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"I was diagnosed with a large prolactinoma, started cabergoline and am now experiencing some symptoms that make me wonder if I could also have Cushing’s. Is it possible for a pituitary tumor to secrete both prolactin and ACTH? If so, what effect, if a
By André Lacroix, M.D. is Professor, Department of Medicine and Associate Director general for Medical and Academic affairs at University of Montreal teaching hospital (CHUM), Montreal, Quebec, Canada
 
I am wondering if there is any research or if there have there been any suggestions that Cushing’s can bring about early menopause? I am 36 and had pituitary surgery in 2006. My cycles are back, but they are not the same as before Cushing’s. Perhaps t
By Anne Klibanski, M.D., Laurie Carrol Guthart Professor of Medicine at Harvard Medical School and Chief, Neuroendocrine Unit, Massachusetts General Hospital
 
I had surgery 3 weeks ago, and am experiencing a slow drop in cortisol, rather than an immediate drop. How often does this happen, how long does it take to drop, and does this influence the chances that I might recur?
By Beverly MK Biller, MD, FACP, Professor of Medicine at Harvard Medical School (HMS) and faculty member in the Neuroendocrine Unit at Massachusetts General Hospital (MGH).
 
I have Nelson's syndrome (aggressive enlargement of an ACTH secreting pituitary tumor following a bilateral adrenalectomy) and radiation has not been effective. The tumor is creating problems with my vision. What are my treatment options?
By Dr. Mary Lee Vance, M.D., Professor of Medicine and Neurosurgery at the University of Virginia, Charlottesville, VA.
 
I am taking steroids to control another medical condition. Will taking the entire dose in the morning help minimize the side effects? Is there anything I can do to minimize the side effects?
By Dr. Mary Lee Vance, M.D., Professor of Medicine and Neurosurgery at the University of Virginia, Charlottesville, VA.
 
I had my surgery in Feb 2007. I had an inguinal hernia in May 2008 and have recently been diagnosed with a large paraesphogeal hernia that requires surgery. I wonder if I have had these hernias due to the amount of time I had Cushing’s Disease befo
By Dr. Mary Lee Vance, M.D., Professor of Medicine and Neurosurgery at the University of Virginia, Charlottesville, VA.
 
I recently was diagnosed with a fatty liver. Does this present with Cushing’s?
By Dr. Mary Lee Vance, M.D., Professor of Medicine and Neurosurgery at the University of Virginia, Charlottesville, VA.
 
I am 51 years old and have Cushing's Disease due to a pituitary tumor that was removed 5 weeks ago. I presently take 30 mg of hydrocortisone a day. Last week I had an ITT test and coincidentally later that day got a virus and had to go to the hospital.
By Dr. David Schteingart, Professor of Medicine at the University of Michigan, Ann Arbor, MI
 
I had unsuccessful pituitary surgery and then had a bilateral adrenalectomy. I am feeling better, but have not been able to loose any weight. My maintenance dose is 37.5 mg per day of Cortef, which I understand is on the high end of replacement doses.
By Dr. Andre Lacroix, Professor of Medicine at the University of Montreal, Montreal, Canada.
 
I´m 40 years old and had a bilateral adrenalectomy 2 years ago, thus am on 20mg/day Cortef replacement. I feel a lot better, but have not been able to lose the weight. Since I am considered obese, my doctor is now talking about gastric bypass surgery.
By Dr. Anne Klibanski, Chief of the Neuroendocrine Unit at Massachusetts General Hospital
 
Question: Can diet drugs be useful to take off the weight I gained from Cushing's? Are there any special diet drug considerations for those who had Cushing's?
By Dr. Anne Klibanski, Fall 2009
 
Question: I had Cushing's a number of years ago and completely recovered. Due to menopause, I started hormone replacement therapy (HRT) and I feel like some of my Cushing's symptoms have returned. Can side effects from HRT mimic Cushing's symptoms?
By Dr. Anne Klibanski, Fall 2009
 
Question: Are menopause symptoms more pronounced in someone who has had Cushing's?
By Dr. Anne Klibanski, Fall 2009
 
Question: I am being tested for Cushing's and my blood sugars are already running 400-600. I have been asked to do an overnight dexamethasone suppression test. I am afraid that the dex will further increase my blood sugar. Do you have any suggestions?
by Dr. James Findling, Spring 2009
 
Question: If only 25% of the pituitary gland remains after removal of a microadenoma for treatment of Cushing's disease, is the gland still able to produce not only adequate amounts of hormone, but a normal amount as if the gland was intact? If so, does
Dr. David Schteingart, Spring 2009
 
Question: How long is it “normal” to have a headache following surgery? Also, if a headache persists longer than that, what should the patient do?
by Dr. Martin Weiss, Spring 2009
 
Question: I recently had a left adrenalectomy. The tests before my surgery indicated that I should not have Cushing’s Syndrome as well as other adrenal disorders. However, since surgery I have had significant weight loss, a huge improvement in diabet
by Dr. Andre Lacroix, Spring 2009
 
Question: My last ACTH was normal at 19.6 and I was taken off cortisone. I had severe adrenal insufficiency and was put back on small doses of cortisone for two months. It has now been almost a year and I suffer symptoms such as generalized pain/aches/s
by Dr. David Schteingart, Spring 2009
 
Question: How many Cushing's patients continue to complain of fatigue, depression, aches and pains many years after their Cushing's has been cured?
Dr. Laurence Katznelson, Winter 2008
 
Question: I had a pituitary tumor almost 13years ago. I now take 3 drugs due to the loss of pituitary hormones. How many patients have to continue to take medication for the rest of their lives and why?
Dr. Laurence Katznelson, Winter 2008
 
Question: I've lost the weight from my Cushing's, but I have so much excess skin in my abdomen that I am very uncomfortable and depressed. Is there any way of getting the excess skin off other than surgery? What arguments can I use with my insurance co
Dr. Mary Lee Vance, Winter 2008
 
Question: What percentage of those with pituitary macroadenomas who have transsphenoidal surgery have a recurrence?
Dr. Ed Laws, Winter 2008
 
Question: I had transsphenoidal surgery over 4 months ago. I've had a horrible smell in my nose and continually run a fever. The MRI shows "sinusitis". How often do sinus infections happen following surgery? What will help?
Dr. Ed Laws, Winter 2008
 
Question: I am on cortisol replacement medication and just had a large ulceration in my stomach. Can cortisol replacement cause this? For those on replacement, what is the best pain medication for arthritis that will avoid stomach problems?
Dr. Laurence Katznelson, Winter 2008
 
Question: I had an adrenalectomy in August 2007. I am down to 5 mg of cortisol in the morning and 5 at night. I find that my thumbs and fingers pop at the joint and hurt. I must take my other hand and pop the joint back in place. I cannot make a fi
Dr. Laurence Katznelson, Winter 2008
 
Question: I had Cushing's due to a pituitary tumor. Because my MRI was negative, I had a petrosal sinus sampling test. I was not sedated. Is it usual to do this procedure without sedation? If so, why?
By Dr. Laurence Katznelson, Fall 2008
 
Question: I had a petrosal sinus sampling test and during the procedure, I had sharp ear pain in both ears. How common is it to have pain during a petrosl sinus sampling test? If it's fairly common, can pain medication be given before the start of the
By Dr. Laurence Katznelson, Fall 2008
 
Question: I had Cushing's due to an adrenal tumor and from what I'm told, no longer require replacement medication. My 8 AM ACTH is elevated and very variable and my 8 AM cortisol levels vary as well. Should this be a concern? Does the variability hav
By Dr. Laurence Katznelson, Fall 2008
 
Question: When getting tested for Cushings, does a recent cortisone shot (two weeks prior to the initial test) affect the outcome? If so, how?
By Dr. Laurence Katznelson
 
Question: I recently had an episode of adrenal insufficiency and it is now suggested that I carry an emergency syringe. When exactly should I use the syringe?
Doctor’s Answers By Dr. Laurence Katznelson, Spring, 2008
 
Question: I had a series of steroid injections in my back. It's been 3 months since the last injection and I'm getting more and more Cushing's symptoms. Is there any treatment for injection induced Cushing's? How long can I expect this to go on? Do
Doctor’s Answers By Dr. Laurence Katznelson, Spring, 2008
 
Question: I'm on birth control pills. Can testing for Cushing's be done while I'm on the pill and if not, how long before testing do I need to stop taking them?
By Dr. Laurence Katznelson, Spring 2007
 
Question: Is there any kind of a thyroid tumor or nodule that can cause Cushing’s?
By Dr. Laurence Katznelson, Spring 2007
 
Question: Do you have to have all the symptoms of Cushing’s to have it?
By Dr. Laurence Katznelson, Spring 2007
 
Question: Is there any explanation as to why some with Cushing’s get really depressed while others don’t seem to be as bothered by depression?
Doctor’s Answers By David Schteingart, M.D., Spring, 2006
 
Question: I take replacement hydrocortisone and recently had surgery. I know that increased doses are required during and after surgery, but they gave me 100mg every 6 hours, which I know was way too much. How much cortisone does one really need during
By Doctor’s Answers By David Schteingart, M.D., Spring, 2006
 
Question: Is there any correlation between Cushing's Disease and Systemic Lupus ?
By Doctor’s Answers By David Schteingart, M.D., Spring, 2006
 
Question: My mother-in-law has Cushing Syndrome brought on by a tumor in the lung. Cytology shows that it is a Small Cell Lung Carcinoma. What are the pros and cons of chemotherapy?
By Doctor’s Answers By David Schteingart, M.D., Spring, 2006
 
Question: I am completely hypopituitary and had a bilateral adrenalectomy to control my Cushing’s. I now have Nelson’s Syndrome and am on 30mg/day of hydrocortisone replacement. I still have uncontrollable diabetes, muscle weakness and look and feel l
By Dr. David E. Schteingart M.D., Summer 2005
 
Question: Is it possible for someone with Cyclic Cushing’s to have too little cortisol at times?
By Dr. David E. Schteingart M.D., Summer 2005
 
Question: Does strenuous exercise effect cortisol levels? If so, should I avoid exercise during a 24 hr urine test and/or for how long before starting the test?
By Dr. David E. Schteingart M.D., Summer 2005
 
Question: I have been under constant, extreme stress for the past year and am now being tested for Cushing's. Can chronic stress cause elevated cortisol levels in the 24 hr urine test, the low dose dexamethazone test and the night-time salivary cortisol t
By Dr. James Findling M.D.,Winter 2005
 
Question: The surgical incision to remove my pituitary tumor was done along the upper gum line. How long will it take to regain my sense of smell and taste and how long will it take for the swelling to go down?
By Dr. David E. Schteingart M.D., Winter 2005
 
Question: Does age have anything to do with the time required to recover from Cushing's?
By Dr. David E. Schteingart M.D., Winter 2005
 
Question: I have Cushing's and have this incredible desire to eat all the time. Is there a medical explanation as to why we want to eat so much? Will this resolve once my Cushing's is cured?
By Dr. David E. Schteingart M.D., Winter 2005
 
Question: Does one require less hydrocortisone replacement after menopause?
By Dr. David E. Schteingart M.D., Winter 2005
 
Question: I am in the middle of testing for Cushing's and just realized that I am 8 weeks pregnant! Are there risks associated with a high cortisol and the baby? Can Cushing's be diagnosed during a pregnancy? Is it safe to take the dexamethasone suppresio
By Dr. James Findling M.D., Winter, 2005
 
Question: Does stress make it more difficult to discontinue replacement medication and does stress increase the likelihood of pituitary recurrences?
By Dr. Lynnette Nieman, MD Spring, 2004
 
Question: Does blood pressure always return to normal after Cushing's is resolved? If not, why would it still stay high if my Cushing's is gone?
By Dr. Lynnette Nieman, MD Spring, 2004
 
Question: Does a 24-hour urinary cortisol measurement give any information on whether a patient without any adrenal glands is taking the correct amount of replacement hydrocortisone? Are there other tests that can be used to determine the correct replacem
By Dr. Lynette K. Nieman, MD Winter, 2003
 
Question: Is it harder for someone who has Type II diabetes to lose the weight they gained during Cushing's?
By Dr. David Aron MD Winter, 2001
 
Question: Can a person get Cushing's from using steroid nasal sprays and inhalers? Do any of these interfere with cortisol testing for Cushing's?
By Dr. David Aron MD Winter, 2001
 
Question: What are the normal values for a serum cortisol, a 24-hour urine, and ACTH? Also, what is the generally accepted cortisol cut off point for an overnight low dose dexamethasone suppression test? Does the absolute number for these tests vary betwe
By Dr. David Aron MD Winter, 2001
 
Question: Is testing for Cushing's more difficult and can some tests come back normal when you haven't had Cushing's very long?
By Dr. David Aron MD Winter, 2001
 
Question: Is it common for people to develop allergies following Cushing's?
By Dr. David Aron MD Winter, 2001
 
Question: Is it all right for someone who has had Cushing's or is recovering from Cushing's to use topical steroid cremes, Medrol dose packs, steroid inhalers for asthma, or prescription nasal sprays?
By Dr. David Orth MD Summer, 2000
 
Question: Why does cortisol have such profound effects on one's emotions and memory?
By Dr. David Orth MD Summer, 2000
 
Question: I have permanent pituitary insufficiency and find that I don't deal with stress well at all. Is this common for someone like me and will it get better?
By Dr. David Orth MD Summer, 2000
 
Question: Will the glucosamine/chondroitin that supposedly helps arthritis help with the pain and stiffness of steroid withdrawal? Is there any harm in trying it?
By Dr. David Orth MD Summer, 2000
 
Question: Is a Cushing's patient at higher risk for cancer during Cushing's and also after cure?
By Dr. David Orth MD Summer, 2000
 
Question: I am on replacement cortisone following surgery and recently had an experience where I was really sick with an infection. I tripled my dose (to 60 mg) according to the instructions from my endocrinologist. I only ran a fever of 99, but felt much
By Dr. David Orth MD Summer, 2000
 
Question: How often do patients who have Cushing's become diabetic, what type of diabetes is this and does it usually resolve after treatment of Cushing's?
By Dr. James Findling MD Spring, 2000
 
Question: I have been on replacement cortisone following surgery for over 20 years. Are there health problems related to long term replacement that my doctor and I should watch for?
By Dr. James Findling MD Spring, 2000
 
Question: I had my entire pituitary gland removed and both adrenals, but still have a lot of Cushing's symptoms. Is it possible that I still have Cushing's, but the tests don't show it?
By Dr. James Findling MD Spring, 2000
 
Question: What is the difference between Nelson's syndrome and a recurrence of a pituitary tumor?
By Dr. James Findling MD Spring, 2000
 
Question: Does one adrenal gland really completely take over full adrenal function even during times of illness or stress?
By Dr. James Findling MD Spring, 2000
 
Question: Will radiation of the pituitary gland cause problems for females wanting to have children? If so, how long will it take for the problem to become apparent?
By Dr. James Findling MD Spring, 2000
 
Question: Since successful surgery, I have a lot of leg cramps at night. Is this common and what will help?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: I have a lot of heart palpitations. My endocrinologist says they are not dangerous, but they really bother me. What causes these and should I see a cardiologist just to make sure?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: I am on permanent cortisone and florinef replacement. I have heard that some people take their cortisone 3 times per day rather than twice. Is this beneficial and how would I divide my current dose of 25 mg into three doses?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: Will the non-steroidal anti-inflammatory drugs help with the aches and pains due to the withdrawal symptoms that follow successful surgery?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: I have had a lot of memory loss following successful transsphenoidal surgery. Is this normal and will my memory return to normal after I'm off of replacement medication?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: Are there any drugs that interfere with cortisone metabolism or measurement that I shouldn't take while I am tapering off of replacement medication?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: Should every patient who has had pituitary surgery be tested for growth hormone deficiency and how soon following surgery?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: During my Cushing's, I lost some bone density, but since recovery, it is now close to normal. Does the fact that I had Cushing's make me more susceptible to osteoporosis in my later years?
By Dr. Anne Klibanski MD Fall, 1999
 
Question: How does radiation therapy work? I thought it immediately killed the tumor, but I have heard that isn't always true.
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: Can Cushing's syndrome or Cushing's disease cause severe headaches?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: How does Cushing's effect one's sleep and will my sleep improve after corrective surgery?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: Is there a set progression of symptoms for Cushing's? Are there some that usually appear first and then others follow?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: How should I expect to feel after surgery and during the recovery period?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: Since having Cushing's, my sex drive is next to nothing. Is this common, will this problem remain forever or get better? Is there anything that can help?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: While my cortisol levels are still high, is there anything I can do with my diet or exercise to keep my weight from increasing and loosing more strength? Is protein intake important?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: During diagnosis, I was asked if I was an alcoholic and was told that alcoholics can show Cushing's symptoms. Does this mean that I should not drink alcohol while my cortisol levels are high and during the recovery period?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: Are there any theories on what causes Cushing's tumor's? Is it hereditary?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: Are the different surgical procedures for bilateral adrenalectomies equivalent and is it known immediately after surgery if any tissue capable of making cortisol is left?
By Dr. Mary Lee Vance MD Summer, 1999
 
Question: I have been trying to taper my replacement dose of Cortisone following adrenal surgery, and have ended up in the Emergency Room several times due to adrenal insufficiency. I have been told that for my adrenal gland to start working again, I need
By Dr. David Cook MD February, 1999
 
Question: How can a person survive with out the adrenalin from the adrenal gland and what othe critical hormones are made by the adrenal?
By Dr. David Cook MD February, 1999
 
Question: Will my weight automatically return to normal after my Cortisol levels are normal? How quickly will this happen and will I need to diet? Also, I have heard that when most of the pituitary is removed, growth hormone replacement may be required be
By Dr. David Cook MD February, 1999
 
Question: I have heard that Cortisol suppresses the immune system. Why is it that I need to increase my Cortisol when I am sick? This seems like the time that one would not want to suppress the immune system.
By Dr. David Cook MD February, 1999
 
Question: Is it possible for an atrophied adrenal gland not to recover following removal of an adrenal tumor?
By Dr. David Cook MD February, 1999
 
Question: I am taking replacement Cortisone following bilateral adrenalectomy. For years now I have had elevated white blood cell count, which my doctors say are steroid related. Why is this and does this mean that I am immunosuppressed?
By Dr. David Cook MD February, 1999
 
Question: I am scheduled to have a bilateral adrenalectomy and have been warned that sometimes there is adrenal tissue in the body other than just in the adrenal glands. Is this true?
By Dr. David Cook MD February, 1999
 
Question: I am on permanent steroid replacement following a bilateral adrenalectomy and was recently changed from Hydrocortisone 10 mg two per day to Prednisone 5 mg at bedtime because of a low morning blood sugar and elevated ACTH. I am now having troubl
By Dr. David Cook MD February, 1999
 
Question: Is there a way to tell shortly after pituitary surgery if the surgery was successful? Also, how often should a patient be tested and with what tests after pituitary surgery?
By Dr. George Chrousos MD December, 1998
 
Question: I am cured from Cushing's but now have extremely dry, itchy skin and a rash. Is this common after recovery from Cushing's?
By Dr. George Chrousos MD December, 1998
 
Question: How does one tell the difference between withdrawal symptoms, that go with recovery from Cushing's, versus the more dangerous situation of not having enough cortisol?
By Dr. George Chrousos MD December, 1998
 
Question: Are cured Cushing's patients at higher risk for heart problems?
By Dr. George Chrousos MD December, 1998
 
Question: My doctors are having trouble finding the location of my tumor. Is it common for a pituitary tumor not to show on an MRI and what techniques are used to find ectopic tumors?
By Dr. George Chrousos MD December, 1998
 
Question: What is the incidence rate for Cushing's, what does this mean, and is each case reported?
By Dr. George Chrousos MD December, 1998
 
Question: I have been cured of adrenal Cushing's and am now having muscle burning. Is this normal for post-Cushing's and are Cushing's patients prone to any connective tissue disorders?
By Dr. George Chrousos MD December, 1998
 
Question : I am recovered from Cushing's but have developed asthma. Is this related to Cushing's?
By Dr. George Chrousos MD July, 1998
 
Question: From past issues of this newsletter, it appears that Cushing's doesn't cause arthritis. If it's not arthritis, why in the world do I have all these aches and pains?
By Dr. George Chrousos MD July, 1998
 
Question: I have been cured from Cushing's for quite some time and my memory and quick recall for facts is back as good as ever, but I am still slower in doing things, make more mistakes than I used to, and have trouble "multi-tasking".
By Dr. George Chrousos MD July, 1998
 
Question: Since my adrenal glands were removed, my testosterone and DHEA levels are low. Is there value in taking replacement doses of either one of these?
By Dr. George Chrousos MD July, 1998
 
Question: I am recovering from Cushing's and I feel like I have a cold, but don't seem to be running a fever. Does Cushing's have something to do with this?
By Dr. George Chrousos MD July, 1998
 
Question: What kind of patients does the National Institute of Health (NIH) accept for diagnosis and treatment of Cushing's and how does one go about getting into NIH?
By Dr. George Chrousos MD July, 1998
 
Question: When I had Cushing's I lost a number of my teeth due to what I was told was bone loss. Is that the same as osteoporosis and would any of the osteoporosis drugs help me from loosing more teeth as some are still loose?
By Dr. George Chrousos MD July, 1998
 
Question: From reading this newsletter, it seems that a number of us develop Cushing's following a pregnancy. Are Cushing's symptoms more likely to appear after a pregnancy and if so, why?
By Dr. George Chrousos MD July, 1998
 
Question: What is a dexamethasone suppression test and why is it used?
By Dr. Andre Lacroix MD Fall, 1997
 
Question: What is pseudo-Cushing's?
By Dr. Andre Lacroix MD Fall, 1997
 
Question: What is cyclic Cushing's?
By Dr. Andre Lacroix MD Fall, 1997
 
Question: I've heard that some types of adrenal Cushing's can be caused by food or other hormones. Is that true?
By Dr. Andre Lacroix MD Fall, 1997
 
Question: I had a pituitary tumor removed and am no longer on replacement medication. It seems that even something minor, like a cold, causes havoc with my system, including aches and pains. Is this normal after having had Cushing's?
By Dr. Andre Lacroix MD Fall, 1997
 
Question: I have been told that I either have Pseudo-Cushing's or a form of Cushing's that has not been detected by standard tests. It has been suggested that I take antidepressants for a while, specifically one of the serotonin reuptake inhibitors. Why s
By Dr. George Chrousos MD July, 1998
 
Question: What is a petrosal sinus sampling test, how is it done, and when is it used?
By Dr. James Findling MD June, 1997
 
Question: What effects does Cushing's have on the eyes?
By Dr. James Findling MD June, 1997
 
Question: Can Cushing's cause arthritis?
By Dr. James Findling MD June, 1997
 
Question: What effects does Cushing's have on the immune system and does the immune system recover after treatment of Cushing's?
By Dr. James Findling MD June, 1997
 
Question: What medications are available to lower steroid production, what are the side effects, and when are these drugs used?
By Dr. James Findling MD June, 1997
 
Question: What are the typical medications for a person who has had their entire pituitary gland removed?
By Dr. James Findling MD June, 1997
 
Question: Following radiation for a pituitary tumor, is there a risk that the entire pituitary will be unable to function normally?
By Dr. James Findling MD June, 1997
 
Question: My Cushing's has been cured for about 3 years, but my muscle strength is still not like it used to be. I work out at a gym regularly, but is there anything else that I can do to try and recover my strength?
By Dr. James Findling MD June, 1997
 
Question: How is the proper dosage of maintenance medication determined?
By Dr. James Findling MD March, 1997
 
Question: What changes should be made to replacement medications during illness?
By Dr. James Findling MD March, 1997
 
Question: Three years ago, I had an adrenal gland removed due to an adrenal adenoma that was causing Cushing's. Now, I am told that I have another tumor on my right adrenal gland. Is this possible, and what is the best way to tell if it is secreting corti
By Dr. James Findling MD 1997
 
Question: Following surgery for Cushing's, I have had a lot of swelling in my hands, feet and face. Is there anything that can be done to help this problem and is it anything to be concerned about?
By Dr. James Findling MD 1997
 
Question: I had two unsuccessful transsphenoidal surgeries followed by radiation. Since my ACTH levels were still extremely elevated, I had a bilateral adrenalectomy. My physical appearance (weight and fat distribution) has not changed as much as my docto
By Dr. James Findling MD 1997
 
Question: I have had two transsphenoidal surgeries, followed by removal of my adrenal glands, and now have Nelson's.
By Dr. James Findling MD 1997
 
Question: What medication is given following surgery for Cushing's syndrome and is there a proper procedure for weaning a patient from replacement medication?
By Dr. David Orth MD November, 1996
 
Question: Do the symptoms of fatigue and weakness improve even more after replacement medication is discontinued?
By Dr. David Orth MD November, 1996
 
Question: Does Cushing's syndrome have an effect on the thyroid gland? Are Cushing's patients more prone to thyroid problems?
By Dr. David Orth MD November, 1996
 
Question: Is it possible to become pregnant and have a normal pregnancy after having had Cushing's syndrome?
By Dr. David Orth MD November, 1996
 
Question: Are Cushing's patients prone to developing blood clots, particularly in the lungs? If so, what, if any, precautions should be taken?
By Dr. David Orth MD November, 1996
 
Question: Can women on female hormone replacement therapy or birth control pills obtain meaningful results from an overnight dexamethasone suppression test?
By Dr. David Orth MD November, 1996
 
Question: I have osteoporosis due to Cushing's. Will this improve over time?
By Dr. David Orth MD Fall, 1996
 
Question: How often do additional pituitary tumors develop in Cushing's patients who have had a pituitary tumor successfully removed?
By Dr. David Orth MD Fall, 1996
 
Question: Like others, it took me a long time to obtain a correct diagnosis of Cushing's. Why does it take so long before a doctor thinks of Cushing's and is there anything that we can do so we are taken more seriously?
By Dr. David Orth MD Fall, 1996
 
Question: I know a woman whose husband died of Cushing's Syndrome and her daughter subsequently developed it.
By Dr. David Orth MD Fall, 1996
 
Question: What are the differences between hydrocortisone, cortisone acetate, prednisone, and dexamethasone? Are there any guidelines as to when one is used versus another?
By Dr. David Orth MD November, 1996
 
Question: My doctor talks about the hypothalamic-pituitary-adrenal-system. What is this and what does it have to do with Cushing's?
By Dr. Beverly K. Biller MD, Spring 1995
 
Question: What is the difference between Cushing's Syndrome and Cushing's disease?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: I have Cushing's Disease and my doctor insists that I travel to a major medical center to have surgery. Why is it so important to have an expert pituitary neurosurgeon?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: Why does a patient who has been overproducing steroids due to Cushing's need to take steroids following curative surgery?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: Why do so many patients have pain, fatigue and mood swings months after successful surgery for Cushing's?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: Since I had successful surgery for Cushing's, I cannot lose weight and the weight is on my face and abdomen, just like when I was ill. Is the steroid replacement therapy responsible for this weight?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: I have symptoms of Cushing's but my 24-hour urinary cortisol measurement is normal. Is it possible to have a normal test and still have Cushing's?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: What is an ACTH Stimulation Test and what is it used for?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: What is Nelson's syndrome?
By Dr. Beverly K. Biller, MD Spring 1995
 
Question: What percentage of patients with Cushing's syndrome resulting from an adrenal tumor recover full use of their atrophied adrenal after a unilateral adrenalectomy? How long does this process take?
By Dr. Beverly K. Biller, MD Spring 1995
 
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