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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Ganglioneuroblastoma?

21 year old female. Living with untreated CAH. Past includes diagnosis of gangleoneuroblastoma at age 14, with removal of right adrenal gland. 3 spine surgeries for scoliosis and a gall bladder removal at 18. Also with a history of ovarian cysts. Symptoms include excessive fatigue, nausia, vomiting, blood in vomit, bloating, gas pains, dull aching pain in area of right ovary, random gushes of water like discharge, low fevers, headaches, severe cough, dizziness, mood swings, lower back pain, swelling in abdomen. Loss of sex drive and loss of appetite as well. Symptoms have been persistant for about a week now. Can this be related to the CAH? What could be the cause of these symptoms?
Fri, 21 Apr 2017
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General Surgeon 's  Response
Hi, I had gone through your question and understand your concerns.
This is significant amount of symptoms and signs and this can definitely be related to CAH since symptoms are of great variety and include some typical hormonal issues such as sex drive, digestion problems and fatigue. YOu need to check your cortisol and estrogen levels and do ovarian ultrasound to see if there is policystic ovarian syndrome which could also be present. CAH should be treated with adequate hormonal replacement therapy if abnormality in these hormonal levels are verified.
Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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What Is The Treatment For Ganglioneuroblastoma?

Hi, I had gone through your question and understand your concerns. This is significant amount of symptoms and signs and this can definitely be related to CAH since symptoms are of great variety and include some typical hormonal issues such as sex drive, digestion problems and fatigue. YOu need to check your cortisol and estrogen levels and do ovarian ultrasound to see if there is policystic ovarian syndrome which could also be present. CAH should be treated with adequate hormonal replacement therapy if abnormality in these hormonal levels are verified. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.