Симпатоадреналовый криз советы по лечению и профилактике

Быстрое, кратковременное поднятие АД, до   200/100 мм рт. ст., а пульс а– до 100 в минуту и даже выше. Может сопровождаться сильной головной болью, особенно  в затылочной области, пульсацией крови в голове, иногда – перебоями в сердцебиении.

Чем это вызывается,  современная медицина не может объяснить и доказать.   Привычка сваливать на нервы, стресс и дистонию доходит до абсурдных заключений. Доктора назначают препараты, которые не приносят эффекта.  Пациенты постоянно меряют давление, « я сплю с тонометром, вдруг у меня поднимется давление» и получая неэффективное лечение вынуждены заниматься самолечением.

«ТРИГГЕРНАЯ      ЦЕПОЧКА» — открытие доктора Сухоручко А.Н.

Для начала давайте разберемся в строении позвоночника. Он представляет собой конгломерат из позвонков соединенных межпозвонковыми суставами и укрепленных связками и мышцами.    

Симпатический ствол (truncus sympathicus) парный, образован узлами, расположенными по обе стороны от позвоночника, около межпозвонковых суставов, соединенные между собой симпатическими волокнами. То есть, ствол выглядит как цепочка из нервных комочков, которые окружены мышцами и связками позвоночника. 

 

Функция симпатической нервной системы:  повышает тонус сосудов, учащает  и усиливает  сердечные  сокращения, вентиляцию легких, перистальтику кишечника,  деятель­ность потовых желез.

Профессор Сухоручко А.Н. 

«На многочисленных примерах своих пациентов я убедился, что абсолютное большинство пациентов  продолжает испытывать жалобы, что и до приёма назначенных докторами препаратов, то есть назначенное докторами лечение оказывалось неэффективным. Данных пациентов «отфутболивают» от одного специалиста к другому.

Обследуя пациентов,  я обратил внимание, то при дозированном нажатии, на определённые точки шейного отдела позвоночника пациент узнавал свои боли, жалобы. При пальпации межпозвонковых суставов C3-C7, пациент, чётко узнавал свою боль, то есть  ту, на которую он предъявлял жалобы. Я назвал это «феномен узнавания». В тех местах, которые пальпировались  никакие нервы не проходят. Это натолкнуло меня на мысль, что боль может распространяться не только по нервам, но и по связочно-мышечному аппарату.   Многие врачи до меня обращали внимание на наличие в мышцах небольших плотных очагов воспаления, называемых триггерными точками. Но этим наблюдениям не придавали большого значения, так как считалось, что эти триггерные точки локальны и не связаны между собой. Опытным путём я установил, что эти точки не только связаны и образуют триггерную цепочку, но и могут подобно нервам передавать болевые импульсы.

Триггерная цепочка начинается в межпозвонковом суставе, а заканчивается в пальцах рук, ног, мышцах головы, внутренних органах и т. д. Это может быть проверено путем дозированного пальцевого надавливания на межпозвонковый сустав. При этом провоцируется боль, исходящая, как считалось из сдавленного нерва, но на самом деле из связок межпозвонкового сустава. Этот приём, разработанный мной, является не только диагностическим, но и лечебным. При надавливании на область воспаления мы уменьшаем его кровообращение, вызывая его временную ишемию. После прекращения надавливания кровоток  возвращается с новой силой, тем самым устраняя воспаление в данном участке. Научное направление,  которое объединяет диагностику,  лечение и профилактику заболеваний связочно-мышечного аппарата я назвал ТЕНДОМИОТЕРАПИЯ. Такую пальпаторную иррадиацию боли с «феноменом узнавания» до меня не осуществил ни один из докторов в мире, поэтому я запатентовал в России эту методику, а также получил подтверждение, что эта методика или подобные не используются в США – получив сертификат США»

МЕХАНИЗМ ФОРМИРОВАНИЯ СИМПТОМОВ

Действительно,  пациента беспокоят следующие жалобы: повышение артериального давления, боль в затылочной области, сердцебиение. Но, в первую очередь  у всех таких пациентов имеется  НАРУШЕНИЕ ОСАНКИ,  это приводит к перегрузке мышц шеи и соответственно нарушению работы симпатической нервной системы.

При обследовании методикой «триггерная цепочка»  у таких пациентов имеется спазм шейных мышц, « шейный горб», а также иррадиация из межпозвонковых суставов в затылочную область и появление симптома сердцебиения, то есть пациент узнал свои жалобы. Тем самым подтверждая,  что источником его жалоб является позвоночник, а не сосуды.            

При асептическом воспалении связок межпозвонкового сустава C3-C7 болевая информация передаётся по связкам в  затылок,  появляется напряжение в шейных мышцах,  спазм которых нарушает работу симпатических шейных нервных узлов, вызывая  сердцебиение, нестабильность артериального давления. Это происходит при статической нагрузке на шейный отдел позвоночника у людей,  работающих сидя: учащиеся, юристы, экономисты, бухгалтер.

ДИАГНОСТИКА

Для выявления асептического воспаления межпозвонковых суставов нужно пройти определенное обследование. При котором, пацент ,  должен подтвердить наличие болевой иррадиации из позвоночника в грудную клетку, тем самым устанавливается причина болей – ПОЗВОНОЧНИК, а именно межпозвонковый сустав.

Выполнять самостоятельно или по рекомендации некомпетентных врачей объективные методы исследования  рентген, компьютерная томография, магнитно-резонансная томография НЕ НУЖНО!

Нужно провести пальпирование шейного отдела позвоночника,  что бы выявить иррадиацию.                    

НЕПРАВИЛЬНО

              

Из остистых отростков никакой иррадиации не происходит.

ПРАВИЛЬНО 

обследование шейного отдела позвоночника по методике «ТРИГГЕРНАЯ ЦЕПОЧКА»                

                     

Симптомы при которых обязательно нужно пройти обследование  методикой «триггерная цепочка» доктора Сухоручко А.Н.

1. Нестабильность артериального давления.
2. Появление серцебиения.

ЛЕЧЕНИЕ по методу доктора Сухоручко А.Н.

СОВРЕМЕННЫЙ ЗАПАТЕНТОВАННЫЙ МЕТОД УСТРАНЕНИЯ БОЛЕЗНИ БЕЗ ОПЕРАЦИИ И  ЛЕКАРСТВ!

Д.м.н., проф. Сухоручко А.Н.  с 2002 г. начал разрабатывать свою собственную методику на основе массажа,  иглотерапии,  мануальной терапии, неврологии и своего опыта работы. Через 10 лет методика была документально оформлена в виде патентов РФ №№  2460457 «Способ диагностики вертеброгенных болевых синдромов дегенеративно-дистрофических заболеваний позвоночника», № 2460507 «Способ лечения заболеваний позвоночника», № 2496461 «Способ профилактики  и лечения дегенеративно-дистрофических заболеваний позвоночника», № 127311 « Корсет для пояснично-кресцовой области-супинатор-термопротектор». Методика имеет сертификат  США TX 7-752-417. За инновационость лечения  без применения медикаментозных и хирургических вмешательств,  универсальность (выполняется на любом отделе позвоночника), практически без возрастных ограничений (от 8 до 90 лет) была награждена золотыми медалями на выставках Москвы и Лондона.

Спазмы, которые образуются в связках и мышцах НЕ СНИМАЮТСЯ лекарственной терапией, физиопроцедурами, мануальной терапией и массажем вследствие их своеобразного кровоснабжения.

Доктор Сухоручко А.Н разработал собственный лечебный приём, который в сочетании с криотерапией, постизометрической релаксацией мышц УСТРАНЯЕТ СПАЗМЫ, БОЛЕВОЙ СИНДРОМ, АСЕПТИЧЕСКОЕ ВОСПАЛЕНИЕ, в дальнейшем нормализуется работа симпатической нервной системы, исправляется осанка.

НЕЦЕЛЕСООБРАЗНО:

1. Прием препаратов новокаин, баралгин и т.д.,  хондропротекторов,  витамины группы В (типа мильгама).
2. Назначение МРТ.
3. Консультация нейрохирурга.

Утверждение о том, что остеохондроз вызывает дистонию, и нужно «вправить» позвонки не выдерживает никакой критики!

ОСТОРОЖНО!
Могут привести к ухудшению состояния:

• вытяжение, стояние на голове, сон в такой позе, мануальная терапия, «вправление» позвонков;
• наклоны, «движение восьмеркой», «хруст» шейными позвонками.

ГИМНАСТИКА способствует закреплению результатов лечения и является профилактикой развития обострений.

Какой путь лечения выбрать — решает только сам пациент.  В клинике «Радость движения» Вам вернут радость жизни!

 

90000 Sympatho adrenal crisis 90001 90002 The sympathetic-adrenal crisis happens suddenly, withoutany precursors. As a rule, it is accompanied by a sensation of pulsation and severe pain in the head, a violation of the rhythm (sometimes pains) of the heart, trembling (tremor in the form of chills) and numbness of the limbs, a sense of anxiety, panic, fear, increased temperature and blood pressure. In the blood, the level of glucose and leukocytes sharply increases. The sympathoadrenal crisis ends, just as it begins, suddenly.In this case, a large volume of light urine is released. Subsequently, the patient has an asthenic condition (a state of impotence, weakness, chronic fatigue). Sympatho-adrenal crisis for symptoms, causes, flow and treatment is quite similar to hypertensive crisis. 90003 90002 Most accurately characterizes the panic attacksudden fear or physiological discomfort. This is due to the release of adrenaline into the blood in a colossal amount. In this case, an overdose of the body with this substance occurs, and sympathetic-adrenal crises occur.Treatment of such manifestations to date is quite effective. This also applies to cases in which the patient, after experiencing unpleasant symptoms and being under their influence, causes relapses of this condition on his own. It should be noted that all manifestations of this condition refer only to the person himself and his state of health, since they are the results of the organism’s struggle with sudden chemical processes. The most unpleasant sensation accompanying the sympathetic-adrenal crisis is suddenly encompassing panic or fear, while a sense of trust in the environment and a sense of security disappears.90003 90002 Panic attacks against the background of neuroses with a breakdown of the functions of the nervous vegetative system can occur due to an erroneous command from the brain to the adrenal glands, which releases adrenaline in excess. 90003 90002 There is also a number of psychological reasonsoccurrence of panic attack. As practice shows, the main ones are severe stresses and psychological traumas, suppressed by man’s willpower, and the strongest fright and experience, forced into the subconscious.90003 90002 Episodes of panic attacks accompany such diseases as: phobias of various kinds, syndrome of prohibition of drugs or alcohol, depression and others. 90003 90002 For patients who have a relapsesympathetic adrenal crisis, treatment should be comprehensive — aimed at eliminating the psychological cause in combination with medications that affect the reduction of adrenaline. 90003 90002 Panic attacks are largelypeople who, with the help of their willpower, did not allow themselves to experience joy, grief or excitement until the end.Thus, the emotions that are hidden deep into the subconscious are suddenly manifested in the form of a state of panic. As practice shows, panic therapy is quite successful. In this, the strength of the patient’s will is of great importance. With her help, a doctor-psychotherapist has the opportunity to eliminate the cause of panic disorder. 90003 90002 Modern psychotherapeutic clinicshave a full range of diagnostic and therapeutic methods. A competent doctor will select the necessary antidepressant, aimed at removing acute manifestations of the disease.So for a sharp decrease in the intensity of the manifestation of symptoms, benzodiazepines are prescribed, to prevent the onset of attacks, the prescription of drugs with a slow onset of action is preferred. The effect is observed from the use of antidepressants of a new generation. However, the most important part of psychiatric care is the active joint work of the doctor and patient, aimed at identifying and eliminating the global cause of the disease causing panic attacks. 90003 .90000 Vagoinsular crises: symptoms and treatment 90001 90002 In critical situations our body reactsunpredictably. This is due to changes in the autonomic nervous system. As a result, acute conditions develop — crises. They are characterized by severe impairment of the internal organs. There are several varieties of crises. All of them are considered dangerous, and require urgent treatment. If assistance is not rendered on time, a fatal outcome may occur. Allocate a sympathoadrenal, hypertonic, vagoinsular crisis.Symptoms, treatment and diagnosis of such conditions are described in this article. 90003 90004 The concept of vagoinsular crisis 90005 90002 As is known, the autonomic nervous systemcontrols the work of almost all internal organs. Under the influence of strong stimuli, its functioning is disrupted. As a result, failures occur in the body. They are mainly associated with stressful effects. Vagoinsular crises are characterized by a sharp release of pancreatic hormone into the blood. This leads to changes in the functioning of the vagus nerve, which is responsible for the operation of vital systems.The main symptoms of vagoinsular crisis are: general weakness, lower blood pressure, red dermographism. Often, this condition is noted in people suffering from vegetovascular dystonia. 90003 90002 The crisis is characterized by a sharp risesigns of cardiac and respiratory failure. There may be pathological changes on the part of the gastrointestinal tract. Acute seizure (paroxysm) is diagnosed in both adults and children. Most vegetative-vascular dystonia is detected in adolescence and young age.90003 90004 Difference from sympathoadrenal crisis 90005 90002 To acute disturbances in the work of the autonomic nervous systemsystems include sympatho adrenal and vagoinsular crisis. These pathological conditions differ in the mechanism of development and clinical signs. In both cases, urgent medical attention is required, as each of these conditions can lead to death. Sympathoadrenal crisis is characterized by a sharp increase in the level of hormones in the cortical layer of the adrenal glands.They cause excitation of the central and autonomic nervous system. The release of adrenaline is accompanied by tachycardia, increased blood pressure and a sense of anxiety and fear. Another name for this pathology is a panic attack. 90003 90002 In contrast to the sympathoadrenal crisis, whenan increase in the level of insulin in the blood there are opposite symptoms. The parasympathetic nervous system begins to predominate over the sympathetic department. There is a slowing down of the heart, relaxation of blood vessels, narrowing of the bronchi, etc.90003 90004 Causes of development of a pathological condition 90005 90002 There are many reasons whyit is possible to develop a vagoinsular crisis. Among them, both endo- and exogenous effects. More often the pathological condition develops against a background of a nervous overstrain. Vagoinsular crises are also observed with changes in the endocrine and cardiovascular systems. After all, all organs are connected through innervation. The causes of the crisis include: 90003 90020 90021 Injuries of the brain.90022 90021 Vascular disorders. Most often they occur against the background of cervical osteochondrosis, increase blood pressure. 90022 90021 Neurotic states. 90022 90021 Excessive emotional and physical activity. 90022 90021 Vegeto-vascular dystonia, caused by burdened heredity. 90022 90021 Pathologies of the thyroid gland. 90022 90021 Diabetes. 90022 90021 Cardiological diseases. 90022 90021 Mental disorders. 90022 90021 Severe intoxication of the body. 90022 90041 90002 Vagoinsular crisis in childhooddevelops due to complications of childbirth and pregnancy.To vegeto-vascular dystonia people are prone to head injuries during infancy. Paroxysms caused by an increase in insulin levels in the blood often occur in children whose parents suffer from vagotonia. 90003 90004 Risk Factors of Crisis Development 90005 90002 Despite the fact that the nervous and physicalAlmost all people undergo overexertions, vagoinsular crises develop only in a certain part of the population. This is due to a hereditary predisposition to this condition, which is of great importance.More often, vegetative-vascular dystonia is diagnosed in young women. 90003 90002 The risk factors include features of the human psyche, nutrition, the presence of bad habits, associated pathological conditions, lifestyle, etc. Crises can occur in the following cases: 90003 90020 90021 In the presence of a permanent nerve strain. For example, due to heavy mental work. 90022 90021 If a person for a long time keeps emotions in himself, that is, he is an introvert. 90022 90021 People who are prone to obesity.Hypercholesterolemia refers to risk factors for vagotonia. 90022 90021 When you abuse caffeine. 90022 90021 In cases where an anxious or hypochondriacal personality type is being formed. 90022 90041 90002 Vagoinsular crisis refers to acute conditions in which it is necessary to provide the patient with emergency care. What medical measures to hold to stop the attack, every doctor should know. 90003 90004 Vagoinsular crisis: symptoms of the disease 90005 90002 Because of a sharp release of insulin into the blood, there islowering of sugar level — hypoglycemic state.Signs of this pathology include severe weakness, sweating, a feeling of heat and a drop in blood pressure. Due to paroxysm, a person can lose consciousness within a few minutes of the onset of these symptoms. Since the vagus nerve regulates the work of internal organs, the following changes are noted: 90003 90020 90021 Bradycardia and hypotension. 90022 90021 Dyspnea. 90022 90021 Violation of the stool. 90022 90021 Appearance of red dermographism. 90022 90021 Violation of the heart rate. 90022 90041 90002 Vagoinsular vegetative crisis can developsuddenly or gradually.In the first case, the patient instantly loses consciousness. There are disorders of hemodynamics. Sometimes the crisis has a wavy current. Gradually, such symptoms as: weakness, deterioration, chills, sweating, hunger and nausea. These manifestations are replaced by a temporary improvement in their state of health. Then they arise again. 90003 90004 Diagnosis of vagoinsular and sympathoadrenal crises 90005 90002 If vagoinsular orsympathoadrenal crisis, it is necessary to urgently call an ambulance.Diagnose these conditions by changes in hemodynamic parameters and clinical picture. An ambulance doctor can determine the blood glucose level by using special test strips. Electrocardiography is performed to exclude myocardial infarction. To reveal the vagoinsular crisis in osteochondrosis of the cervical spine, a special neurologic examination is performed. Occurrence of paroxysmal can be preceded by fainting, pain with head inclinations, impaired sensitivity. 90003.90000 Vagoinsular crises: symptoms and treatment 90001 90002 In critical situations our body reactsunpredictably. This is due to changes in the autonomic nervous system. As a result, acute conditions develop — crises. They are characterized by severe impairment of the internal organs. There are several varieties of crises. All of them are considered dangerous, and require urgent treatment. If assistance is not rendered on time, a fatal outcome may occur. Allocate a sympathoadrenal, hypertonic, vagoinsular crisis.Symptoms, treatment and diagnosis of such conditions are described in this article. 90003 90004 The concept of vagoinsular crisis 90005 90002 As is known, the autonomic nervous systemcontrols the work of almost all internal organs. Under the influence of strong stimuli, its functioning is disrupted. As a result, failures occur in the body. They are mainly associated with stressful effects. Vagoinsular crises are characterized by a sharp release of pancreatic hormone into the blood. This leads to changes in the functioning of the vagus nerve, which is responsible for the operation of vital systems.The main symptoms of vagoinsular crisis are: general weakness, lower blood pressure, red dermographism. Often, this condition is noted in people suffering from vegetovascular dystonia. 90003 90002 The crisis is characterized by a sharp risesigns of cardiac and respiratory failure. There may be pathological changes on the part of the gastrointestinal tract. Acute seizure (paroxysm) is diagnosed in both adults and children. Most vegetative-vascular dystonia is detected in adolescence and young age.90003 90004 Difference from sympathoadrenal crisis 90005 90002 To acute disturbances in the work of the autonomic nervous systemsystems include sympatho adrenal and vagoinsular crisis. These pathological conditions differ in the mechanism of development and clinical signs. In both cases, urgent medical attention is required, as each of these conditions can lead to death. Sympathoadrenal crisis is characterized by a sharp increase in the level of hormones in the cortical layer of the adrenal glands.They cause excitation of the central and autonomic nervous system. The release of adrenaline is accompanied by tachycardia, increased blood pressure and a sense of anxiety and fear. Another name for this pathology is a panic attack. 90003 90002 In contrast to the sympathoadrenal crisis, whenan increase in the level of insulin in the blood there are opposite symptoms. The parasympathetic nervous system begins to predominate over the sympathetic department. There is a slowing down of the heart, relaxation of blood vessels, narrowing of the bronchi, etc.90003 90004 Causes of development of a pathological condition 90005 90002 There are many reasons whyit is possible to develop a vagoinsular crisis. Among them, both endo- and exogenous effects. More often the pathological condition develops against a background of a nervous overstrain. Vagoinsular crises are also observed with changes in the endocrine and cardiovascular systems. After all, all organs are connected through innervation. The causes of the crisis include: 90003 90020 90021 Injuries of the brain.90022 90021 Vascular disorders. Most often they occur against the background of cervical osteochondrosis, increase blood pressure. 90022 90021 Neurotic states. 90022 90021 Excessive emotional and physical activity. 90022 90021 Vegeto-vascular dystonia, caused by burdened heredity. 90022 90021 Pathologies of the thyroid gland. 90022 90021 Diabetes. 90022 90021 Cardiological diseases. 90022 90021 Mental disorders. 90022 90021 Severe intoxication of the body. 90022 90041 90002 Vagoinsular crisis in childhooddevelops due to complications of childbirth and pregnancy.To vegeto-vascular dystonia people are prone to head injuries during infancy. Paroxysms caused by an increase in insulin levels in the blood often occur in children whose parents suffer from vagotonia. 90003 90004 Risk Factors of Crisis Development 90005 90002 Despite the fact that the nervous and physicalAlmost all people undergo overexertions, vagoinsular crises develop only in a certain part of the population. This is due to a hereditary predisposition to this condition, which is of great importance.More often, vegetative-vascular dystonia is diagnosed in young women. 90003 90002 The risk factors include features of the human psyche, nutrition, the presence of bad habits, associated pathological conditions, lifestyle, etc. Crises can occur in the following cases: 90003 90020 90021 In the presence of a permanent nerve strain. For example, due to heavy mental work. 90022 90021 If a person for a long time keeps emotions in himself, that is, he is an introvert. 90022 90021 People who are prone to obesity.Hypercholesterolemia refers to risk factors for vagotonia. 90022 90021 When you abuse caffeine. 90022 90021 In cases where an anxious or hypochondriacal personality type is being formed. 90022 90041 90002 Vagoinsular crisis refers to acute conditions in which it is necessary to provide the patient with emergency care. What medical measures to hold to stop the attack, every doctor should know. 90003 90004 Vagoinsular crisis: symptoms of the disease 90005 90002 Due to a sharp release of insulin into the blood, there islowering of sugar level — hypoglycemic state.Signs of this pathology include severe weakness, sweating, a feeling of heat and a drop in blood pressure. Due to paroxysm, a person can lose consciousness within a few minutes of the onset of these symptoms. Since the vagus nerve regulates the work of internal organs, the following changes are noted: 90003 90020 90021 Bradycardia and hypotension. 90022 90021 Dyspnea. 90022 90021 Violation of the stool. 90022 90021 Appearance of red dermographism. 90022 90021 Violation of the heart rate. 90022 90041 90002 Vagoinsular vegetative crisis can developsuddenly or gradually.In the first case, the patient instantly loses consciousness. There are disorders of hemodynamics. Sometimes the crisis has a wavy current. Gradually, such symptoms as: weakness, deterioration, chills, sweating, hunger and nausea. These manifestations are replaced by a temporary improvement in their state of health. Then they arise again. 90003 90004 Diagnosis of vagoinsular and sympathoadrenal crises 90005 90002 If vagoinsular orsympathoadrenal crisis, it is necessary to urgently call an ambulance.Diagnose these conditions by changes in hemodynamic parameters and clinical picture. An ambulance doctor can determine the blood glucose level by using special test strips. Electrocardiography is performed to exclude myocardial infarction. To reveal the vagoinsular crisis in osteochondrosis of the cervical spine, a special neurologic examination is performed. Occurrence of paroxysmal can be preceded by fainting, pain with head inclinations, impaired sensitivity. 90003 90002 Sudden increase in blood pressureindicates the development of sympathoadrenal or hypertensive crisis.These conditions are differentiated with acute heart failure and impaired cerebral circulation. 90003 90004 First Aid for Crisis 90005 90002 If the background of stress or fatigue in humansthere is a worsening of the condition, urgent help should be urgently called. Before the arrival of doctors it is necessary to put the patient on his back and calm him. Top buttons or a lock on clothes should be unfastened. To ensure the flow of oxygen, you should open the window. If the general weakness grows gradually, you should give the patient a drink of sweet tea.When developing vomiting, people are laid on their side to prevent aspiration. 90003 90002 At the pre-hospital stage, doctors inject intravenously 40% glucose solution, as well as sedatives. In the case of complications, resuscitation is performed. 90003 90094.90000 Addisonian crisis: Causes, symptoms, and treatment 90001 90002 Addisonian crisis is also known as an adrenal crisis or acute adrenal insufficiency. It is a rare and potentially fatal condition where the adrenal glands stop working properly and there is not enough cortisol in the body. 90003 90002 Cortisol is a hormone that helps with a variety of bodily functions. These include maintaining blood sugar, managing the immune system, regulating blood pressure, controlling some of the electrolytes in the body, and controlling stress levels.90003 90002 Cortisol levels are highest in the early morning and after meals and the lowest at night in the early sleep phases. 90003 90002 Low levels of cortisol can cause weakness, extreme tiredness, and drops in blood pressure. Most of the time, however, the human body is capable of balancing the amount of cortisol it produces. 90003 90002 An Addisonian crisis occurs when the adrenal glands, which are located at the top of each kidney, do not produce enough cortisol. The adrenal glands may struggle to produce cortisol efficiently when the body becomes stressed as a result of certain factors or triggers.90003 90002 An Addisonian crisis is a dangerous event and can be fatal if a person can not maintain their cortisol levels. Despite being a highly treatable condition, the death rate associated with an Addisonian crisis is about 6 percent, according to one report published in 90013 The Journal of Clinical Endocrinology & Metabolism 90014. 90003 Share on PinterestConfusion, dizziness, and nausea are all symptoms of an Addisonian crisis. 90002 Symptoms of an Addisonian crisis include: 90003 90018 90019 extreme tiredness and weakness 90020 90019 confusion, psychosis, and slurred speech 90020 90019 dizziness and feeling faint 90020 90019 nausea, vomiting, loss of appetite, and stomach pain 90020 90019 fever, chills, and sweating 90020 90019 sudden lower back or leg pain 90020 90019 dangerously low blood pressure 90020 90019 fast heart rate 90020 90019 skin reactions, including rashes 90020 90019 loss of consciousness 90020 90039 90002 Convulsions are another possible symptom of the Addisonian crisis.The body’s muscles contract and relax quickly and repeatedly, resulting in uncontrolled shaking. 90003 90002 People with a condition called Addison’s disease are at the highest risk of developing Addisonian crisis, especially if their condition is not managed well or has not been diagnosed. 90003 90002 Addison’s disease is an endocrine disorder where the adrenal glands do not produce enough of the hormones that the body needs, including cortisol and aldosterone. 90003 90002 According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Addison’s disease affects 110-144 of every 1 million people in developed countries.90003 90002 The NIDDK also reported that up to 80 percent of Addison’s cases are autoimmune diseases, conditions where the body’s immune system thinks healthy tissues are diseased and attacks cells, tissues, and organs. 90003 90002 Other potential triggers of an Addisonian crisis are: 90003 90018 90019 traumatic physical events, such as a car accident or injury leading to physical shock 90020 90019 severe dehydration 90020 90019 infections, including stomach viruses and the flu 90020 90019 surgery, especially when it involves the adrenal glands 90020 90019 pituitary gland not working properly 90020 90019 general anesthesia 90020 90019 severe allergic reactions 90020 90019 low blood sugar levels in people with diabetes 90020 90019 long-term steroid use or abruptly stopping steroid medications 90020 90019 pregnancy complications 90020 90019 emotional trauma 90020 90039 90002 In a 2015 study, 423 people with adrenal insufficiency were asked to report on factors that triggered their adrenal crisis events.90003 90002 A total of 20 percent of people said that triggers included gastrointestinal infection, fever, or emotional stress. Around 7 percent of the study participants reported other stressful events. 90003 90002 Those who had a previous adrenal crisis were at the highest risk for another crisis. The study’s researchers did not identify any additional risk factors. 90003 Share on PinterestEmergency treatment will be focused on providing intravenous corticosteroids and rehydrating the person.90002 An Addisonian crisis usually starts out with a person experiencing symptoms, such as nausea, vomiting, stomach pain, diarrhea, and loss of appetite. As the crisis worsens, the person will experience chills, sweating, and fever. 90003 90002 If the condition remains untreated, severe dehydration eventually follows, leading to symptoms of shock or convulsions. Some people may also experience low blood sugar or low blood pressure. 90003 90002 It is important for people to get to an emergency room right away for an Addisonian crisis, as it requires urgent medical attention.90003 90002 A doctor can make an initial diagnosis by doing blood tests to check cortisol levels. Making a diagnosis of an Addisonian crisis is not easy, however. People can often go undiagnosed for long periods and remain undiagnosed until an emergency occurs. 90003 90002 Corticosteroids administered into the veins can keep adrenal levels from getting dangerously low. Other important aspects of treating an Addisonian crisis are: 90003 90018 90019 rehydrating the person 90020 90019 balancing their electrolyte levels 90020 90019 getting blood sugar and blood pressure levels back to normal 90020 90039 90002 The length of time that people need to spend in the hospital for a crisis depends on the severity, the underlying causes, and the general health of the individual.90003 90102 A case of Addisonian crisis in an emergency department setting 90103 90002 90013 The Journal of Clinical Endocrinology & Metabolism 90014 reported on a case where a 20-year-old man came into the emergency room with severe weakness and low blood pressure that had progressed over 3 months. 90003 90002 He had visited his doctor 2 months before with symptoms of fever, lack of energy, tiredness, and dizziness. His doctor diagnosed him with a viral infection and symptoms went away after spending several days in the hospital, being treated with saline solution.90003 90002 Upon going to the emergency room for the crisis, he reported no previous health issues but had lost over 15 pounds in the 3 months since he started experiencing symptoms. He did say, however, that his skin had been darkening over the past 3 years. 90003 90002 Testing revealed the following health problems: 90003 90018 90019 anemia 90020 90019 fast heart rate 90020 90019 low blood pressure 90020 90019 low sodium levels 90020 90019 high potassium 90020 90019 low cortisol levels 90020 90039 90002 The man improved after treatment with saline infusion and hydrocortisone , a medical form of cortisol.90003 90002 The doctors determined the potential cause of his Addisonian crisis event was hyperthyroidism, a condition where the thyroid gland makes too much thyroid hormone. 90003 90002 Two years later, the man was doing well and was being treated with hydrocortisone and fludrocortisone. He was living a relatively normal life and had not had another adrenal crisis. He was taking medication for the hyperthyroidism, and he was managing the condition well. 90003 Share on PinterestTaking medication as directed by a doctor can help prevent further crises.90002 Once someone has had an Addisonian crisis, they should continue to have regular checkups. 90003 90002 People should also take the following steps to help prevent a crisis: 90003 90018 90019 learn to watch out for the symptoms of adrenal insufficiency 90020 90019 manage triggering conditions 90020 90019 take daily oral steroids as directed 90020 90019 have emergency glucocorticoids on hand 90020 90019 know how much extra medication to take if they have stressors or become ill 90020 90039 90002 A person should administer an emergency injection as soon as they experience symptoms and not wait until they are too weak, sick, or confused.90003 90002 Once they have had the injection, it is important that the person calls their doctor right away. The emergency injections are only intended to stabilize symptoms and are not a substitute for medical care. 90003 90002 A person who has had an Addisonian crisis can make a full recovery if diagnosed correctly and treated quickly. With ongoing and regular treatment, anyone who has adrenal insufficiency can live a mostly healthy and active life. 90003 90002 An untreated Addisonian crisis could lead to shock, coma, seizure, and possibly death.People can limit complications and risk of another Addisonian crisis by: 90003 90018 90019 taking all prescribed treatments 90020 90019 having a hydrocortisone injection kit on hand at all times 90020 90019 keeping a medication condition identification bracelet or card for emergency situations 90020 90039.