Adrenal Crisis: When Low Cortisol Becomes an Emergency
Published: May 09, 2024
Adrenal crisis is a life-threatening emergency that can occur in people with adrenal insufficiency. Recognizing the signs and acting quickly can be lifesaving.
Contents
What Triggers an Adrenal Crisis?
An adrenal crisis can be triggered by any significant physical stress. Common causes include severe infections, injuries, surgeries, or even extreme emotional stress. Vomiting or diarrhea can also lead to a crisis by preventing absorption of oral medications. Sometimes, suddenly stopping steroid medications can precipitate a crisis.
Recognizing the Signs
Symptoms of an adrenal crisis can come on quickly. They often include severe weakness, confusion, and dizziness. You might experience severe abdominal pain, vomiting, and diarrhea. Low blood pressure is a hallmark sign, which can cause fainting. Without treatment, an adrenal crisis can lead to shock, coma, and even death.

Emergency Treatment
Adrenal crisis requires immediate medical attention. Treatment involves giving high-dose steroids, usually through an IV, along with fluids to correct dehydration and low blood pressure. Blood tests will be done to check electrolyte levels and look for underlying triggers like infections. Once stable, patients will need to adjust their regular medication regimen to prevent future crises.
Frequently Asked Questions
It can develop rapidly, sometimes within hours.
Not always, but proper medication management greatly reduces risk.
Severe emotional stress might, but it's more often triggered by physical stress.
Not necessarily, but always consult your doctor when sick.
Key Takeaways
While adrenal crisis is serious, being informed and prepared can significantly reduce your risk.
Want to create a personalized adrenal crisis prevention plan? Schedule a consultation with Doctronic to discuss your specific needs and concerns.Related Articles
References
Bornstein SR, et al. J Clin Endocrinol Metab. 2016;101:364-389.
Hahner S, et al. Eur J Endocrinol. 2013;169:147-154.
Always discuss health information with your healthcare provider.