Adrenal Crisis: When Low Cortisol Becomes an Emergency

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

Key Takeaways

While adrenal crisis is serious, being informed and prepared can significantly reduce your risk.

Related Articles

• What is Adrenal Insufficiency? The Lowdown on Low Cortisol
• Treating Adrenal Insufficiency: Replacing What's Missing
• Living Well with Adrenal Insufficiency: Your Daily Management Guide
• Are You at Risk for Adrenal Insufficiency? Know the Factors

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