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Suggest Treatment For Reduced Cortisol Levels
Question: ON 10 12 14 I met with minor accident and had very minor injury abrasion only. No treatment taken.
Before 14 12 14 I’m working very well but on 14/12/14 I was unconscious for 2-3 days and instantly shifted to Local Ramsnehi hospital XXXXXXX Due to accident they marked head injury on discharge ticket and traced that sodium was low so treated for sodium, after three months sodium was again low after taking proper dose of sodium so advised for further treatment with hormone doctor.
On 16/03/15 I went at Dr XXXXXXX and traced that cortisol is low and thyroid problem so treated for the same.
After it treatment was continue for THYROID & CORTISOL (HYSONE)
On 30 AUGUST 2016, I WENT FOR TEST FOR THYROID AT LOCAL CITY AT XXXXXXX FOR MY SELF SATISFACTION (TSH at XXXXXXX & FT4 sample sent to Abad) and all the reports are normal so I stopped the thyroid tabletS (Thyrox 50 mg) from august 2016. But every time when I going to abad Thyroid (FT4) test conducted and reports are normal.
On 06/06/2017 I GIVE SAMPLE FOR CORTISOL (8 Am) AT LOCAL CITY AND SAMPLE sent to abad and as per reports cortisol is lower side. ( I suddenly stopped hysone before 3-4 days from test then sample was given) But I heard that Cortisol should not be stopped abrupltly and it should be stopped gradually.
PLEASE NOTE THAT before 10/12/14 when i met with accident my bp was oftenly going down from last 2-3 years before accident (10/12/14) and may be due to low sodium/cortisol but it was not traced before 14 12 14. Means possible that low sodium/cortisol may exist before accident but not diagnosed properly.
MY Questions-
1. NOW I WANT TO TEST FOR SELF SATISFACTION BUT DON’T KNOW THAT WHICH TEST SHOULD BE CONDUCTED so please guide me THAT which TEST SHOULD BE CONDUCTED AND HYSONE TABLET SHOULD BE STOPPED OR NOT. SODIUM TEST REQUIRED OR NOT. THYROID TEST SHOULD BE CONDUCTED OR NOT. AND ANY OTHER ADVISE.
2. If Hysone to be reduced gradually how to reduce (if yes give suggestion about dose).
Before 14 12 14 I’m working very well but on 14/12/14 I was unconscious for 2-3 days and instantly shifted to Local Ramsnehi hospital XXXXXXX Due to accident they marked head injury on discharge ticket and traced that sodium was low so treated for sodium, after three months sodium was again low after taking proper dose of sodium so advised for further treatment with hormone doctor.
On 16/03/15 I went at Dr XXXXXXX and traced that cortisol is low and thyroid problem so treated for the same.
After it treatment was continue for THYROID & CORTISOL (HYSONE)
On 30 AUGUST 2016, I WENT FOR TEST FOR THYROID AT LOCAL CITY AT XXXXXXX FOR MY SELF SATISFACTION (TSH at XXXXXXX & FT4 sample sent to Abad) and all the reports are normal so I stopped the thyroid tabletS (Thyrox 50 mg) from august 2016. But every time when I going to abad Thyroid (FT4) test conducted and reports are normal.
On 06/06/2017 I GIVE SAMPLE FOR CORTISOL (8 Am) AT LOCAL CITY AND SAMPLE sent to abad and as per reports cortisol is lower side. ( I suddenly stopped hysone before 3-4 days from test then sample was given) But I heard that Cortisol should not be stopped abrupltly and it should be stopped gradually.
PLEASE NOTE THAT before 10/12/14 when i met with accident my bp was oftenly going down from last 2-3 years before accident (10/12/14) and may be due to low sodium/cortisol but it was not traced before 14 12 14. Means possible that low sodium/cortisol may exist before accident but not diagnosed properly.
MY Questions-
1. NOW I WANT TO TEST FOR SELF SATISFACTION BUT DON’T KNOW THAT WHICH TEST SHOULD BE CONDUCTED so please guide me THAT which TEST SHOULD BE CONDUCTED AND HYSONE TABLET SHOULD BE STOPPED OR NOT. SODIUM TEST REQUIRED OR NOT. THYROID TEST SHOULD BE CONDUCTED OR NOT. AND ANY OTHER ADVISE.
2. If Hysone to be reduced gradually how to reduce (if yes give suggestion about dose).
Brief Answer:
we need to evaluate your pituitary as well as adrenals.
Detailed Answer:
Dear sir, Hi! welcome to HCM!
let us evaluate your pituitary and thyroid completely.
1. do a TSH , FT4, LH, FSH, HGH, Cortisol, ACTH, testosterone - 8 am fasting sample.
2. do a MRI brain for pituitary with contrast.
3. we might require CT abdomen with contrast for adrenals.
let us talk again with reports.
remember not to take medicine the morning you are giving the sample.
regards!
we need to evaluate your pituitary as well as adrenals.
Detailed Answer:
Dear sir, Hi! welcome to HCM!
let us evaluate your pituitary and thyroid completely.
1. do a TSH , FT4, LH, FSH, HGH, Cortisol, ACTH, testosterone - 8 am fasting sample.
2. do a MRI brain for pituitary with contrast.
3. we might require CT abdomen with contrast for adrenals.
let us talk again with reports.
remember not to take medicine the morning you are giving the sample.
regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
i went to lab and they stated that they can test pathology test but ct and mri with contrast is risky so doctor prescription require. so what i do can i go for pathology tests. they asked about acth ( acth or acth cortisol). and plain cortisol also required. i will give sample tomorrow at 8 am, can i take hysone today or not.
Brief Answer:
we can look at blood reports first.
Detailed Answer:
Dear sir, we can have a look at blood reports first and then if required we will provide you the prescription for MRI.
hisone you need to hold for the test.
regards!
we can look at blood reports first.
Detailed Answer:
Dear sir, we can have a look at blood reports first and then if required we will provide you the prescription for MRI.
hisone you need to hold for the test.
regards!
Above answer was peer-reviewed by :
Dr. Remy Koshy
Docotr
my test reports will be sent to you by hcm. pl suggest for further about dose/regular tests and any advise by you.
thanks very much for my help.
pl send ur contct/address
XXXX XXXXXXX 0000
my test reports will be sent to you by hcm. pl suggest for further about dose/regular tests and any advise by you.
thanks very much for my help.
pl send ur contct/address
XXXX XXXXXXX 0000
Brief Answer:
review with reports.
Detailed Answer:
Dear sir, HCM has not posted the reportd to me yet. I can advise you only after going through your reports. I am based at XXXXXXX
regards!
review with reports.
Detailed Answer:
Dear sir, HCM has not posted the reportd to me yet. I can advise you only after going through your reports. I am based at XXXXXXX
regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
.
Brief Answer:
just gone through the reports!
Detailed Answer:
Dear sir, your cortisol value is really low.
Have you been on dexona?
your testosterone is high normal, are you on some testosterone replacement?
rest is normal . though growth hormone is also low.
we need to have a look at your MRI brain with contrast for pituitary and also USG scrotum. Do let me know if you need a prescription.
regards!
just gone through the reports!
Detailed Answer:
Dear sir, your cortisol value is really low.
Have you been on dexona?
your testosterone is high normal, are you on some testosterone replacement?
rest is normal . though growth hormone is also low.
we need to have a look at your MRI brain with contrast for pituitary and also USG scrotum. Do let me know if you need a prescription.
regards!
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
no dexona and not on any testoserone replacement. i will test later for the mri and usg.
Brief Answer:
we need to start hydrocortisone.
Detailed Answer:
Dear sir, we need to start you on hydrocortisone. tab hisone 5 mg 8am and 4 pm.
rest of the axis are normal. follow up will be required after a month with serum cortisol 8am before tablet and 9 pm i.e after tab, 4 pm before tab and 5 pm after the tablet.
please get your MRI and USG as advised.
regards!
we need to start hydrocortisone.
Detailed Answer:
Dear sir, we need to start you on hydrocortisone. tab hisone 5 mg 8am and 4 pm.
rest of the axis are normal. follow up will be required after a month with serum cortisol 8am before tablet and 9 pm i.e after tab, 4 pm before tab and 5 pm after the tablet.
please get your MRI and USG as advised.
regards!
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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