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Are Severe Fatigue, Sweating And Hypertension Signs Of Adrenal Tumor?
Question: My Endocrinologist has tested every hormone in me to see if there is any correlation of the lab results to the symptoms I experience. If All tests come back normal for adrenal gland type of medical issues, can a person have an Adrenal Tumor still or would the lab results be altered if so? Symptoms- Tired, despite CPAP, sweat alot, but really bad lately and not doing much physically; hypertension spiked Very high about 8 months ago;
I have anxiety/dep and an on Zoloft and xanax prn. 5 BP drugs, Insulin for type 2,
Metabolic Syndrome patient
Thank you, XXXXXXX
I have anxiety/dep and an on Zoloft and xanax prn. 5 BP drugs, Insulin for type 2,
Metabolic Syndrome patient
Thank you, XXXXXXX
Brief Answer:
Adrenal symptoms
Detailed Answer:
Good day,
Noted your concern.
Anxiety/depression itself can mimic like adrenal gland disorders ( particularly can mimic like symptoms of Cushing's syndrome and Pheochromocytoma).
It is good to discuss with your doctor if he has ruled out these adrenal disorders and doing appropriate urine and blood test.
If you are using 5 BP medicines, I would strongly search for adrenal dosorders like pheochromocytoma, hyper aldosteronism and Cushing's syndrome.
Not all adrenal tumors may have symptoms. Many a times, adrenal nodules can exist with out any symptoms or abnormalities in blood tests. These are found on scans done for other reasons and these are then called as adrenal incidentaloma.
Regards
Binu
Adrenal symptoms
Detailed Answer:
Good day,
Noted your concern.
Anxiety/depression itself can mimic like adrenal gland disorders ( particularly can mimic like symptoms of Cushing's syndrome and Pheochromocytoma).
It is good to discuss with your doctor if he has ruled out these adrenal disorders and doing appropriate urine and blood test.
If you are using 5 BP medicines, I would strongly search for adrenal dosorders like pheochromocytoma, hyper aldosteronism and Cushing's syndrome.
Not all adrenal tumors may have symptoms. Many a times, adrenal nodules can exist with out any symptoms or abnormalities in blood tests. These are found on scans done for other reasons and these are then called as adrenal incidentaloma.
Regards
Binu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Have had two kidney ultrasounds if those would also pick up adrenal abnormalities.
Attached are many hormone tests over the last year or so. Thanks for your opinion XXXXXXX
Attached are many hormone tests over the last year or so. Thanks for your opinion XXXXXXX
Brief Answer:
Abnormal results
Detailed Answer:
Hi,
Thank you for the reply.
I could identify few issues.
A low testosterone ( I don't believe in direct free testosterone assay).
A suppressed Renin and an aldosterone of > 15. And a low cortisol level.
All these need further evaluation.
A suppressed renin with a high Aldosterone to renin ratio is suggestive of Hyper aldosteronism. This could be causing your high blood pressure ( provided they did the test properly). You now need second line tests like saline loading test and may require a CT scan of adrenal. Ultrasound is not good enough to look at adrenal glands.
Cortisol is low too. So you need a Synacthen test and an ACTH level ( 8 AM).
You need to discuss with your endocrinologist seriously.
Abnormal results
Detailed Answer:
Hi,
Thank you for the reply.
I could identify few issues.
A low testosterone ( I don't believe in direct free testosterone assay).
A suppressed Renin and an aldosterone of > 15. And a low cortisol level.
All these need further evaluation.
A suppressed renin with a high Aldosterone to renin ratio is suggestive of Hyper aldosteronism. This could be causing your high blood pressure ( provided they did the test properly). You now need second line tests like saline loading test and may require a CT scan of adrenal. Ultrasound is not good enough to look at adrenal glands.
Cortisol is low too. So you need a Synacthen test and an ACTH level ( 8 AM).
You need to discuss with your endocrinologist seriously.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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