hypopituitary - labs normal, symptoms of hyperthyroid and hyperadrenal
I was diagnosed with secondary hypoadrenalism (ATCH deficiency, adrenals shut down with stim test), secondary hypothyroidism, and secondary hypogonadism in adulthood. Going back through my medical history, I was showing symptoms since birth (I was a breech birth), but wasn't diagnosed until I started getting *really* sick after the GH drop at 25.
My labs as of 3 weeks ago show that I've got _normal_ levels with my current prescriptions (prednisone, fludrocortisone, levothyroxine, cytomel and avaine), but I'm showing all the symptoms of /hyper/adrenalism and /hyper/thyroidism, my chief complaint being extreme lethargy (bedridden), hypertension and tachycardia.
Central obesity with protruding abdomen and thin extremities
Moon face (round, red, and full)
Purple marks called striations on the skin of the abdomen, thighs, and breasts
Thin skin with easy bruising
Weight gain (unintentional)
Bone pain or tenderness
High blood pressure
Skin blushing or flushing
Heat intolerance (I keep my house around 50*F)
Frequent bowel movements
Nausea and vomiting (prescribed phenergan)
Itching - overall
I can't go off my meds, but I'm miserable on them. My theory is that since I developed without certain hormones, my body isn't used to them... that I might actually be better off on GH, say, at the levels of a 20-yr-old, than on cortisol and T4/3 replacement hormones.
But finding any information on someone with hypopituitary from birth, but only diagnosed and treated as an adult is nigh-impossible.
I have 22 of the symptoms, you have described above. Especially, the heat, I wore t-shirts, to wal-mart in the winter with snow blowing, no jacket, and the sleepness is very bad, I don't sleep until after 3am, I feel like I have had all the sleep I need. What type of blood test do they do? The pituitary gland, Is a MRI or Ctscan to diagnose for the hypopituitary, right.
Those are all symptoms are for hyperthyroid and hyperadrenalism (http://www.nlm.nih.gov/medlineplus/ency/article/000356.htm and http://www.wrongdiagnosis.com/medical/hyperadrenalism.htm respectively). MRI of the head will rule out pituitary turmors that can cause overproduction of hormones. CTs of the adrenal, and ultrasound of the thyroid will rule out tumors on those organs. Simple blood tests can show over/underproduction of hormones. Stimulation tests can show whether or not the organs themselves are functioning.
The links above should have information on the verious tests on the adrenals and thyroid. An ATCH blood test and a TSH blood test will show if it's primary (something malfunctioning in the glands themselves) or secondary (something wrong with the pituitary).
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