Adrenal suppression after steroid injection

Finally, after loads of antibiotics she was discharged from hospital. Moll slept in a toddler bed with us in our room for the next four weeks. (She was tiny). She would hallucinate and be terrified of big spiders on the walls. They were not there. One night, she thought her hands were big, floppy, rubber hands. She was screaming at them and waving them about. It was terrifying for her. The doctors put it down to effects from the drugs and anesthetic, but we now know it was due to low cortisol. She was in grave danger, but again, we did not know.

The adrenal gland produces hormones that affects growth, development and stress, and also helps to regulate kidney function. There are two parts of the adrenal glands, the adrenal cortex and the adrenal medulla. The adrenal cortex produces mineralocorticoids , which regulate salt and water balance within the body, glucocorticoids (including cortisol ) which have a wide number of roles within the body, and androgens , hormones with testosterone-like function. [2] The adrenal medulla produces epinephrine (adrenaline) and norepinephrine (noradrenaline). [2] Disorders of the adrenal gland may affect the production of one or more of these hormones.

During minor illness (., flu or fever >38° C [° F]) the hydrocortisone dose should be doubled for 2 or 3 days. The inability to ingest hydrocortisone tablets warrants parenteral administration. Most patients can be educated to self administer hydrocortisone, 100 mg IM, and reduce the risk of an emergency room visit. Hydrocortisone, 75 mg/day, provides adequate glucocorticoid coverage for outpatient surgery. Parenteral hydrocortisone, 150 to 200 mg/day (in three or four divided doses), is needed for major surgery, with a rapid taper to normal replacement during the recovery. Patients taking more than 100 mg hydrocortisone/day do not need any additional mineralocorticoid replacement. All patients should wear some form of identification indicating their adrenal insufficiency status.

Note: In some animals with signs of hyperadrenocorticism, post-stimulation cortisol levels are not increased but one or more sex hormones (which can cause similar signs as cortisol when present in excess) may be increased. The hormones most likely to increase are: progesterone and/or 17-hydroxyprogesterone and/or androstenedione. Some are now advocating the measurement of all of these sex steroid hormones levels before and after stimulation with ACTH (if results of standard stimulation of cortisol levels are inconclusive or negative).
(Reference: JAVMA 226 (February 2005 ): pp556)

Q. How do you know when your tiredness is a chronic health symptom? Sometimes I'm just overwhelmingly tired and need to lay down for awhile. Then I feel better but then I haven't accomplished a lot. At least after I rest I am able to do things again. What is Chronic Fatigue all about? A. Wow! Good question!
I tell you what- here is a very good site I use all the time. You enter a symptom and it gives you all the illnesses that have the symptom. Then you enter another symptom you have and it narrows the list.
I already entered fatigue for you:
http:///symptomsearch?addterm=Fatigue

and here is a site about chronic fatigue syndrome that you can look for differences:
http:///about/womenshealth/factsheets/

Adrenal suppression after steroid injection

adrenal suppression after steroid injection

Note: In some animals with signs of hyperadrenocorticism, post-stimulation cortisol levels are not increased but one or more sex hormones (which can cause similar signs as cortisol when present in excess) may be increased. The hormones most likely to increase are: progesterone and/or 17-hydroxyprogesterone and/or androstenedione. Some are now advocating the measurement of all of these sex steroid hormones levels before and after stimulation with ACTH (if results of standard stimulation of cortisol levels are inconclusive or negative).
(Reference: JAVMA 226 (February 2005 ): pp556)

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