Question: How does one tell the difference between withdrawal symptoms, that go with recovery from Cushing’s, versus the more dangerous situation of not having enough cortisol? Answer: The withdrawal syndrome that suggests cure after surgery is not associated with changes of the vital signs, such as a decrease in blood pressure, that signify danger. Careful… Continue Reading
Author Archives: kkc
Cold Symptoms During Recovery
Question: I am recovering from Cushing’s and I feel like I have a cold, but don’t seem to be running a fever. Does Cushing’s have something to do with this? Answer: After correction of the hypercortisolism and during the immune system rebound period, the body is in fact protected from viruses, such as those causing… Continue Reading
Adrenal Insufficiency When Discontinuing Replacement Steroids
Question: My last ACTH was normal at 19.6 and I was taken off cortisone. I had severe adrenal insufficiency and was put back on small doses of cortisone for two months. It has now been almost a year and I suffer symptoms such as generalized pain/aches/soreness, loss of appetite, lack of energy, etc. My understanding… Continue Reading
Why is Replacement Steroid Needed After Successful Surgery?
Question: Why does a patient who has been overproducing steroids due to Cushing’s need to take steroids following curative surgery? Answer: When a patient has been cured of Cushing’s, their normal hypothalamic-pituitary-adrenal system is not producing any cortisol because the high circulating levels prior to cure have suppressed the normal system. The normal hypothalamic- pituitary… Continue Reading
White Blood Count and Steroid Replacement
Question: I am taking replacement Cortisone following bilateral adrenalectomy. For years now I have had elevated white blood cell count, which my doctors say are steroid related. Why is this and does this mean that I am immunosuppressed? Answer: Steroid replacement above physiologic can be associated with a high white blood cell count, Cortisol and… Continue Reading
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