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Real members of CAHteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

How Do You Prepare For Or Handle Adrenal Episodes During Stressful Times?

A CAHteam Subscriber asked a question 💭
September 19, 2024
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Managing adrenal crisis in CAH requires immediate attention. Key warning signs include
- Vomiting or diarrhea
- Severe weakness
- Confusion or sleepiness
- Low blood pressure
- Dehydration
- Weight loss

Always wear a medical alert bracelet/necklace identifying your CAH condition and carry emergency contact information Show Full Answer

Managing adrenal crisis in CAH requires immediate attention. Key warning signs include:
- Vomiting or diarrhea
- Severe weakness
- Confusion or sleepiness
- Low blood pressure
- Dehydration
- Weight loss

Always wear a medical alert bracelet/necklace identifying your CAH condition and carry emergency contact information. Prevention and preparation are crucial:
1. Keep an emergency kit with extra medication and syringes
2. Practice "stress dosing" - taking extra hydrocortisone during:
- Illnesses (especially stomach bugs)
- Surgeries
- High fever
- Significant emotional stress
- Physical injuries

Always consult your endocrinologist about specific stress dosing amounts, as recommendations vary between adults and children. During periods of stress, your body needs more cortisol. If blood pressure drops below 100 mm Hg or drops 20 points from your normal reading, this indicates a crisis requiring immediate medical attention. Work closely with your endocrinologist to develop a personalized stress management plan and ensure you understand when and how to adjust your medication doses.

May 29

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