Testing for Cushing's.
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Hello, I'm new here and am convinced I suffer with Cushing's syndrome/disease.
I went to the doctor's (UK), listed my symtoms and eventually the doctor gave in and said she'd have to research what tests actually need to be done in order to diagnose.
I rang to book an appointment and they said all that needs to be done is a cortisol blood test at 9am...I rang them back today and the receptionist said it came back as normal and no further action is required but I'm not convinced by that.
My research seems to show that there are quite a few tests and that often 2 tests are done in order to diagnose. I also thought that the blood test was done at 9am after a dose of Dexamethasone at midnight the previous evening. Am I correct or is this precedure normal? What are all of your experiences with diagnosis?
Thanks,
Isla
1 like, 14 replies
georgina47257 isla44462
Posted
I have Cushing disease which is a 1.5mm tumor on the puturity. I went to GP with lots of different symptoms at different times. The one symptom that got me refered was having no periods.after two years of seeing gyno and everyone saying I had pcos I got referred to an endocrinologists and tested.
What you need to do is be referred to a specialist endocrinologist. Write down your symptoms.
Typical symptoms.
Purple stretch mark on adomen
Fat around middle
Hard to loose weigh
Aches in joints
Bruising easily
Round face
Buffalo hump (fat pads by shoulders)
Lack of libido
Red face
Depression
Insominia
Extreme fatigue during day and inability to sleep
Tests.
24 hour urine sample
Saliva test
48 hour dexesomone supression blood test. High and low
Or over a week low and high dex blood test @ 8/9 am (depends on country,lab at times) actch blood and base test.
I only did dex tests twice. Its really hard to test for cushings. It sounds like they have done a base hormone test to see if your base cortisol is high. They need to go this at 12am as well, because this is your lowest time of producing it therefore if high, you are producing too much. The dex test only states where the tumour is. Either the puturity or adrenal. This is needed with the atch.
There is a cycle Cushing which is very rare and hard to catch. It means you have to catch your hormone level when you are on a high. This is easier with urine and saliva test.
Once these tests are indicating cushings, you need mri or ct scan.
Join facebook Cushing forum. You will get lots of support and info.
I hope this hells. It can be a long process getting listened too. Just keep logs of everything and if you have private healthcare use it. GP can be difficult.
Good luck
Georgie x
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georgina47257 isla44462
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Testing for this disease is very much a struggle through gp. U need to get to see a specialist.
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