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The adrenal glands are small in size, but produce a large array of hormones that are necessary to maintain good health. Disruptions in the normal function of the adrenal glands can result in significant short-term and long-term consequences. As a result, the vast majority of all adult adrenal disorders are managed by adult endocrinologists with experience with adrenal diseases, often in conjunction with another specialist. Many adrenal conditions involve over-production or under-production of adrenal hormones, and can often significantly impair quality of life and even increase the risk for developing other medical conditions. Other adrenal diseases can include benign or malignant growths of the adrenal glands. We have expertise in diagnosing and treating patients with all forms of adrenal disorders, including:
Your visitThe initial patient visit to the Center for Adrenal Disorders is often with an endocrinologist. A typical patient encounter involves a meeting with a physician to outline the history of the medical problem and a physical examination. Based upon the clinical assessment from the history and exam, further laboratory tests and radiology studies may subsequently be ordered. Most of these tests can be done the same day, while some may be scheduled for the future. Together with the patient, we discuss and interpret the results of all tests performed, and recommend further testing or treatment as indicated. Treatment plans may involve lifestyle changes, prescription medications, and referrals to a surgeon or oncologist if indicated. Patients are typically asked to return for follow up appointments as needed for their particular condition. Services offeredThe endocrinology clinics offer:
If you have adrenal disease, the Mount Sinai Health System provides comprehensive, compassionate care. Our multidisciplinary team sets Mount Sinai apart as the premiere location for the diagnosis and treatment of this endocrine disorder. What is Addison's disease?You have adrenal glands on each of your kidneys. These glands release hormones your body needs to work properly. Addison's disease happens when your adrenal glands don't make enough of an important hormone in your body. This hormone is called cortisol. Cortisol is responsible for many functions in your body. These include your ability to handle stress, process nutrients in food and maintain steady blood pressure. Sometimes, people with Addison's disease don't produce enough of another hormone called aldosterone. This also helps your body keep your blood pressure under control. Causes of Addison's diseaseAddison's disease happens when you have damage to your adrenal glands. A variety of conditions and factors might cause the gland damage that leads to Addison's disease. These can include having:
If you take medicines called corticosteroids for asthma or arthritis and stop taking them, you may also damage your adrenal glands. Risk factors for Addison's diseaseIf you have an autoimmune disease, you're at greater risk for Addison's disease. Autoimmune diseases cause your body to attack its own healthy tissues. Experts aren't sure exactly why this happens. You might have had cancer that affects your adrenal glands. This also raises your risk. Symptoms of Addison's diseaseIt can be difficult to recognize the symptoms of Addison's disease. Normal symptoms include feeling very tired and weak all the time. You might lose your appetite or lose weight when you aren't trying to. Half of people with Addison's disease have trouble digesting food, feel nausea and get sick. Other symptoms of Addison's disease include:
Diagnosis of Addison's diseaseOne in four people with Addison's disease may develop what's known as an Addisonian crisis. This is often when they first get diagnosed with Addison's disease. This potentially fatal situation might include:
It takes time to stabilize your health after this type of crisis. Your doctor might need to wait to perform tests for a diagnosis. At that point, you may receive an ACTH stimulation test. This tests the rise of certain hormones in your blood or urine within an hour of a special injection. If your levels aren't normal, your doctor may order a second test. This your hormone levels over the course of a few days. There are other tests that your doctor may order as part of the diagnosis process. These include a CT scan. This test shows your doctor the inside of your body. They can examine your pituitary gland. Treatments for Addison's diseaseOnce you get a diagnosis, you may need to replace the hormones that your body hasn't been producing. Usually, people take cortisol and aldosterone pills. Other treatments for Addison's disease include:
Generally, people who notice their Addison's disease early are able to live normal, productive lives. However, you may need to increase your medication. This is likely when you're under additional stress, are having surgery or are injured. Recovery from Addison's diseaseIf you're living with Addison's disease, carry a medical alert card or wear a bracelet. These alert emergency personnel about your condition. You should always have extra medication with you, especially when you're traveling. Keep a needle and injectable form of your medicine nearby in case of an emergency at all times. Finally, be sure to talk regularly with your doctor. They can help ensure that you have the proper dosage of your medicine. Find an endocrinologist nearbyMercy Health locations that can treat youDoes an endocrinologist treat Addison's?Areas of your skin may darken when you have Addison's disease, which can help lead to a diagnosis. 5. “We can replace the missing hormones – but the dosage is a moving target.” Your endocrinologist can prescribe steroids to replace what your body isn't making, but the dose varies.
What foods to avoid if you have Addison's disease?DON'T eat too much potassium (foods like bananas, oranges, and salt substitutes). DON'T skip doses of medicine.
What doctor can diagnose Addison's disease?A low sodium, high potassium or low cortisol level may indicate Addison's disease. You may need to see a hospital hormone specialist (endocrinologist) for your blood to be tested for the following: a low level of the hormone aldosterone. a high level of adrenocorticotrophic hormone (ACTH)
Which hormone deficiency is responsible for Addison's disease?Addison's disease is caused by damage to your adrenal glands, resulting in not enough of the hormone cortisol and, often, not enough aldosterone as well.
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Endocrinologist specializing in addisons disease near me
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