abnormalities, electrolyte abnormalities, etc), your ACTH will be very high. Addison's is most commonly an autoimmune disease. At least a subset of idiopathic central DI appears to be autoimmune in nature, and the risk of that goes up with other autoimmune diseases. If real, you got 2 rare 1's ...Read more
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 moreSee 1 more doctor answer
NoNotTheSameTHING: NO THESE ARE NOT THE SAME THING ...Read more
Hashimoto: Sometimes medication is needed and sometimes not. Make sure you see an Endocrinologist! ...Read more
Renal disease: It depends on what type of kidney disease. ...Read more
Can you have both underlying adrenal insufficiency and thyroid disease, while treated with levoxyl (thyroxine)?
In context of cryofibrinogenemia, lupus-type ctd and adrenal insufficiency, what could cause increase in GI symptoms, nausea, and vomiting with adrenal crisis, when estrogen/progestin drugs are taken?
Cortisol deficiency : With true adrenal insufficiency diagnosed by an endocrinologist, one would need to be taking cortisol replacement therapy. Nausea, abdominal pain, vomiting and weight loss are classic symptoms of adrenal insufficiency which estrogen and Progesterone replacement don't address. Many with primary adrenal insufficiency also look like they have a deep tan. ...Read moreSee 1 more doctor answer
Ana 160:1 with u1rnp 5 u/ml. Other lupus screens negative. Pulmonary hypertension, Renal failure reverses with bicarbonate (sodium bicarbonate). Can it be mtcd/sjogren?
What hormone imbalances can cause excessive face/head sweating? I have underactive thyroid, kidney disease, & low cortisol levels. Can these diseases?
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
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