Adrenal Disorders
The adrenal glands are situated just above your kidneys. These glands produce hormones. Endocrinologists see conditions where there is either over- or underproduction of these hormones.
Incidentaloma
This is the term given to the finding of a 'lesion' in the adrenal gland. These are common and often found when an X-ray is done for another reason.
These lesions are often just a variation of normal, but we generally run a series of tests to ensure that your adrenal glands are not overproducing any hormones.
Addison's Disease
In Addison's disease your adrenal glands produce too little cortisol and often too little aldosterone.
Addison's disease can occur at any age, but is most common in people aged 30-50. Treatment for Addison's disease involves taking hydrocortisone (see advice on hydrocortisone replacement below) and normally fludrocortisione to replace the insufficient amounts being made by your adrenal glands.
More information on Addison's disease
Conn's Syndrome
This condition occurs when there is overproduction of one of the hormones, aldosterone, by the adrenal glands. Overproduction of this hormone can result in high blood pressure and sometimes low potassium levels in the blood. This condition may require an operation or may be managed with medication.
Cushing's Syndrome
This condition arises when the adrenal glands produce too much cortisol. This excess production of cortisol can result in increased weight especially around your tummy, excessive hair growth and muscle weakness. Cushing's syndrome can also result from excess production of ACTH from your pituitary (see above). Treatment of this condition usually requires an operation.
Phaeochromocytoma
This is a rare condition where the adrenal gland produces too much adrenaline and/or noradrenaline (the 'fight and flight' hormones). The excess hormone is detected by asking you to collect your urine for 24hrs. This condition can usually be controlled with medications, but requires an operation to achieve 'cure'.
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