Horsey is right on the money in her suggestion.
Until you get in to see such a centre, you may be able to find an excellent neurologist with many years of experience.
This is for the following reasons:
1. He/she would have seen MRI images like yours and would be able to make a better diagnosis than a radiologist or than a neurologist with less experience.
2. If he/she cannot resolve your ailment he will surely be able to guide you to an endocrinologist or a pituitary centre. Either way, a referral from a neurologist should make accessing an endo or pit centre easier. They are less likely to fob him off than you.
In my experience (pituitary tumour and a period of low cortisol), showing doctors your tests and medical images are not enough. Showing them to EXPERTS is what makes a world of difference. Two doctors looking at the same MRI can EASILY arrive at very different diagnoses.
Thanks Horsey - good suggestion!
I know my British friends all went to St Barts.
There is a organization in Bristol called The Pituitary Foundation. You might give them a call. They know the ins and outs of the NHS and can direct you to pituitary specialists. Good luck.
horselip
Thanks so much for your response.
Whilst I was in hospital they did perform an MRI to look for a pituary tumour - they said there were no abnormalities. Although I did visit an opticians a week prior to being admitted to hospital and they told me I had pressure on my optic nerve, which the doctors seemed to not be able to explain. I have read articles on the net that says just because you don't have a pituary tumour does not mean you do not have a problem with your pituary, but nothing else was investigated.
I do crave fries & crisps a lot, maybe if I monitored my cravings I would be able to establish if there was a pattern. I had my potassium checked which was at a normal range.
Do you know if there are pituary centres on the NHS? I don't mind going private as I done this for my endometriosis.
I am so sorry that your doctor is not skilled - but you need to find a pituitary center.
With elevated prolactin and low cortisol, you have more than one issue going on and it needs, in my layman eyes, more investigation. You may have a pituitary lesion or just a failing pituitary.
In regards to the vomiting - do you crave salt, and do you feel better if you try salty things? I would suggest trying to increase sodium intake and seeing if that helps. Low cortisol is a salt-wasting condition, so if you can up your sodium intake (and keep it up) you can help keep things in a safer zone. There are meds to help retain sodium, but your doctor has to be intelligent enough to give them to you and you need to know if your potassium is low or high so you know to avoid potassium or need more.
It is likely not stress with those labs.