Possible Adrenal Issues

Posted by Marianne @mrmie, Jul 16, 2018

I'm wondering if there is much discussion on here related to adrenal diseases (primary or secondary). I have had live-changing, wicked fatigue for 2 years. It has also happened in my twenties and 1 year in my thirties. This round hit at age 43. I was working full-time, working out, and loving life. I had an endocrine work-up and was told everything was negative except for reactive hypoglycemia. However, in doing my own research (from reputable medical sources), I have found some things that contradict what my endo told me. He thinks my symptoms are related to elevated Epstein-Barr titers. However, I was told by an infectious disease doctor that I do not have EBV. So, the endo recommended Mayo Clinic. Has anyone had experience with going to Mayo for these symptoms (extreme fatigue, hypoglycemia, salt cravings, increased thirst, decrease appetite)? It seems like most doctors just write it off as depression, not exercising, not eating right. But I'm probably one of the few patients that actually eats tofu and sardines! And I absolutely would love to get back to running and lifting weights. But that was difficult when I couldn't even take a shower at my worst. Now I am able to take care of house chores and I do go on walks. However, I usually need to nap later in the day and feel worse after physical activity. Thanks for listening! I appreciate any input.

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Hello @mrmie
I have secondary hyperaldosteronism. I was diagnosed after 3 ER visits 2 hospitalizations each lasting 10 days in one month. My blood pressures were very labile over the 300/200’s, severe headaches, extreme fatigue, felt like I was running a marathon. Strangely I felt like I had Fibromyalgia in the worst form. Every joint aches and swelled. Seen alot of local doctors and specialist all concluded hypertension and “sometimes we just don’t know why”

Well I’m kind of stubborn and the morning after my 3rd hospital stay at my physical therapy appointment, my therapist took my blood pressure because my face was very flush, my therapist started to cry. He said to me “Dawn, your going to dye on my table some day!” My blood pressure was 317/246 and my heart rate was 142.
Well I packed a suit case and left for Mayo Clinic within the hour. About 35 min outside Minnesota I started to get into some trouble ended up having a mild heart attack and landed myself in St Mary’s Hosp. I was told many times how very fortunate I was that the on call doctor who they called in was truly the best of the best (I think they all are). I ended up with a tumor in my right adrenal gland and my left Adrenal gland is not functioning appropriately.

2 years later and ALOT of complications and testing and treatments and doctors, I am Finally on the mend taking the right medication. No more 300 blood pressures!!

I am confident that your medical team will find the right treatment for you!!

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That is good to know Dawn. Thanks for your work.

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@dawn_giacabazi

Hello @mrmie
I have secondary hyperaldosteronism. I was diagnosed after 3 ER visits 2 hospitalizations each lasting 10 days in one month. My blood pressures were very labile over the 300/200’s, severe headaches, extreme fatigue, felt like I was running a marathon. Strangely I felt like I had Fibromyalgia in the worst form. Every joint aches and swelled. Seen alot of local doctors and specialist all concluded hypertension and “sometimes we just don’t know why”

Well I’m kind of stubborn and the morning after my 3rd hospital stay at my physical therapy appointment, my therapist took my blood pressure because my face was very flush, my therapist started to cry. He said to me “Dawn, your going to dye on my table some day!” My blood pressure was 317/246 and my heart rate was 142.
Well I packed a suit case and left for Mayo Clinic within the hour. About 35 min outside Minnesota I started to get into some trouble ended up having a mild heart attack and landed myself in St Mary’s Hosp. I was told many times how very fortunate I was that the on call doctor who they called in was truly the best of the best (I think they all are). I ended up with a tumor in my right adrenal gland and my left Adrenal gland is not functioning appropriately.

2 years later and ALOT of complications and testing and treatments and doctors, I am Finally on the mend taking the right medication. No more 300 blood pressures!!

I am confident that your medical team will find the right treatment for you!!

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Wow! Glad you are on the mend!

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@dawn_giacabazi

I am so sorry for the delayed response. By all means, I am no expert! But we use Genetic testing on a daily basis to help doctors treat patients more efficiently and effectively. Their are numerous different types of genetic testing used based on the end goal. In my Home Health practice we us in regards to medication prescribing and dosing. The testing we use is called pharmacogenetics testing or otherwise known as PGX testing. In Illinois is is covered 100% by most Insurance companies and Medicaid. If you were to pay privately for it the cost is approximately $850. It is a test that you take once in your life.

An overly simple explanation of pharmacogenomics is that by analyzing and understanding and individual’s genetic makeup and how their genetics may affecttheir reactions and responses to certain medications or drug treatments, healthcare providers and patients can make more informed decisions about medications and healthcare overall.

In our practice we have taken 45 geriatric patients who all agreed to the testing with the sole purpose is cross referencing appropriate drug therapy. Of those 45 geriatric patients 38 were on more than 10 prescription drugs. All 38 were found to be on more than 5 prescriptions with either severe drug reactions and/or unable to metabolically process the drugs. All 38 were successful discharged off our services with new drug therapy and returned to a more functional Independence. All reported more than a $250 monthly savings in their pharmaceutical expenses.

The remaining patients were found to be on the appropriate medications for their diagnosis.

I hope this helps!! Have you discussed with your physician?

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No I have not discussed this with a physician. It does not sound like me. I am only on one medication and I wasn't even on that when my issues first started in my early 20s. But thanks for sharing. It is good information to know

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Hi. I am new to this forum. I have an adrenal gland tumor and have had it since 1991. It finally decided to act up within the last 6 months growing larger and my cortisol level is sky high which is a problem. I now have an endocrinologist who has run a boat load of tests and believes the adrenal gland should be removed. I am gaining weight and no matter how much I exercise the cortisol releasing is the problem. My doctor also is associating this with Cushings' Disease. I have had new onset of headaches, high blood pressure, fatigue, and lack of energy in the past 6 months. I have had a variety of blood work and urine testing along with CT, MRI, Octretide scans which do not report it as being a metastatic problem at present but I very much look forward to surgery at Mayo Clinic. I wondered if anyone here has had an Adrenalectomy and how they felt after the surgery. Also was in laparoscopic or surgical?

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@catnip

Hi. I am new to this forum. I have an adrenal gland tumor and have had it since 1991. It finally decided to act up within the last 6 months growing larger and my cortisol level is sky high which is a problem. I now have an endocrinologist who has run a boat load of tests and believes the adrenal gland should be removed. I am gaining weight and no matter how much I exercise the cortisol releasing is the problem. My doctor also is associating this with Cushings' Disease. I have had new onset of headaches, high blood pressure, fatigue, and lack of energy in the past 6 months. I have had a variety of blood work and urine testing along with CT, MRI, Octretide scans which do not report it as being a metastatic problem at present but I very much look forward to surgery at Mayo Clinic. I wondered if anyone here has had an Adrenalectomy and how they felt after the surgery. Also was in laparoscopic or surgical?

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Hi there @catnip ! I recently had my gallbladder removed at Mayo Clinic and while looking for some advice on diet modification when I stumbled upon this group. I wanted to give you a little of my history with Cushing's. I am now 38 years old but when I was a senior in high school, I started to gain weight for no obvious reason. I was getting headaches, and my cycle basically stopped. I had the puffy face, my hair was thinning, and I had the "buffalo hump" on my back. I was taken to a couple of doctors who just said I needed to watch my eating. I started my sophomore year of college in Milwaukee and when I came back for a break, my parents took me to my OBGYN who said that I was just "stressed" from college and suggested that I be put on birth control. Well that wasn't a sufficient explanation for my mom. She had read somewhere about the effects of cortisol and Cushing's in a medical article and asked that my cortisol be tested. It was EXTREMELY high. So she referred me to an endocrinologist in town who said we should just wait and watch it for a while. Well, I can tell you as 19 year old girl in college who had always been healthy and slim, I did not want to wait anymore. I was barely eating and still growing out of my pants. My parents contacted the Cushing's Research Foundation who referred me to an endocrinologist in Milwaukee who specialized in Cushing's. He took one look at me and said he could almost guarantee that I had it. So after a series of tests, we found out that I had a tumor on my left adrenal gland that was about the size of a golf ball. I had surgery during spring break of sophomore year, and it was the best thing that I could have ever done.

The entire adrenal gland was removed. My other one was "sleeping" but the doctor said that it would wake up eventually. The biggest fear for my parents at the time was that I would get into an accident or have some trauma that would have required adrenaline and my other adrenal gland would be asleep on the job. So I had to wear a medical bracelet for a while to alert medical professionals that I needed adrenaline in an emergency. Honestly, the worst part was the "withdrawal" that I went through after the cortisol-producing tumor was removed. I supplemented with artificial cortisol that gradually tapered off when the other gland started working again. I probably cut it back too far too fast because I just wanted to lose the weight. I remember feeling so anxious sitting in class, like my legs could not sit still. But that didn't last very long and eventually my other adrenal gland turned back on only a few months later. I started to loose weight almost immediately. But when I returned to school my junior year after being home for the summer, I had so many people who didn't even recognize me. The change was so dramatic. For the first time in years, I felt like my old self. I had energy, no headaches, my blood pressure was lower, I felt normal. I didn't have any long-terms complications at all. So the point of all this is for you not to be afraid of having the adrenal gland removed. I felt better than I had in years and the recovery was about as easy as could be. Perhaps that was because I was a lot younger (it's taking a bit longer to bounce back after this gallbladder removal but I am almost 20 years older:). I was so glad to know that it wasn't "stress" or "bad eating" that was causing me to feel the way I did. I hope your surgery is equally as successful and you start to feel better soon!

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Three years ago I had a ct scan at a heart clinic for pain in right calf looking for a possible clot. When I requested the year's records I found they had noted a 14mm nodule on my right adrenal. When I enquired about it they tried to deny it until I produced a copy. Then she said she would check into it. Nothing ever happened. I have been seeing them for years with heart rhythm and blood pressure problems. The urologist said not his expertise. I had developed a left-hand tremor and was sent to a neurologist who immediately pronounced it Parkinsons tremor. After some research, I found the connection of adrenals to several of my problems but no one is interested in pursuing it. At age 79 is it worth looking further into this or do I just write myself off as too old like everyone else seems to. I am very active and do more physical work than most folks half my age. We are in Texas Panhandle but after a 50-year trucking career, Rochester isn't that far away. A little guidance would be appreciated.

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Hi @robjohn and welcome to Connect. You may have noticed I moved your post to this existing discussion on adrenal gland issues so that you can read what others have said about adrenal related problems. Simply click VIEW & REPLY in your email notification and it will allow you to read what others have posted.

Those problems you are experiencing sound awful and it must be so frustrating to not have anyone listen to your thoughts.

I wanted to introduce you to @rckj @mrmie, @dawn_giacabazi and @kdubois as they are fellow Connect members who have experience dealing with the adrenal gland.

Back to you @robjohn, when you bring up the adrenal nodule now, do your physician's ignore you or do they say they will look into it but never get back to you?

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@ethanmcconkey

Hi @robjohn and welcome to Connect. You may have noticed I moved your post to this existing discussion on adrenal gland issues so that you can read what others have said about adrenal related problems. Simply click VIEW & REPLY in your email notification and it will allow you to read what others have posted.

Those problems you are experiencing sound awful and it must be so frustrating to not have anyone listen to your thoughts.

I wanted to introduce you to @rckj @mrmie, @dawn_giacabazi and @kdubois as they are fellow Connect members who have experience dealing with the adrenal gland.

Back to you @robjohn, when you bring up the adrenal nodule now, do your physician's ignore you or do they say they will look into it but never get back to you?

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Hi Ethan, Thanks for the reply. The physicians mostly seem to have the attitude that I am just old and ignorant. I did manage to get an appointment with an Endocrinologist who took a blood sample and sent me for a ct scan. She said we will watch it and see what happens, didn't schedule anything else. I asked Neurologist do I have Parkinson's or something else. His reply was you have Parkinson's tremor but not full-blown Parkinsons. His exam was walk to the end of the hall and back. Prescribed Leva-dopa and Selegiline. I am concerned that I could be harming myself taking something inappropriate and letting the true problem do its damage.

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@mrmie I have been seen at the Mayo Clinic in Rochester for very similar issues. I have all the same symptoms as you except for the blood sugar. I had similar problems with doctors blaming depression and lack of exercise for my fatigue but I finally got a referral to the Mayo Clinic and it has been life changing for me. They found that my vitamin D levels were externally low, I have subclinical hypothyroidism, and my cortisol levels were 5.8. Unfortunately, they weren’t able to diagnose me because my insurance didn’t want to cooperate but they gave me a letter to give to my regular doctor to have my vitamin D and cortisol levels rechecked. They came back low again (4.8) but my regular doctor is claiming that is within normal range. I’m going to try and get a referral to an endocrinologist anyway. The point is, in my week at Mayo, they managed to catch 3 health problems that all my other doctors (about 12 over the course of 3 years) missed and they were able to advise me on how to move foreword. I highly recommend going to Mayo if you can!

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