Doctor insights on:
Medicine For Acromegaly
No: Baryta carbonicum is a homeopathic remedy. Unless someone has adulterated it with some kind of growth hormone, it would not cause acromegaly. Professional homeopaths do not use adulterated remedies, but you might find these on the internet. Please take great care regarding what you buy, where you get it from, and what professional advice you accept. ...Read more
IGF-1, MRI, others: A screening test is igf-1 (or insulin-like growth factor). This test is more reliable than growth hormone (gh) because gh is released in pulses, so that a one-time measurement of gh doesn't mean much. If the igf-1 is high, further tests may include a test where glucose is given & gh check to see if if suppresses (normal) or stays high (acromegaly) and MRI is done to check for pituitary tumor. ...Read more
Excess growth hormon: It is caused by a pituitary tumor that produces growth hormone. In children, it causes gigantism, but when it happens after growth has stopped, it causes acromegaly. There can be enlargement if the jaw and forehead. It can cause high blood pressure, joint pain, skin tags, excess sweating, a goiter. It increases the risk of certain cancers. It is generally treated with surgery. ...Read more
Many: Adults do not gain height once the bones are completely mineralized, but the bones can grow in width. So wider hands or feet are classic symptoms. Facial bones may enlarge and lead to coarsening of facial features; the jaw may enlarge and protrude. People with acromegaly may also have headaches, diabetes, sleep apnea, heart problems, carpal tunnel, arthritis, & higher risk for cancer. ...Read more
Acromegaly: Acromegaly is abnormal soft tissue growth from excessive growth hormone production by a pituitary tumor. A change in glove or shoe size can be the earliest sign. Some people notice a change in the spacing of their teeth, perhaps requiring braces in adulthood. Others notice gradual change in appearance, with enlargement of the nose, ears, lips, face or tongue, overgrowth of the jaw or brow. ...Read more
Check IGF-1: Hi. If we suspect acromegaly on clinical grounds, we check an IGF-1 (and I also get an IGFBP-3); I get a GH, but it's seldom helpful at the screening stage). If IGF-1 is elevated, then a growth hormone suppression test is done. If that's abnormal, we then do a pituitary MRI. Acromegaly tumors are usually big and easy to see. Good luck! ...Read more
Acromegaly: You do not say why you think you have this relatively rare disease. You should see your doctor about this. An endocrinologist is a specialist in gland disorders and would be in the best position to work this up. ...Read more
Acromegaly: Hi. Treating acromegaly is a multi-pronged approach. The first step is almost always surgery, however surgery is often not curative. Subsequent lines of treatment include somatostatin analogs (e.g., lanreotide) and maybe the GH receptor antagonist, pegvisomant. Sometimes pituitary radiation is necessary. Good luck! ...Read more
Acromegaly: Acromegaly causes overgrowth of many bones including the skull, face and limbs due to an excess of growth hormone, usually caused by a pituitary tumor. When the disease is properly treated (with surgery), there will be partial but not complete improvement in the peculiar appearance due to overgrown bones; there will be more marked improvement in the aches and pain of acromegaly. ...Read more
Is it true that 30-somethings with acromegaly WON'T grow any taller @ this age? Is that true even for those with just mild symptoms of the disease?
It Depends: If you got acromegaly as an adult after growth stopped this is true. However, if not treated there can be serious side effects (hearing loss, chronic headaches, arthritis, type 2 DM & others). If it was acquired as a child & not treated this is correctly termed Pituitary Gigantism & can have same symptoms. In this case the growth plates may remain open & cont growth theoretic poss, but very rare! ...Read more
What would cause out of blue growth spurts (2-3 in. In height) at 38, after being same height since early 20s? No other phys changes; no acromegaly.
Growth spurt age 38:
1. you are now wearing high heels?
2. someone snuck lifters into your shoes?
3. Your measuring tape has shrunk?
4. The Dr has changed offices and his measuring thing was misplaced on wall. ...Read more
I know acromegaly can cause added height in adulthood. But what other conditions/issues could add 2 or more inches after 38 w/.no other phys changes?
Acromegaly: Does not cause significant height growth, because following puberty the growth plates are closed and there is limited ability to grow in length. If there is excess growth hormone in childhood, before growth plates close, there can be abnormally increased height, but it is called gigantism, not acromegaly. ...Read more
Read 3 online claims of indivs growing b/w 1.5-4 inches @ ages 33, 37, 41. Does it really happen so late in life? If not acromegaly then what is cause?
Acromegaly would be: The cause. People stop growing when they are in their early 20's, in general. Someone who is 41 and continues to grow has an endocrine problem, maybe an excess of growth hormone or receiving shots of GH. I would be careful to describe this as normal. Maybe they need the services of an Endocrinologist. I hope this helps. ...Read more
Are there rare instances (not acromegaly)where adults stopped growing in early 20s but started growing taller again sev inches 15 yrs later? Poss cause
That does not happen: That does not happen in real life, meaning a middle-aged adult does not grow taller if having excess growth hormone. She will get acromegaly instead of growing taller. Of course, there may be stories of middle-aged adults growing taller on the internet, but that's the internet world. ...Read more
Are there any other conditions besides acromegaly that would bring on several sudden growth spurts (sev inchs) of height in adults near & past age 40?
Growth: Well before age 40 epiphyses get closed and vertical growth is not possible by any means. ...Read more
Are there any conditions besides acromegaly that cause 39YO who reached adult height yrs ago to suddenly grow again couple inches w/no other synptoms?
Several options: Options include surgery to remove (or reduce in size) a pituitary tumor producing the excess growth hormone (gh), and injectable medications (octreotide, lanreotide) to suppress gh secretion, or to block to the effect of gh & igf-1 on tissues (pegvisomant). Pills may have some effect, especially if the pituitary tumor also makes another hormone called prolactin. ...Read more
Acromegaly: Patient's extremities usually get larger than they used to be. People who are wearing rings can tell those become tighter. Facial features become more prominent, but mostly the extremities enlarge in size. Some complain of visual troubles due to pituitary tumors causing pressure on the optic nerves. ...Read more
arthritis and carpal tunnel syndrome
compression of the optic chiasm leading to loss of vision in the outer visual fields (typically bitemporal hemianopia)
increased palmar sweating and sebum production over the face (seborrhea). ...Read more