Frequently Asked Questions (FAQs) on addison-s-disease-supra-renal-insufficiency | HospitalKhoj
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ADDISON’S DISEASE (Supra-renal insufficiency)

ADDISON’S DISEASE (Supra-renal insufficiency)


Ques. 1 What is Addison’s Disease?
Ans. This is a condition characterized by asthenia, hypotension, wasting, pigmentation of skin and mucous membrane, and deranged mineral and carbohydrate metabolism due to hypo-function of the Adrenal Cortex, as a result of bilateral destruction. 

Ques. 2 What are the causes symptoms, signs and clinical features of Addison’s disease?
Ans. Causes :
a) Syphilis, hypopituitarism, leukaemia etc.
b) Malignancy.
c) Infiltrative disease, e,g. Hodgkin’s disease, Amyloidosis.
d) Prolonged cortico steroid therapy.
e) Congenital adrenal hyperplasia.

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f) Idiopathic adrenal atrophy.
g) Tuberculosis.

Clinical Features : Onsent-gradual, Age between 30 to 50 years.
Symptoms –
I. Poor concentration.
II. Hypotension.
III. Nausea, vomiting, diarrhoea, anorexia etc.
IV. Craving for salt. Weight loss (cachexia)
b) Secondary infection, e.g. pneumonia etc.
c) Hypo or hyperthyroidism or glycosuria.
Differential Diagnosis :
I. The distinction between adrenal insufficiency due to Addision’s disease and secondary to pituitary failure is that pigmentation does not occur in latter.
II. Addision’s disease is distinguished from cancer of pylorus, showing sallowness of the skin by its distinctive symptoms of low blood pressure.

Ques. 3 What is the treatment of Addison’s disease?
a) Treatment of underlying cause.
b) For crises-Rest in bed, kept warm and given 1000 to 1500 ml. of 0.9% sodium chloride and 5 to 10% dextrose solution I.V.
c) Homoeopathic remedies.
d) In mild cases addition of extra salt in the diet.
e) In moderate and severe cases-replacement therapy is required.

Ques. 4 Which medicines are good for Addison’s disease?
Ans. 1) NATRUM MUR – Great weakness and weariness, great debility, craving for salt. Greasy and oily skin and sometimes discolouration. Unquenchable thirst, amenorrhoea.
2) PHOSPHORUS – Weakness and fatigability, pigmentation of skin, fearfulness hoarseness, vomiting with loss of appetite. Thirst for very cold water sleeplessness.
3) ARGENTUM NIT – Loss of appetite, chronic wasting and diarrhoea, skin brown, tense and hard, great desire for sweets. loss of control and want of balance every where, mentally and physically.
4) ARSENICUM – Burning and discolouration of skin & mucous membrane. Nervous depression, general debility ; feeble heart action & tendency to vomit, anxious and restlessness and nightly aggravation.

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Comments

0 # Aarav 2020-02-14
Hii, I am from Kangra, Please tell that can moisture be responsible for infections ?
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0 # Dr. Pooja 2020-02-17
Hello, good to see that you are from Kangra, yes,that is why u must keep your genital organs clean and dry because moisture can favour infections.
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0 # Himmat Older than three months
Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in Katihar?
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0 # Dr. Naresh Older than three months
Infection from semen, blood or lactation milk can occur and cause syphilis, Infection from blood syringes is very common, Infected mothers can transmit it through their milk also, consult with good Gynecologist in Katihar .
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0 # Nishith Older than three months
Hii, I am from Rewa, plz let me know What is gonorrhoea ?
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0 # Dr. Pooja Older than three months
Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Rewa, find list of Gynecologist in Rewa
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0 # Tushar Older than three months
Hii can you plz tell me, Which fluids can cause or spread syphilis infection, alos give me the list of good gynec in Zunheboto?
Reply | Reply with quote | Quote
0 # Dr. Pooja Older than three months
Infection from semen, blood or lactation milk can occur and cause syphilis, Infection from blood syringes is very common, Infected mothers can transmit it through their milk also, consult with good Gynecologist in Zunheboto .
Reply | Reply with quote | Quote
0 # Priyansh Older than three months
Can gonorrhoea be caused by the infected towels, also provide the list of good gynecologist in Poonch?
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0 # Dr. Naresh Older than three months
Gonorrhoea can be transmitted by the infected towels, handkerchiefs of the infected person, But most cases are due to sexual contacts, find here list of good Gynecologist in Poonch.
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0 # Vaibhav Older than three months
Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Imphal West
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0 # Dr. Pooja Older than three months
yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Imphal West
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0 # Tushar Older than three months
Hello, I am from Ambedkar Nagar, PLz suggest some biochemic remedies for gonorrhoea .
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0 # Dr. Naresh Older than three months
Kali Mur, Natrum Mur, Natrum Sulph, and silicea are few important biochemic emedies in homoeopathy which can be used safely in this case, you can also take advise from gynecologist given here-Gynecologist in Ambedkar Nagar.
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0 # Himmat Older than three months
Hii, I am from Phek, Please tell that can moisture be responsible for infections ?
Reply | Reply with quote | Quote
0 # Dr. Pooja Older than three months
Hello, good to see that you are from Phek, yes,that is why u must keep your genital organs clean and dry because moisture can favour infections.
Reply | Reply with quote | Quote
0 # Himmat Older than three months
Hii, I am from Bhor, Please tell that can moisture be responsible for infections ?
Reply | Reply with quote | Quote
0 # Dr. Naresh Older than three months
Hello, good to see that you are from Bhor, yes,that is why u must keep your genital organs clean and dry because moisture can favour infections.
Reply | Reply with quote | Quote
0 # Himmat Older than three months
Hii, I am from Tiruchirappalli, plz let me know What is gonorrhoea ?
Reply | Reply with quote | Quote
0 # Dr. Pooja Older than three months
Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Tiruchirappalli, find list of Gynecologist in Tiruchirappalli
Reply | Reply with quote | Quote