Understanding and Treating Adrenal Disorders

A Comprehensive Guide to Treatment Options and Management

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Adrenal disorders affect the small but vital glands located above your kidneys that produce essential hormones for your body.

Common Adrenal Disorders

1. Addison's Disease (Primary Adrenal Insufficiency)

  • Oral corticosteroids (hydrocortisone, prednisone)
  • Mineralocorticoid replacement (fludrocortisone)
  • Regular monitoring and dose adjustments

2. Cushing's Syndrome

  • Medication reduction if caused by corticosteroids
  • Surgery to remove tumors
  • Radiation therapy when applicable
  • Medical therapy (ketoconazole, mitotane)

3. Pheochromocytoma

  • Surgical removal (adrenalectomy)
  • Pre-operative alpha-blockers
  • Regular blood pressure monitoring

Treatment Approaches

Medical Management

  • Hormone replacement therapy
  • Blood pressure medications
  • Regular laboratory monitoring

Surgical Options

  • Minimally invasive adrenalectomy
  • Open surgery when necessary
  • Tumor removal

Lifestyle Modifications

  • Stress management
  • Regular exercise as tolerated
  • Balanced nutrition
  • Medical ID bracelet wear

Emergency Management

  • Stress dose protocols
  • Injectable emergency medication
  • When to seek immediate care

Follow-up Care

  • Regular endocrinologist visits
  • Medication adjustments
  • Monitoring for complications

Support Resources

  • Patient support groups
  • Educational materials
  • Emergency protocols

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