Adrenal Insufficiency Specialists in Shastri Bhawan, Delhi

What is Adrenal Insufficiency?

Adrenal insufficiency is a condition in which the adrenal glands fail to produce adequate amounts of essential hormones, particularly cortisol, which plays a critical role in regulating blood pressure, blood sugar, and the body's response to stress and illness. The condition can result from a problem within the adrenal glands themselves, known as primary adrenal insufficiency or Addison's disease, or from insufficient stimulation of otherwise healthy adrenal glands due to a problem with the pituitary gland, known as secondary adrenal insufficiency. Symptoms typically develop gradually and can be vague and nonspecific initially, which can delay diagnosis until the condition progresses or is unmasked by physical stress such as illness or surgery. Without adequate cortisol, the body cannot mount an appropriate response to physical stress, and a severe, sudden worsening called an adrenal crisis is a life-threatening medical emergency requiring immediate treatment. Lifelong hormone replacement therapy effectively manages the condition and allows most patients to lead normal, active lives with proper medical guidance.

Causes of Adrenal Insufficiency

Primary adrenal insufficiency is most commonly caused by autoimmune destruction of the adrenal glands, in which the immune system mistakenly attacks adrenal tissue, though infections such as tuberculosis can also damage the glands directly. Secondary adrenal insufficiency most often results from long-term use of corticosteroid medications that suppress the body's own hormone production, or from conditions affecting the pituitary gland that reduce its stimulation of the adrenal glands. Abrupt discontinuation of long-term corticosteroid medication is a particularly important preventable cause of adrenal insufficiency and crisis.

Symptoms of Adrenal Insufficiency

Chronic fatigue and weakness, unintended weight loss, low blood pressure especially on standing, darkened skin in primary adrenal insufficiency, salt cravings, nausea and abdominal pain, low blood sugar, in adrenal crisis severe vomiting, confusion, or collapse

Treatment & Types of Adrenal Insufficiency in Shastri Bhawan, Delhi

Treatment involves lifelong hormone replacement therapy with corticosteroid medication to replace the body's missing cortisol, with doses carefully adjusted and often temporarily increased during illness, injury, or surgery to mimic the body's natural stress response. Patients are educated to recognise early warning signs of an impending adrenal crisis and are typically prescribed emergency injectable medication for use in urgent situations. Regular follow-up with an endocrinologist helps ensure hormone replacement remains appropriately dosed over time.

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