Recently Answered Questions
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I have attached my PET scan reports. Please review.
Query: Hi doctor, I would like to get an opinion about my PET scan. I have attached my PET scan report for your reference. Read Full »
Answer: Hi, Welcome to icliniq.com. A PET scan (positron emission tomography) is a scan in which a radioisotope substance is injected and in most cases tagged glucose is given to the patient. This glucose gets concentrated in areas where there is increased consumption and therefore it is seen as increase... Read Full »
I have a pituitary mass that causes symptoms. Please help.
Query: Hello doctor, I am a 33-year-old female and I have a 1.6 cm mass on my pituitary. For the past two years, my symptoms have gotten stranger and worse. My fingernails are falling off, confusion, and memory problems, I have had six episodes where I sleep for days. The longest was four days. I have l... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and the reports that you have attached (attachment removed to protect the patient's identity). I am sorry for how you feel at the moment. I would suggest attaching the pituitary MRI report since the large pituitary tumor needs some treatment ei... Read Full »
When can a person have cyclical Cushing's syndrome?
Query: Hi doctor, I am 21 years now. I weigh 132 lbs and was diagnosed with cyclical Cushing's syndrome at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology. I have beard ... Read Full »
Answer: Hi, Welcome to icliniq.com. No, there is no other pituitary in the brain and sometimes urinary test fails to detect hormones. In cyclical Cushing's, the cortisol levels fluctuate over time, making the diagnosis even more difficult. The source of ectopic hormone production should be searched for,... Read Full »
What does the MRI show post pituitary macroadenoma surgery?
Query: Hello doctor, This query is regarding my husband's health. Three months back, my husband underwent surgery for pituitary macroadenoma. He was advised Hisone steroid tablet for three months. But he has a headache on and off. He has gained 19.8 lbs in three months, though he eats very little. Yesterda... Read Full »
Answer: Hello, Welcome to icliniq.com. The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor as per what you have written as part of the MRI report. Hisone (Hydrocortisone) is a steroid supplement for hormonal imbalances, which may occur after pituitary surgery... Read Full »
Does pituitary adenoma result in a life-thretening condition?
Query: Hello doctor, I got an magnetic resonance imaging (MRI) done due to severe headaches, and I was diagnosed with pituitary adenoma. So, I consulted a neurosurgeon, who suggested some scans. Everything was normal according to him. He later said that the tumor is tiny almost 0.39 inch, and he asked me t... Read Full »
Answer: Hello, Welcome to icliniq.com. If the tumor is smaller than 1 cm and all your hormonal tests are normal, then serial observation is the preferred treatment. In these cases, no surgery is needed. Mild headaches may not be related to the adenoma. Kindly follow the advice of your treating neurosurgeon... Read Full »
Why am I having high prolactin level?
Query: Hi doctor, I would like help in understanding my situation and a second opinion to that of my GP. I had a blood test two months back which showed serum prolactin levels at 618. I was unaware what the test was for so breastfed before and during the blood being taken. I breastfeed a toddler betwe... Read Full »
Answer: Hi, Welcome to icliniq.com. To get rid you of your worries, I should let you know the usual level of prolactin in different conditions. The upper limit of normal for many assays of serum prolactin is approximately 24 ng/mL. In non-pregnant and non-lactating patients, monomeric prolactin concentrat... Read Full »
Kindly suggest a treatment for sleep problems.
Query: Hi doctor,I am a female of weight 60 kg and height 176 cm. I have been having extreme trouble with sleeping for about 18 months now. I struggle to get to bed, and when I finally do, I wake up once in one and a half hours or so and feel like the sleep is not a deep one. I feel like I have a restless ... Read Full »
Dr. Saraswat Kumarshri Shriniwas
Answer: Hello, Welcome to icliniq.com. From your limited history, two plausible causes of your insomnia can be made out. Cabergoline is a dopamine agonist, which has stimulating properties. However, you cannot quit taking it because it is needed in your case. Hypothalamus is connected to the pituitary bot... Read Full »
Will a prolactinoma shrink for a patient in his 70s after increasing the dose of Cabergoline?
Query: Hello doctor, I would appreciate your opinion about a case in which pituitary surgery has been indicated. A patient in his early 70s was diagnosed with a prolactinoma ten years ago. He was prescribed a tablet of Dostinex 0.5 mg per week, which was then reduced to 0.5 mg per two weeks. The prolactin ... Read Full »
Answer: Hello, Welcome to icliniq.com Pituitary surgery is rarely required in prolactinomas and is generally reserved for patients intolerant or resistant to Dopamine agonist therapy, Cabergoline. Surgery is indicated only if visual field defects, headaches, and hypopituitarism are present. In addition, the... Read Full »
Will pituitary tumor cause excessive anger and anxiety attack?
Query: Hello doctor, I am a 20-year-old girl having a 1 cm large tumor in my pituitary gland and I am medicated with Caberlin 0.5 once in a week. Besides this, something that worries me is excessive anger issues accompanied by anxiety and panic attacks past the last six months. I lose my temper in a jiff ... Read Full »
Answer: Hello, Welcome to icliniq.com. You have provided a detailed and insightful description of symptoms troubling you. You are reporting excessive anger, anxiety, panic attacks, self-injurious behavior for the past six months or so. These symptoms can occur in anyone, more common in people having hi... Read Full »
My prolactin levels are high,I am scared of an MRI.What do I do?
Query: Hello doctor, I have problem of high prolactin (PRL) since one year. As per doctor's advice I have taken medicine for one year. I had checked my prolactin levels earlier and I had done an MRI also. I have attached my previous and current reports (prolactin levels and MRI) and prescription. I had... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, why do you get scared of MRI scan? MRI is just a non-invasive scan and you need not be afraid of getting it done. I went through your reports (attachment removed to protect patient identity) and your previous MRI scan says that there is a microadenoma in you... Read Full »