Tertiary adrenal insufficiency

Tertiary adrenal insufficiency

A series of symptoms including pain, fatigue, digestive problems, and sleep disorders are called adrenal fatigue. This term shows the fatigue of the adrenal glands and their inability to produce adequate hormones, especially cortisol.

This problem, also called adrenal insufficiency, usually occurs in the form of primary adrenal insufficiency and secondary adrenal insufficiency and tertiary adrenal insufficiency.

Sometimes, high adrenal insufficiency occurs in patients treated with steroids. This insufficiency results in cortisol secretion and anxiety disorder that is known as tertiary adrenal insufficiency. Besides, ACTH is not produced sufficiently.

Some symptoms of this disorder include weight gain, high arterial blood pressure, and high liver enzymes. According to some studies, the lack of use of glucocorticoids in some patients can lead to tertiary adrenal insufficiency.

After the diagnosis of adrenal insufficiency, treatment is usually long. One of the ways to treat adrenal insufficiency is to replace the cortisol stress hormone. This hormone is usually taken with hydrocortisone tablets 2 or 3 times a day.

In some patients, the use of steroids such as prednisolone and dexamethasone is recommended. Patients with stress may need to increase their steroid dose.

 

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