Cushings from steroids

It is important that the diagnosis of Cushing's syndrome is confirmed. First a doctor will test you for Cushing's syndrome. Once glucocorticoid medicines have been ruled out, there are 4 types of tests that are generally used to find out if you have Cushing's syndrome. These tests measure the amount of cortisol in samples of urine, blood, or saliva to determine how much cortisol is circulating in your body. If the tests show that the level of cortisol is too high, it means you have Cushing's syndrome. 1 If the test is not positive for high levels of cortisol, then signs and symptoms should be closely watched. If your symptoms get worse, check back with your doctor in 6 months. 1

In most cases, an operation has a high chance of curing Cushing's syndrome Cushing's syndrome - a disease where too much cortisol is being made . Surgery will be aimed at removing the gland (either pituitary or adrenal gland) that is responsible for the syndrome. Pituitary surgery is performed by neurosurgeons who remove the pituitary gland through the patient's nasal cavity (. nose) using a microscope. In unusual cases where pituitary surgery does not cure the patient, other treatments like Gamma knife (external beam radiation) or removal of both adrenal glands can cure the patient of Cushing's syndrome. For patients with adrenal tumors causing Cushing's syndrome, endocrine surgeons can remove the adrenal gland(s) through the abdomen. This operation is usually done using minimally invasive techniques like laparoscopy. ( See How is adrenal surgery performed ) It is important that patients with Cushing's receive extra steroids intravenously during the operation called "stress dose steroids" to help the body respond to the stress of the operation. Patients will typically need to be gradually tapered off their steroids over the course of many months to a year or two until the adrenal glands or remaining adrenal gland can produce enough cortisol Cortisol - a glucocorticoid that controls glucose production and suppresses the immune system on its own. This is due to the fact that when a patient has longstanding Cushing's syndrome, the remaining adrenal gland(s) take a long time to wake up and function normally. 4

"For years I had been a "junkie"--addicted to prescription and over the counter drugs. used oral and topical anti-inflammatory corticosteroids for 9 years to suppress my eczema/psoriasis. The steroids' side effect nearly killed me and did nothing to cure my eczema. Why elimination or suppression of the symptom is NOT the same as elimination of the disease . The side effects caused me to swell-up like a balloon and triggered terrible mood swings from deep depression to nasty outburst our rages. Functioning of vital organs such as my liver, kidneys, lungs and spleen were nearly shut down and I thought I would die." Shirley

Cushings from steroids

cushings from steroids


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