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Is BUN Level In Blood Of 6mg/dl Normal?

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Posted on Sat, 9 Jul 2016
Question: Hi. I am a 53 year old female. My DHEA-S levels have increased in the last year to 561 at this point. My adrenal scan has come back normal. My last labs showed a BUN of 6mg/dl. Are either of these cause for concern. As of now, my Dr. has been telling me to take Saw Pimento for the DHEA which has not seemed to help. My pituitary has not been looked at yet.
doctor
Answered by Dr. Suresh Heijebu (8 hours later)
Brief Answer:
Please provide further information

Detailed Answer:
Hello, Madam.

I can certainly understand your concern.

Elevated DHEAS in your case in the absence of adrenal gland and ovarian disease(PCOS) could be due to the side effects of few drugs.

Also pituitary function has to be evaluated.

I would like to know if you are currently using any drugs?

Also I would like to know if you are experiencing any one or more of the following symptoms?

A deeper voice?

Excess facial or body hair (hirsutism)?

Male pattern baldness?

Muscularity?

Acne?

Enlargement of the Adam's apple?

Decreased breast size?

Are you a diabetic and hypertensive individual on treatment?

Once I receive your answers, I will process your query further and order for further investigations.

Thank you.



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Suresh Heijebu (13 hours later)
I am currently on Progestrone, Gabepentin, Alprazolam, Metformin, Bystolic, Ibersstatin and Atorvastatin, Proair and Asvair. I do not take any over the counter medications. I do not suffer from any of the above other than type 2 diabetes and hypertension. My other medical conditions are as follows (from my medical portal)

Combinations of endocrine dysfunction
Visit for screening mammogram
Encounter for screening colonoscopy
Anxiety Disorder
Bipolar affective
Tachycardia
Anemia
Hypertension
Dyslipidemia
Metabolic syndrome
Elevated liver function tests
Annual physical exam
Elevated DHEA
Shortness of breath on exertion
DM (diabetes mellitus)
Tobacco abuse
Anxiety
Depressed


It has been suggested that there is a possibility that I have PTSD from some recent and past traumas I have suffered, but that was from a PA at my Dr.'s office. I have an appt. with a Psychiatrist coming up in the next two weeks. My DHEA levels have steadily gone up throughout the last year. Thank you, Dr. Heijebu!
doctor
Answered by Dr. Suresh Heijebu (13 hours later)
Brief Answer:
Other medical conditions need to ruled out

Detailed Answer:
Hello, Madam.

I have worked through your query in detail.

The elevated DHEAS in your case could result from drugs like METFORMIN, BISYSTOLIC and GABAPENTIN.

At the same time medications related to Bipolar affective disorder can also contribute to elevated DHEAS.

Moreover since the levels in your case are under 500 ng/ml and adrenal pathology is ruled out, it is important to screen for other common pathologies that can give rise to elevated DHEAS.

For this , I advise you to get the following

1.Complete thyroid profile to rule out hypothyroidism

2.MRI brain to rule out pituitary dysfunction .

Further management if any is largely based on test results.

Post your further queries if any
Thank you
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Suresh Heijebu

Psychiatrist

Practicing since :2010

Answered : 3646 Questions

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Is BUN Level In Blood Of 6mg/dl Normal?

Brief Answer: Please provide further information Detailed Answer: Hello, Madam. I can certainly understand your concern. Elevated DHEAS in your case in the absence of adrenal gland and ovarian disease(PCOS) could be due to the side effects of few drugs. Also pituitary function has to be evaluated. I would like to know if you are currently using any drugs? Also I would like to know if you are experiencing any one or more of the following symptoms? A deeper voice? Excess facial or body hair (hirsutism)? Male pattern baldness? Muscularity? Acne? Enlargement of the Adam's apple? Decreased breast size? Are you a diabetic and hypertensive individual on treatment? Once I receive your answers, I will process your query further and order for further investigations. Thank you.