Cushings from steroids

The drug's most common side effects are poor or reduced appetite, vomiting, lack of energy, diarrhea, and weakness. Occasionally, more serious side effects, including bloody diarrhea, collapse, severe sodium/potassium imbalance, and destruction of the adrenal gland may occur, and may result in death. In 2014, with input from CVM, the manufacturer updated the information about patient monitoring and side effects on the package insert. Although not proven to be caused by Vetoryl, some additional side effects reported to CVM and now included on the package insert are adrenal insufficiency, shaking, elevated liver enzymes and elevated kidney tests.

Hi everyone and thank you Dr Finch. My Boston who is my “service-dog” and 9 years old has Cushings and I am worried there is pain involved with this disease. I have not started her on any meds yet because her Vet said it would eventually kill off her adrenaline glands and then ultimately cause her death. I feel like I am doing the wrong things with Bojangles in that I have not been treating the disease but rather putting up with her symptoms and I do not want her to suffer. She has “insanity-anxiety” attacks whenever there is food around. We change her water bowl zillions of times a day. I sometimes get so frustrated that I lose my patience with her and I certainly do not like getting frustrated. I feel like my best friend in the whole world is sick and I can’t fix it. We use to be very close and now for her comfort she is in my husbands lap most of the time which is her only solace. Dr Finch what should I do?
I sometimes find her in the middle of the night on the cold floor and she will be icy to touch. The other hard thing is the belly weight has made her breathing tube squashed so it creates excessive mucous and she hacks constantly. We were told to treat this disorder with childrens benadryl.
Any advice would be be helpful. The vets are so expensive around here but I want her helped. Can you tell me if she is in pain?
Thank You
Bonnie D
Vancouver WA

In most cases, an operation has a high chance of curing Cushing's syndrome Cushing's syndrome - a disease where too much cortisol is being made . Surgery will be aimed at removing the gland (either pituitary or adrenal gland) that is responsible for the syndrome. Pituitary surgery is performed by neurosurgeons who remove the pituitary gland through the patient's nasal cavity (. nose) using a microscope. In unusual cases where pituitary surgery does not cure the patient, other treatments like Gamma knife (external beam radiation) or removal of both adrenal glands can cure the patient of Cushing's syndrome. For patients with adrenal tumors causing Cushing's syndrome, endocrine surgeons can remove the adrenal gland(s) through the abdomen. This operation is usually done using minimally invasive techniques like laparoscopy. ( See How is adrenal surgery performed ) It is important that patients with Cushing's receive extra steroids intravenously during the operation called "stress dose steroids" to help the body respond to the stress of the operation. Patients will typically need to be gradually tapered off their steroids over the course of many months to a year or two until the adrenal glands or remaining adrenal gland can produce enough cortisol Cortisol - a glucocorticoid that controls glucose production and suppresses the immune system on its own. This is due to the fact that when a patient has longstanding Cushing's syndrome, the remaining adrenal gland(s) take a long time to wake up and function normally. 4

Donation In Honor Of: Dr. Jennifer Pecina
   Sharon says: "I gave the donation in gratitude for the wonderful care I had from Dr. Jennifer Pecina . Not only is she a competent, caring, very bright physician, but she takes time to talk on a more person-to-person level. Dr. Pecina was always willing to order any tests and make any referrals she felt were indicated rather than take chances with my health. She suspected Cushing's and made the referral to the endocrinologist. I can honestly say that Dr. Pecina was the best PCP I have ever had, and I will truly miss her even though I am happy she is leaving Texas for Rochester, MN, where she will be married.

Cushings from steroids

cushings from steroids

Donation In Honor Of: Dr. Jennifer Pecina
   Sharon says: "I gave the donation in gratitude for the wonderful care I had from Dr. Jennifer Pecina . Not only is she a competent, caring, very bright physician, but she takes time to talk on a more person-to-person level. Dr. Pecina was always willing to order any tests and make any referrals she felt were indicated rather than take chances with my health. She suspected Cushing's and made the referral to the endocrinologist. I can honestly say that Dr. Pecina was the best PCP I have ever had, and I will truly miss her even though I am happy she is leaving Texas for Rochester, MN, where she will be married.

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