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Doctor insights on: Medicine For Addisonian Crisis

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What are the tests for addisonian crisis?

What are the tests for addisonian crisis?

21 hydroxylase AB: An addisonian crisis is when your body is in shock from adrenal insufficiency. To diagnosis addison's disease, the combination of blood tests for electrolytes, glucose, 21 hydroxylase antibodies, and a high dose acth stimulation test would help make or reject the diagnosis. ...Read more

Dr. Jeffrey Stevens
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


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What is the definition or description of: addisonian crisis?

What is the definition or description of: addisonian crisis?

Lack of cortisol: 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 with daily steroid medication. ...Read more

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What sort of problem is an addisonian crisis (acute adrenal crisis)?

Emergency: Adrenal crisis occurs when there is abrupt loss of adrenal hormones or treatment of addison's disease is suddenly stopped. Symptoms include low blood pressure leading to shock, confusion leading to loss of consciousness, low blood sugar, electrolyte imbalance leading to instability of the heart rhythm, and can result in death. Treatment is required urgently. ...Read more

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Can someone tell me specifically what is addison's disease or addisonian crisis?

Adrenal insufficienc: Chronic adrenal insufficiency due to any cause is adrenal disease. If a patient with addison disease is subjected to stress, e.g., infection, surgery trauma etc, it may cause shock i.e. Addisonian crisis. ...Read more

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Does addisonian crisis lead to abdominal pain?

Does addisonian crisis lead to abdominal pain?

Yes it can...: Most definitely. Here's more info which you might find useful: http://www. Nlm. Nih. Gov/medlineplus/ency/article/000357.Htm. ...Read more

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How does high sugar intake affect addison's? After a meal I get symptoms of addisonian crisis. My doctors think that the sugar fall is affecting this.

How does high sugar intake affect addison's? After a meal I get symptoms of addisonian crisis. My doctors think that the sugar fall is affecting this.

Not likely: An addisonian crisis can be associated with hypoglycemia, but this will not occur after eating. You don't say what symptoms you have after eating, but it is extremely unlikely that they are due to low sugar. You can get a glucose monitor to check your sugar when you are having symptoms. ...Read more

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Just recovered from addisonian crisis a year ago. Currently on cortef (hydrocortisone). Trying to conceive since 6 month ago but failed. What can help?

Depends: It depends upon whether your low cortisol levels were from adrenal or pituitary causes. If it was pituitary, you may have other hormonal abnormalities that interfere with conception. If it was your adrenal glands, and you're receiving appropriate replacement, you should return to whatever fertility you had prior to your acute episode. Check w/your doctors and have your partner checked. ...Read more

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Has 2 kids, 3x miscarriage. Had status epilepticus n addisonian crisis last year. On cortef (hydrocortisone). Trying to conceive but failed. Any related causes

Has 2 kids, 3x miscarriage. Had status epilepticus n addisonian crisis last year. On cortef (hydrocortisone). Trying to conceive but failed. Any related causes

Depends: It depends upon whether your low cortisol levels were from adrenal or pituitary causes. If it was pituitary, you may have other hormonal abnormalities that interfere with conception. If it was your adrenal glands, and you're receiving appropriate replacement, you should return to whatever fertility you had prior to your acute episode. Check w/your doctors and have your partner checked. ...Read more

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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?

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 more

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In what way can I tell if I am having an addisonian's crisis?

Well...: If you were having a true Addisonian crisis, you would be in a comma or close to it...
You would not be able to type ...Read more

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Adrenal insufficiency - can anything bad happen if I will be missing 2 days of medicine dose?

Unlikely: Hi. It's unlikely that missing 2 days of your glucocorticoid and fludrocortisone will result in a bad outcome, but it IS possible, especially if you encounter some severe physiologic stress. Try to remember your medicine! ...Read more

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Where to find about drugs that should not be given to patients suffering from adrenal insufficiency?

Where to find about drugs that should not be given to patients suffering from adrenal insufficiency?

None, really: There really aren't any meds that people with adrenal insufficiency should never take. However, some people with adrenal insufficiency may be more sensitive to diuretics than most people, and so these should be used with caution, and at the lowest possible dose. ...Read more

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What is adrenal insufficiency?

Low adrenal function: The adrenal glands make a number of different hormones, most importantly cortisol. When a person's adrenals cannot make normal amounts of cortisol, they are diagnosed with adrenal insufficiency, or failure. This can be due to a problem in the adrenals (infection, tumor, bleeding, auto-immune destruction) or in the pituitary or parts of the brain that control the adrenals. ...Read more

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What causes adrenal insufficiency?

What causes adrenal insufficiency?

Multiple causes: Infections of the gland by bacteria, including meningococcus and tb, metastatic tumors and primary tumors of adrenals, metabolic disorders, e.g., congenital adrenal hyperplasia, lack of pituitary stimulation, amyloid infiltration and sudden stoppage of steroid treatment etc. ...Read more

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How is adrenal insufficiency treated?

HRT: Hormone replacement: Hydrocortisone (some use Prednisone or dexamethasone) possibly Fludrocortisone in addition. These are given orally to replace the cortisol and aldosterone no longer made in sufficient amounts. ...Read more

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What exactly is adrenal insufficiency?

See below: Http://endocrine. Niddk. Nih. Gov/pubs/addison/addison. Aspx

Pease visit the web address given above as the issue is too complicated to answer in 400 characters. ...Read more

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What exactly is adrenal insufficiency?

Adrenal cortex loss: Hi. Adrenal deficiency refers to Addison's disease, primary adrenal cortical failure, where the body is deficient in two vital adrenal cortical steroid hormones, cortisol and aldosterone. Central/pituitary adrenal insufficiency is deficient only in cortisol (not aldosterone). Cortisol is a vital "stress" hormone, and is necessary for life in the long run and the acute physiologic stress setting. ...Read more

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Is adrenal insufficiency hereditary?

It can be.: One cause of adrenal insufficiency, addison's disease, is an auto-immune disorder. The immune system mistakenly makes antibodies targeting one or more proteins in the adrenal cortex, and winds up destroying the adrenal cortex, so that the adrenals can no longer make cortisol, or other hormones. As is true for most auto-immune disorders, a tendency to develop addison's can run in families. ...Read more

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What is acute adrenal insufficiency?

What is acute adrenal insufficiency?

Low cortisol: It generally means acute (recent) drop in adrenal gland hormonal production namely cortisol, a very important and life sustaining steroid. There are many reason why some one can develop ai. Autoimmune,
infection, acute illness and trauma are a few examples. Need to discuss with an
endocrinologist if there is need for hormonal replacement. ...Read more

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How is adrenal insufficiency diagnosed?

How is adrenal insufficiency diagnosed?

Stimulation Test: Cortisol levels vary widely between individuals, and by time of day and are affected by illness. So random levels may not be helpful. A stimulation test with an injection of Cortrosyn to make the adrenals release cortisol is used. Blood is drawn just before, and 30 and 60 minutes after the Cortrosyn injection. Stimulated levels above 18-20 usually indicate normal adrenal function. ...Read more

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What are the tests for adrenal insufficiency?

Primary vs secondary: The fault may lie in the pituitary which may produce too little acth. The adrenal responds normally to acth stimulation. If the gland is defective, there is impaired response to acth. In both there are low levels of corticosteroids in blood and urine, and similar electrolyte disturbances, e.G, high potassium. ...Read more

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What sort of problem is adrenal insufficiency?

No stress hormones: Can be due to autoimmune problems, infections, e.g. Tb, hiv, other, etc. Decreased production of stress hormones, can lead to fatigue, weight loss, nausea, blood pressure drops, menstrual changes, excess skin pigmentation and other symptoms. Can be a real problem if untreated and faced with acute stress like surgery or infection. ...Read more

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What are the symptoms of adrenal insufficiency?

Weakness + pigment: Adrenal insufficiency, addison disease, causes, weakness, electrolyte disturbances due to high potassium, increased pigmentation of the skin, especially palms. During stress, adrenal insufficiency may lead to shock. ...Read more

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If you have adrenal insufficiency what foods should you avoid?

Foods?: Avoid any foods that keep you from going to the doctor to get your adrenal insufficiency properly evaluated and treated. In other words none. ...Read more

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I'm not quite sure I understand adrenal insufficiency- what is it exactly?

Adrenal Insuficency: It is a decreased function of the adrenal glands that secrete cortisol and aldosterone. ...Read more

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How do you treat adrenal insufficiency?

Steroid replacements: The adrenal gland produces more than one type of steroid. In adrenal crisis, the patient needs intravenous fluids, intravenous steroids and rest-true crisis to be treated in a hospital setting. With cortisol deficiency, cortisol replacement is needed.-accomplished with hydrocortisone, Prednisone etc. A deficiency of adrenal mineralcorticoid production or aldosterone, Fludrocortisone is treatment. ...Read more

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What is one way to treat an adrenal insufficiency?

Steroids: If your adrenals have failed (called addison's disease) you need to be on adrenal replacement. This is usually hydrocortisone, maybe with Fludrocortisone too. Be careful, however. There are people treating "adrenal fatigue" with inadequate testing when in fact there is nothing wrong with the adrenals. One cannot rely on symptoms alone. An acth (cortrosyn) stim test is usually done for diagnosis. ...Read more

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How can I tell whether I have adrenal insufficiency?

Many: Aside from symptoms & physcial signs: fatigue, low blood pressure, low blood sugar, nausea/vomiting, abdominal pain, dizziness, adrenal insufficiency is diagnosed through lab works (cortisol, acth, complete metabolic panel).There is a test called acth stimulatory test that can diagnose adrenal insufficiency. This test is more involved than a blood draw but can provide your doc with useful data. ...Read more

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What is a common way to treat adrenal insufficiency?

Primary vs. Scondary: H. Primary adrenal insufficiency is treated with glucocorticoid)hydrocortisone or prednisone) PLUS mineralocorticoid (fludrocortisone). Secondary (central) adrenal insufficiency only needs glucocorticoid replacement. Good luck! ...Read more

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Is it true that adrenal insufficiency is hereditary?

No: Hi. No, not as in a single gene defect. Adrenal enzyme deficiencies (one gene, 2 copies for each enzyme - 1 from mom & 1 from dad) are hereditary. Adrenal insufficiency is usually autoimmune, infectious, malignant, or hemorrhagic; not single gene defects. ...Read more

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Is adrenal insufficiency the same as addison's disease?

Not exactly: Addison' s disease is a state of adrenal insufficiency but not vice versa as there are many other causes besides ad (an autoimmune disease) that can lead to cortisol deficiency state such as tuberculosis of the adrenals, hemorrhage of the adrenals, certain genetic storage syndromes and hypopituitarism. ...Read more

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What is primary adrenal insufficiency (addisons disease)?

What is primary adrenal insufficiency (addisons disease)?

Adrenal cortex: The adrenal cortex makes lots of hormones. Very important are cortisol and aldosterone which help maintain life and salt balance. Addison's disease is caused by adrenal cortex damage rendering it unable to make these hormones anymore, mostly autoimmune cause in us. Patients often have a bronzed look. Hydrocortisone replacement is a lifesaving necessity. Fludrocortisone may also become necessary. ...Read more

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What is the most common way to treat adrenal insufficiency?

Adrenal hormones: Adrenal hormones of two types are usually used:
1) glucorticoids such as hydrocortisone, prednisone, dexamethasone: these regulate blood pressure, glucose levels, the immune system among other things
2) mineralocorticoids such as florinef: they regulate salt balance and blood pressure. ...Read more

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Can you have both primary and secondary adrenal insufficiency?

Unlikely: Primary adrenal insufficiency means that the adrenal glands are unable to make cortisol. In secondary adrenal insufficiency, the adrenals are able to make cortisol, but do not receive enough stimulation from the pituitary to make normal levels. While it is theoretically possible for one person to have both conditions, neither condition is common, so it would be rare to have both. ...Read more

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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

Dr. Cayce Jehaimi
382 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


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