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Doctor insights on: Thyroid Therapy Cause Adrenal Crisis

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Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Why does thyroid replacement therapy in hypoadrenalism cause adrenal crisis?

Great question!: Even people with adrenal problems often make a little bit of cortisol. This little bit can be enough to keep them from getting very sick. In hypothyroidism the body's need for cortisol goes down and the little bit you make lasts longer. So if a person has both thyroid and adrenal disease, treating the thyroid without treating the adrenal problem first causes the little cortisol to run out quicker. ...Read more

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Dr. Neigatha Graney
129 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 options do I have if I cannot tolerate the steroid treatment, and have an adrenal crisis. are there any secondary options?

What options do I have if I cannot tolerate the steroid treatment, and have an adrenal crisis. are there any secondary options?

Adrenal crisis: 35 F from Provo notes she has adrenal crisis but cannot tolerate steroids. Asks what are secondary options. ANS: if you have Addision's disease causing the problems the 2nd option is to not take them and die. I specialize in this and happy to do second opinion here. ...Read more

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Can a traumatic experience cause an adrenal crisis?

Can a traumatic experience cause an adrenal crisis?

Possible: Of it leads to significant hemorrhage (bleed) within the adrenal gland. Ask your doctor to check your morning cortisol and if low you may need adrenal dynamic studies ( typically done in an endocrine office setting). ...Read more

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Can triamcinolone cream cause adrenal crisis if I stop using suddenly? I use it on & off for my eczema. Sometimes for long periods.

Can triamcinolone cream cause adrenal crisis if I stop using suddenly? I use it on & off for my eczema. Sometimes for long periods.

No: Topical steroids are not absorbed enough, even with long term use, to cause adrenal suppression. Thus, no risk of adrenal crisis with their discontinuation. Make sure you are doing everything possible medication free (moisturizers/emollients/sunscreen) though to try and decrease use of the topical steroids for your eczema. ...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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Is there a kind of hyper thyroidism that resolves without treatment ?

Is there a kind of hyper thyroidism that resolves without treatment ?

Yes: Dequervain's thyroiditis can make you hyperthyroid for a few days or weeks then self-cure. Another cause is eating beef into which the animal's thyroid was accidentaly placed by the butcher. ...Read more

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What should I watch out for as far as an adrenal crisis?

Wear a bracelet: If u have a documented adrenal insufficiency and u take steroid on a regular basis then make sure that everytime u r admitted to the hospital for a routine or emergent reason or surgery or a procedure that your medical team is aware of the fact that you are steroid dependant because u may require stress dose steroids . Avoid getting dehydrated and make sure to call ur doctor when u get sick. ...Read more

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What are early signs of acute adrenal crisis?

What are early signs of acute adrenal crisis?

See below: Patients with acute adrenal crisis may have weak and rapid pulse, cold skin, low blood pressure, fast and labored breathing, and can turn dusky or blue. Without immediate and intensive treatment, this condition can be fatal. ...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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Dr. Linda Callaghan
13 doctors shared insights

Thyroid (Definition)

The thyroid is an endocrine gland that sits in the lower part of the neck. It produces thyroid hormone - which ...Read more