Doctor insights on:
Thyroid Therapy 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 moreSee 2 more doctor answers
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
What options do I have if I cannot tolerate the steroid treatment, and have an adrenal crisis. are there any secondary options?
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
No: The blood levels from topicals are very low. That is not an issue. ...Read more
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
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
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 moreSee 1 more doctor answer
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