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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for adenoma hypophysaire?

my daughter is 20 years old and with a 2-3 mm adenome hypophysaire which an endocrino has discovered after months of sufferings (enormous fatigue nausea lack of appetite loss of weight ) she has shmidt syndrome too with TSH 11.43 T4 12.5 and hyperprolactine 9171 something i can't understand with a micro adenome
she looks pale and with a skin colour a bit dark now
she's under treatment for two weeks now hydrocortisol two pills a day one in the morning and the other in the afternoon and levotherox one in the morning after hydrocortisol she takesdostinex one pill per week
what surprises me is that i told her doctor that levotherox is often taken before eating in the morning but she said because she has cortisol deficiency she has to begin with hydrocortisol
i'd like to let you konw doctors that another doctor asked me to increase cortisol to three pills a day and levotherox to one and a half and i don't know what to do
still suffering from vomitting that doctorprescried an anti vomitting syrup which helped her eat normally now but the headaches returned from time to time
by the way my daughter was victim to the ignorance of many doctors some said depression others anorexia others suggested fibroscopie and coloscopie .she has taken stomach ,depression drugs and thanks to my researches on the net i guided them to her present disease
my question now is if the treatment is appropriate and wether the headaches are due to the tumor or not and if in her case the treatment will be forever
i'd like to know if it causes diabete too
should she reduce salt with cortisol
doctors here don't give sufficient explanations and seeing my pretty daughter getting depressed (37kgs with 1m 60 and dirty skin colour)
she looks so pale .she has been absent from school for one month .she doesn't stop crying not because of her disease but at the idea of failing (she's in her third year of a public commerce school she has worked hard for and dreamt of)
i'd be grateful if i could a doctor's address and phone
please do help me
Fri, 16 Dec 2016
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Endocrinologist 's  Response
I have read very carefully your concern and understand your difficult situation.
Addison disease is well controlled with treatment but you should be patient until the proper dose of hydrocortisone is found. She should be under close ednocrinologist supervision until the clinical symptoms improves.
Normally levothyroxine should be started after the improvement of the adrenal insufficiency symptoms.
Both treatments are long term if autoimmune origin is confirmed.
Type 1 Diabetes associates often these 2 autoimmune pathologies (polyglandular autoimmune disease type 2) and anti GAD antibodies should be checked.
Do not worry for the pituitary microadenoma, high TSH level is also responsible for the high prolactin level. After normalization of the TSH, check the prolactin level again. If it persists high, than start cabergoline.
In these dimensions it does not cause head ache.
You should not get worried for her future because in a few weeks she will get back to the normal life.
For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link:
HCM Dr. Guni
WIsh her good health,
Best wishes,
Dr.MIrjeta

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