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I Am A 21 Year Old Male With Congenital Adrenal
Question: I am a 21 year old male with congenital adrenal hyperplasia due to 21 hydroxylace deffienc i take 0.75 mg of dexamethasone 1 tablet a day and 0.5 mg tabke if fludricortisone a day last wednesday I was admitted into the hospital for consistent nausea and vomiting and I couldnt eat too much I would force myself to eat in two day I only at a banana a slice of bread and applesauce but whenever I vomitted it was just saliva no food at the hospital they took xrays of my chest and stomach and they did an ultra spund but they didnt find anything they took urine sample and stool sample and blood tests and nothing they ended up diagnosing me with acid reflux and from the blood tests they saw that I have a vitamin b12 defieciency they gave me Pantoprazole starting friday (so ive been taking it for three days now) and even in the hospital my nausea got even worse and vomitting still just saliva and i started having diarrhea today I was in the hospital for 5 days and they discharged me today and I still have really bad nausea and vomitting which is still saliva I dont know what to do I went in for mild nausea and they made it worse should I stop taking the pantoprazole and go see a GI doctor they medication is making my symptoms so much more worse what should I do I told them but they said they wont switch it.
from the blood test they saw I had a vitamin b12 defiecncy and they prescrbed me pantoprazole for the acid reflux ive been taking the medication for three days now they had me in the hospital for 5 days and my nausea and vomiting ( which is still and even at the hospital was just saliva) is getting worse and the medicine is even causing me diarhea and heartburn which were symptoms I never even had before should I just stop the pantoprazole and go to a GI doctor I feel so miserable I dont know why
Brief Answer:
Dexamethason and fludricortisone are very important.
Detailed Answer:
Hello
I have gone through your query.
I can understand your concern.
In congenital adrenal hyperplasia(CAH) a mutation (genetic change) causes the adrenal glands to make too little cortisol and in the most common type of CAH, called 21-hydroxylase deficiency, the adrenal glands also might not make aldosterone.
Considering that cortisol and aldosterone is vital for the body,the replacement therapy with hydrocortisone or even dexamethasone or prednisone (in adults) is very very important.
Diarrhea and vomiting can make you develop an addisionian crisis and i want to underline that usually the addisionian crisis start with these symptoms.
This condition is a potentially fatal condition and it can be treated only in hospital.
Corticosteroids administered into the veins or per os, can keep adrenal levels from getting dangerously low.At the other side in your circumstances it is very important to be rehydrated,to balance your electrolyte levels and to get your blood sugar and blood pressure levels back to normal.
So,for the moment ,you must stay in hospital.
Don't worry,this bad moment and all these symptoms will disappear soon.I want to underline that with proper treatment, most people with congenital adrenal hyperplasia can lead normal lives.
Hope this is helpful.
Wish you good health.
Dexamethason and fludricortisone are very important.
Detailed Answer:
Hello
I have gone through your query.
I can understand your concern.
In congenital adrenal hyperplasia(CAH) a mutation (genetic change) causes the adrenal glands to make too little cortisol and in the most common type of CAH, called 21-hydroxylase deficiency, the adrenal glands also might not make aldosterone.
Considering that cortisol and aldosterone is vital for the body,the replacement therapy with hydrocortisone or even dexamethasone or prednisone (in adults) is very very important.
Diarrhea and vomiting can make you develop an addisionian crisis and i want to underline that usually the addisionian crisis start with these symptoms.
This condition is a potentially fatal condition and it can be treated only in hospital.
Corticosteroids administered into the veins or per os, can keep adrenal levels from getting dangerously low.At the other side in your circumstances it is very important to be rehydrated,to balance your electrolyte levels and to get your blood sugar and blood pressure levels back to normal.
So,for the moment ,you must stay in hospital.
Don't worry,this bad moment and all these symptoms will disappear soon.I want to underline that with proper treatment, most people with congenital adrenal hyperplasia can lead normal lives.
Hope this is helpful.
Wish you good health.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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