Q. Can pituitary problems cause a big head?

Answered by
Dr. Thiyagarajan. T
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 03, 2021 and last reviewed on: Nov 02, 2022

Hi doctor,

I have a big head. And a plastic surgeon said that I have a pituitary problem. Are there any tests that I can take to find out the real issue?




Welcome to believe your plastic surgeon suspects you may have acromegaly or less likely Cushing's syndrome. My suspicion is low at this point.1) Do you have spacing between your teeth?

2) Do you have headaches?

3) Is there any excess sweating?

4) Do you have any swelling of hands and feet?

5) Do you have any pain in TMJ (temperomandibular joint) while chewing food?


Hello doctor,

Thanks for the reply.

I tried to consult with an endocrinologist but my insurance does not have any providers where I live. I have none of the other symptoms that you have listed other than the plastic surgeon saying I have “strong feet.” Can you please write the referral, so that I can get the laboratory tests? I am really worried about my pituitary and hormone levels.

Does my head look abnormally large?


Hi,Welcome back to

No, your head does not look large (attachments removed to protect the patient’s identity). That is why, I still believe that the chances for a pituitary disorder is low.When the suspicion is low, I do not want to do tests some of which may come abnormal for no particular reason and send us all in a wild goose chase by causing anxiety.But nothing can replace a god history and physical exam, so I recommended consulting.

1) Are you taking any medicines now?

2) Do you have any medical problems?

3) Are the pictures taken recently?

4) Any previous pictures?

5) Any recent wieght gain or change in the appearance of your face?

6) Do you have diabetese or hypertension?

7) Is there any menstrual irregularities?

8) Any striae in the body?

9) Do you have any watery or milky discharge from nipples?

Kindly take tablet Dexamthesaone 1 mg at night and check your serum Cortisol at 7 am.


Hello doctor,

Thanks for the reply.

I really cannot tell if my head has changed size or shape. I am sending you a few more photos. Does my head looks much larger than my colleagues’ and the other guests? I am also sending several photos from my younger days. Does my head look like it is a different size and shape now?



Welcome back to

I looked at all the pictures. I also asked a colleague of mine to have a look at and weigh in. I think your head looks normal. And I do not see any progressive change in the size or appearance of your head or face. Pituitary disorders are usually progressive, so there should be changes over time, which I do not see in your photos. You are normal, and you do not need any testing.


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