Confused about previous addisons diagnosis and labs.
I am a 32 year old who was diagnosed with addisons disease about 8 years ago when I was hospitalized for low blood pressure that left me going in and out of consciousness. At that time I was put on cortef and told I had adrenal insufficency but was never told if it was primary or secondary. After a few months of cortef I stopped taking it due to fears related to a previous bad experience with prendisone. I've not been on any steroid since and have done mostly fine till recent. My blood pressure has fluctuated to both high and low extremes enough to be hospitalized for both at least once. The majority of the time my blood pressure has remained high enough to warrant being on 2 blood pressure meds (verapamil Er and Zestril). Because of the high blood pressure I really didn't agree with the doctors diagnosis of adrenal insufficiency and I'm looking to see what others think.
In the past month to 2 months my blood pressure has bottomed out and as a result my blood pressure meds have been stopped while we try and get through this. During this time I've had extreme fatigue low blood pressure (lowest its been is high 70's over 40's but it usually stays around 90's over 60's), salt cravings that never seem to go away and increased thirst which I'm assuming is because of the large amounts of salt I've been talking in.
When talking to my doctor I mentioned the hospital diagnosing me with Addisons years ago but told him at that time I really didn't think it was accurate. He decided to run some tests and the results are as follows..
ACTH- Reference range 5-27 pg/mL... my results 38
Aldosterone- Reference range upright 8am-10am, < or = 28ng/dl... my results were <1
Cortisol- Reference range 4.0 - 22.0 ... my results were 16 mcg/dl
Sodium- Reference range 135-146mmol/L.... my results were 136
Potassium- Reference range 3.5-5.3 mmol/L ... my results 4.3
there were a lot of other labs taken but I'm only adding the ones I think pertain to addisons.
What do the lab results mean? Was the doctor at the hospital right about me having addisons? What other possible conditions could this be?
Edit to replace calcium levels with potassium as it is more appropriate.
Last edited by Sterlingecho; 11-30-2010 at 03:27 PM.