Addisonâs Disease: Comprehensive Diagnosis & Treatment
Addisonâs disease, or primary adrenal insufficiency, is a rare but serious condition where the adrenal glands fail to produce adequate amounts of cortisol and aldosteroneâhormones essential for metabolism, blood pressure regulation, and stress response. Without proper treatment, Addisonâs disease can lead to severe complications, including an adrenal crisis. Dr. Pruthvi Raj Honnaiah provides expert diagnosis, personalized treatment, and ongoing management for patients with adrenal disorders.
Importance of Early Diagnosis & Treatment
Addisonâs disease develops gradually, and early detection is crucial to prevent life-threatening complications. Common symptoms include:
- Chronic fatigue and muscle weakness
- Unexplained weight loss and appetite reduction
- Low blood pressure, causing dizziness or fainting
- Darkening of the skin (hyperpigmentation), especially on scars, joints, and gums
- Salt cravings due to low sodium levels
- Nausea, vomiting, and abdominal pain
- Low blood sugar (hypoglycemia)
- Mood swings, irritability, or depression
If left untreated, Addisonâs disease can progress to adrenal crisis, a medical emergency characterized by severe weakness, dehydration, confusion, and dangerously low blood pressure.
Key Diagnostic Tests & Assessments
- Blood Tests:
- Cortisol and ACTH Levels â To evaluate adrenal function.
- Electrolyte Panel â To check sodium and potassium imbalances.
- ACTH Stimulation Test:
- Measures the adrenal glandsâ response to synthetic ACTH, confirming adrenal insufficiency.
- Imaging (CT/MRI scans):
- Used to detect adrenal gland abnormalities, infections, or tumors.
Comprehensive Treatment Approach
Hormone Replacement Therapy (HRT)
- Hydrocortisone, Prednisone, or Dexamethasone â To replace deficient cortisol.
- Fludrocortisone â To regulate sodium and potassium balance.
Lifestyle & Preventive Care
- Diet & Hydration: Maintaining adequate salt intake and proper hydration.
- Stress Management: Adjusting medication during illness or stress to prevent adrenal crises.
- Regular Monitoring: Periodic health checkups to ensure hormonal balance.
Emergency Preparedness
- Injectable Hydrocortisone: For immediate use in case of adrenal crisis.
- Medical Alert Identification: Patients are advised to wear medical bracelets for emergency identification.
Why Choose Dr. Pruthvi Raj for Addisonâs Disease Management?
With expertise in adrenal disorders, endourology, and laparoscopic surgery, Dr. Pruthvi Raj Honnaiah provides advanced diagnostic methods and personalized treatment plans. His patient-centered approach ensures effective management, improving long-term health outcomes and quality of life.