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Are Extreme Fatigue, Constant Thirst, Frequent Urination Along With Access And Pains A Serious Concern In A Young Adult Male?
Question: 27 year old male. I have extremely fatigue, constant thirst, frequency urination, aches and pains especially along my ribs and knees. Sensation with my fingers. My bloods text for diabetes, thyroid have all been negative
I live in XXXXXXX and hike, would this be in line with Lyme disease? My illness continues to progress and the pains in my joints have increased... making exercise difficult
I live in XXXXXXX and hike, would this be in line with Lyme disease? My illness continues to progress and the pains in my joints have increased... making exercise difficult
Brief Answer:
It is highly likely adrenal insufficiency
Detailed Answer:
Hello Dear,
I read your question carefully and I understand your concern.
It is highly likely adrenal insufficiency.
Your blood tests show normal results.
Lyme disease is unlikely.
The signs and symptoms that you describe suggestive of adrenal insufficiency. It is a hormonal (endocrine) disorder in which adrenal glands do not produce enough hormones. Adrenal glands produce different types of hormones to regulate blood pressure, water, and electrolyte balance, glucose metabolism, production of the male and female hormones and the body’s response to stress.
Initial signs and symptoms of adrenal insufficiency are non-specific.
Most common initial symptoms are chronic fatigue, muscle pain or weakness, loss of appetite, abdominal pain and weight loss. Symptoms usually develop gradually and worsen over time. In the initial phase of adrenal insufficiency, routine blood tests may be normal.
Please, consult with your doctor about morning cortisol test. If the cortisol level is low you may need cosyntropin stim test to confirm the disorder.
Hope, this information is helpful for you. Please, feel free to ask me if there is anything else you need to know.
Regards
It is highly likely adrenal insufficiency
Detailed Answer:
Hello Dear,
I read your question carefully and I understand your concern.
It is highly likely adrenal insufficiency.
Your blood tests show normal results.
Lyme disease is unlikely.
The signs and symptoms that you describe suggestive of adrenal insufficiency. It is a hormonal (endocrine) disorder in which adrenal glands do not produce enough hormones. Adrenal glands produce different types of hormones to regulate blood pressure, water, and electrolyte balance, glucose metabolism, production of the male and female hormones and the body’s response to stress.
Initial signs and symptoms of adrenal insufficiency are non-specific.
Most common initial symptoms are chronic fatigue, muscle pain or weakness, loss of appetite, abdominal pain and weight loss. Symptoms usually develop gradually and worsen over time. In the initial phase of adrenal insufficiency, routine blood tests may be normal.
Please, consult with your doctor about morning cortisol test. If the cortisol level is low you may need cosyntropin stim test to confirm the disorder.
Hope, this information is helpful for you. Please, feel free to ask me if there is anything else you need to know.
Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I have had very specific pain in my ribs that hurt when touched. Initially my doctor thought is has an inflammation but the meds didn't provide any relief. I cannot sit for long periods of time. I have had chest xrays, scans of all major organs because the initial suggestion was a issue with my gallbladder.
In addition to the symptoms I mentioned, I have genital sensitivity. I initially thought this was an STD but all tests were negative. I have a follow-up appointment with my internist in two weeks and will discuss your feedback. This started over a year ago and has been increasing more difficult to deal with. If I do have adrenal insufficiency - how is that treated?
In addition to the symptoms I mentioned, I have genital sensitivity. I initially thought this was an STD but all tests were negative. I have a follow-up appointment with my internist in two weeks and will discuss your feedback. This started over a year ago and has been increasing more difficult to deal with. If I do have adrenal insufficiency - how is that treated?
Brief Answer:
The treatment generally includes replacement of hormones
Detailed Answer:
Hi,
Thank you for the follow up.
Adrenal insufficiency has many causes (autoimmune disorders, infections) and the treatment depends on a specific cause. Mostly it includes replacement of hormones that are deficient.
You have normal lab tests with progressive non-specific symptoms. Several symptoms are suggestive of adrenal insufficiency. Therefore, I would initially exclude adrenal insufficiency.
If there are any questions that you have please do not hesitate to ask.
Sincerely
The treatment generally includes replacement of hormones
Detailed Answer:
Hi,
Thank you for the follow up.
Adrenal insufficiency has many causes (autoimmune disorders, infections) and the treatment depends on a specific cause. Mostly it includes replacement of hormones that are deficient.
You have normal lab tests with progressive non-specific symptoms. Several symptoms are suggestive of adrenal insufficiency. Therefore, I would initially exclude adrenal insufficiency.
If there are any questions that you have please do not hesitate to ask.
Sincerely
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Above answer was peer-reviewed by :
Dr. Remy Koshy
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