Doctor insights on:
Tests Of Adrenal Reserve
Hormones and CT: Tests for adrenal function: blood and urine tests for catecholamines (pheochromocytomas produce elevated BP and other symptoms), aldosterone blood levels (conn's syndrome produces elevated BP and low potassium blood levels) and cortisol levels (cushing syndrome). Ct may be useful if hormonal abnormalities are detected. If cushing's is strongly suspected, additional blood tests are required. ...Read more
Life threatening: Your adrenal glands make hormones which help to maintain normal salt and sugar levels in your blood as well as normal blood pressure. An adrenal crisis is a severe presentation of adrenal insufficiency which is life threatening due to potential problems with severely low blood pressure, in addition to very abnormal salt and sugar levels. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
Can afinitor (everolimus) helps to prevent the spread of adrenal gland cancer? How it works? Any clinical trial on this drug against adrenal gland cancer in USA?
Not confirmed: That data on this drug for adrenal cancer is very limited. Efficacy has not been confirmed yet. It is not approved in the United States for this indication. I am not aware of clinical trial on this disease but you may want to contact major centers or check clinicaltrials.gov ...Read more
47 yrs diagnosed with an adrenal adenoma, still get pain in left side, painful periods. The next step is?Seeing an gastroenterologist who found by ct.
Incidental finding: An adrenal adenoma is a common finding on cat scans of the abdomen. Most of the time they are of no concern. Other times they can produce harmful hormones or even be a sign of cancer. Your internal medicine doctor may order more blood tests or even a surgical evaluation based on the size of the adenoma. See your primary care doctor for further instructions. ...Read more
I have a 7cm adrenal adenoma on my right adrenal gland i also have high BP all tests result ok my urine smells like vitamin what should I do?
See below: You should consult with a urologist or a general surgeon who has experience with adrenal disorders. 7 cm is large for an adenoma, and you want to make sure all other differential diagnoses are ruled out. Even if the diagnosis of adenoma is confirmed, surgery may be needed in some cases. ...Read moreSee 1 more doctor answer
Husband has focul segmental glomular sclerosis and twitching in his muscles, why the twitching, tests normal? CK high, could it be adrenal fatigue?
Clarification: Hi. First of all, there is no such thing as "adrenal fatigue"; it's a farce and doesn't exist. So that's something you can eliminate as a problem immediately. The muscle twitching can be anything from electrolyte disorders due to his kidney disease to ALS; he needs to see his doctor. Hi CK can be evaluated to find the tissue source of the elevation, which will help determine the cause. Good luck! ...Read more
I have unknown type ans disorder. A recent dhea level very low. All other tests are normal. I have seen many docs. Cxn to adrenal issues? Pheno r/o.
TMJ: Headache and migraine are consistent with a TMJ disorder. Many pts go undiagnosed and the many times will present taking the same meds. Since you have most likely ruled out a brain tumor with the MRI and all other test are normal, i would suggest seeing a dentist specially trained who treats TMJ disorders and craniofacial pain. Most of the pts present with ANS disorders and adrenal issues. ...Read more
What kind of dr should I see, and what tests should they perform, to check on my adrenal function?
Adrenal: An internist can help; however, an endocrinologist is a specialist that deals with the endocrine glands of our body; test that can be perfomed to check how the adrenal gland is working may include : corticosteroid level ( cortisol), catecholamine levels( epinephrine, norepinephrine), androgen level, aldosterone level, adrenocorticotropic hormone level (acth) etc... ...Read more
Hard to say: If the 17 is a cortisol value and the test is an acth stimulation it is probably normal. Ask the doctor that ordered the test. ...Read more
Yes: There are tests to check for this. See your regular doctor or an endocrinologist. ...Read more
Adrenal stim test. Baseline cortisol at 0930 is 17.3, at 1000 is 18.9, at 1030 is 20. Ref range is 3.7-19.4. What causes wnl baseline/min elevation?
Acth stim test showed baseline of 17, rising to 33 43mins later. borderline and maybe a secondary adrenal issue, or just normal? symptoms for years.
If mean cortisol,,,,: If you're talking about cortisol levels rising from 17 to 33 ug/dL on under 60 min is a normal reaction after being stimulated with ACTH, however, the values are low which could signify a primary adrenal issue, like Addison's disease, or something less like an under functioning adrenal. This would likely require hormone replacement therapy if this was the case so see your Dr. for more details. ...Read more
No single test: The adrenals make quite a few different hormones, so no single test can tell if everything is just right. And it gets even more complicated. One key adrenal hormone, cortisol, can vary a lot between normal people, and within the same person depending upon time of day, and whether or not they're feeling well or not, so that different tests are needed for suspected high or low cortisol levels. ...Read more
It is one: Of many ways. Talk w/your doctor about what is best for you. ...Read more
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