Cushing's syndrome, Internal Medicine FAQ

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Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights

Cushing's syndrome endocrine disorder Hello, doctor. For the past month, I have not had my period. My face appears round, and I have what seems to be "buffalo hump" at my collarbone. My mood has become depressed and irritable. My hands have become dry and even crac...


Dr. Lin Jianliang Reply:
Hello: It is recommended to visit a hospital for evaluation and examination by a physician. A diagnosis can only be made after a thorough consultation and examination; one should not rely solely on personal subjective feelings to make a diagnosis.

[Read More] Understanding Cushing's Syndrome: Symptoms and Diagnosis Insights


Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?

Hypertension and aldosterone issues? Hello Doctor: I have been dealing with high blood pressure and have visited both nephrology and endocrinology departments. Blood tests conducted at both places, approximately a month apart, showed normal aldosterone levels, around 4. The endoc...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The nephrologists or endocrinologists you encounter are very competent; please cooperate as soon as possible. 2. Hypertension is generally classified into primary hypertension and secondary hypertension. The former primarily occurs in middle-aged and eld...

[Read More] Understanding Aldosterone Testing for Hypertension: Is Hospitalization Necessary?


Understanding Hormonal Imbalance: Excess Hair Growth and Irregular Periods

Is it an endocrine disorder? Hello, doctor. Since I started developing in the sixth grade, I've noticed an increase in body hair, particularly on my chest, which is quite noticeable and not just fine hair. There are also two very thick hairs, about 5 to 6 centimeters long, s...


Dr. Xiao Yongxun Reply:
Dear Ms. Sofia: 1. There are many causes of hirsutism in women; the more common ones include polycystic ovary syndrome (PCOS) and idiopathic hirsutism. Less common causes may include medications (such as Danazol), congenital adrenal hyperplasia, ovarian tumors, adrenal tumors, ...

[Read More] Understanding Hormonal Imbalance: Excess Hair Growth and Irregular Periods


Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues

Endocrine disorder? Doctor, I have acne and pimples on my back and chest, and I also have red bumps and white streaks on my buttocks. Additionally, I have developed body hair on my chest and quite a bit of it, and there are some dark hairs on my cheeks that are not fine hair; the...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you first visit a hospital (not a clinic) to see a dermatologist, and then follow the advice of the dermatologist.

[Read More] Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues


Understanding Low Eosinophil Levels: Causes and Implications

Eosinophil count is low? A low eosinophil count (measured at 0.7) may indicate several conditions or situations in the body. It could be associated with factors such as acute infections, stress responses, or the use of corticosteroids. Additionally, it may suggest certain medical...


Dr. Chen Qingbin Reply:
Hello: The elevation of eosinophils during allergic reactions or parasitic infections is not a significant concern.

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Understanding Moon Facies: Possible Causes and Diagnostic Approaches

What diseases can cause an unusually round and swollen face (similar to a full moon face)? I am a 22-year-old male, and recently while organizing old photos, I noticed that my face appears disproportionately swollen compared to my BMI. I am 175 cm tall and weigh 80 kg. I collecte...


Dr. Huang Yaoxuan Reply:
Hello Mr. Kobayashi: 1. Regarding kidney diseases, blood tests and urinalysis can be used for screening, and sometimes additional imaging studies such as ultrasound may be performed to assist in diagnosis and treatment. If, as you mentioned, you only have kidney stones (and ele...

[Read More] Understanding Moon Facies: Possible Causes and Diagnostic Approaches


Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria

Please provide the content you would like Hello, I would like to ask you: Besides glycosuria, what other diseases could cause a sudden increase in blood glucose levels? A month ago, my fasting blood glucose levels after 8 hours were between 90 and 106, but in the past week, they ...


Dr. Xiao Yongxun Reply:
Hello: The causes of elevated blood sugar include Type 1 diabetes, Type 2 diabetes, congenital disorders, chronic pancreatitis, hemochromatosis, acromegaly, Cushing's syndrome, metabolic tumors, hypothyroidism, pregnancy, and drug-induced factors, among others. Your fasting ...

[Read More] Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria


Understanding Cushing's Syndrome: Symptoms, Treatment, and Steroid Use

Cushing's syndrome Hello, Doctor: I was diagnosed with Cushing's syndrome in 1998 and had my left adrenal gland removed. Currently, my adrenaline secretion should be normal, but over the past few years, I sometimes feel fatigued in the mornings, even though I believe I ...


Dr. Yang Hongzhi Reply:
Hello: The adrenal tumor was discovered in 1998, and now the adrenal function may have recovered. It is necessary to confirm adrenal insufficiency before considering the need for steroid supplementation.

[Read More] Understanding Cushing's Syndrome: Symptoms, Treatment, and Steroid Use


Which Medical Specialty Should You Consult for Suspected Cushing's Syndrome?

Patients with Cushing's syndrome should consult an endocrinologist? Hello Doctor, I previously underwent an adrenaline test, and the results were normal. However, I suspect that I have symptoms of Cushing's syndrome, such as moon facies, buffalo hump, and numerous visib...


Dr. Yang Hongzhi Reply:
Hello: You should see an endocrinologist. Previously, regarding adrenal examinations, it is necessary to review the test items and results to determine whether Cushing's syndrome can be ruled out.

[Read More] Which Medical Specialty Should You Consult for Suspected Cushing's Syndrome?


Understanding Cushing's Syndrome: Symptoms, Diagnosis, and Treatment Options

Cushing's syndrome? How is it treated? Two years ago, symptoms of Cushing's syndrome appeared (buffalo hump, purple striae on the abdomen, moon facies, and purple striae on both sides of the waist). I consulted a hospital and underwent a blood test, which returned norma...


Dr. Yang Hongzhi Reply:
Cushing's syndrome is typically confirmed through blood tests before proceeding to imaging studies. Sometimes, blood tests may yield false-negative results (indicating no issue when there is one), especially if the symptoms are similar to other conditions. In such cases, fur...

[Read More] Understanding Cushing's Syndrome: Symptoms, Diagnosis, and Treatment Options


Understanding Cushing's Syndrome: Diagnosis and Treatment Options

Cushing's syndrome I have been experiencing continuous weight gain, facial swelling, and the development of acne and buffalo hump over the past four to five months. After visiting the hospital for examination, it seems that I may have Cushing's syndrome and a tumor in t...


Dr. Yang Hongzhi Reply:
Cushing's syndrome is caused by excessive secretion of adrenal corticosteroids. To diagnose this condition, it is essential to confirm that there is indeed an overproduction of adrenal corticosteroids. Typically, a high dose of dexamethasone is administered to assess whether...

[Read More] Understanding Cushing's Syndrome: Diagnosis and Treatment Options


Understanding Acne: Is Hormonal Imbalance the Root Cause?

Endocrine disorders and acne? I have been dealing with acne for almost three years now. During this time, I have seen many dermatologists, but the acne keeps coming back. I often hear people say that their acne is due to hormonal imbalances. How can I determine if my acne is caus...


Dr. Wang Zhihui Reply:
Endocrine diseases that can cause acne, aside from Cushing's syndrome due to excessive adrenal corticosteroids, include symptoms such as moon facies, buffalo hump, central obesity, and acne. However, such cases are relatively rare, and skin-related issues are more common. Th...

[Read More] Understanding Acne: Is Hormonal Imbalance the Root Cause?


Understanding Sudden Weight Gain: Causes and Solutions

Sudden weight gain In the past few weeks, I've noticed that the area below my chest down to my thighs has become quite swollen. I'm not sure if it's fat gain or edema. My diet hasn't changed significantly, and I'm unsure about the cause. Could you help me...


Dr. Lin Jizhi Reply:
I apologize, but I do not know your height and weight. Additionally, what is the extent of the weight change? How many kilograms? Generally speaking, sudden weight gain should raise concerns about potential endocrine disorders, such as hypothyroidism or Cushing's syndrome. F...

[Read More] Understanding Sudden Weight Gain: Causes and Solutions