All About Adrenal Insufficiency

I am starting a new blog series where I will be writing out a "survival guide" for living with the conditions I live with. In this blog I will be focusing on Adrenal Insufficiency. *Please not, I am not a healthcare professional, I'm only using my experiences of living with these conditions and therefore anything I say should not replace your healthcare providers advice and recommendations*.

I was first diagnosed with adrenal insufficiency in April 2015. I was diagnosed by the use of a "short synacthen test". This is a test where they take a sample of your blood, inject you with a dose of synacthen and take a sample of your blood again, 30 minutes later. They compare the 2 samples to see the difference between the level of ACTH.

Two types of adrenal insufficiency exist, primary and secondary. Primary adrenal insufficiency is also known as Addison's Disease, it is not reversible as it's the body that is faulty. The second type of secondary adrenal insufficiency, this type is where another condition has to have occurred in order for the symptoms to develop.

My adrenal insufficiency is secondary adrenal insufficiency. Due to my brittle asthma and anaphylaxis, throughout the course of the years I have had a large amount of Prednisolone (a steroid medication). At one point I'd been on a very constant, high dose of Prednisolone due to my asthma and anaphylaxis symptoms. Each day the body produces 7.5mg of it's own, natural Cortisol (naturally-occurring steroid within the body). If you take over 7.5mg of steroids your body realises and due tot there being "artificial steroid" within the body it doesn't need to produce it's own, if this goes on long enough it essentially puts the adrenal glands to sleep and sometimes they don't recover instantaneously. 

Living with adrenal insufficiency can really become scary. The body requires cortisol to properly function and without it you risk going into "adrenal crisis". This is a potentially life-threatening situation which can be fatal. Usually people are placed on steroid courses to counteract their body not having enough cortisol.

The main symptoms of adrenal insufficiency are:

• Hypoglycaemia 
• Weight loss
• Dehydration 
• Disorientation
• Nausea
• Vomiting
• Weakness 
• Tiredness 
• Dizziness 
• Low blood pressure 
• Cardiovascular collapse 
• Muscle aches

The main symptoms of adrenal crisis are

• Extreme fatigue 
• Weight loss 
• Decreased appetite 
• Hyper-pigmentation 
• Low blood pressure 
• Fainting 
• Salt craving 
• Hypoglycaemia 
• Nausea
• Vomiting 
• Diarrea 
• Abdominal pain 
• Muscle and/or joint pain 
• Irritability 
• Depression 
• Loss of body hair 
• In females loss of sex drive

This is not a complete list of all the symptoms of adrenal insufficiency or adrenal crisis but is a list of the main symptoms. Not everybody gets all of these symptoms, some may only have 1 or 2 symptoms. If there is any doubt that you may be in adrenal crisis you should seek emergency medical advice. Adrenal insufficiency is treated by taking steroid medications, if you find you're unable to take your dose you should seek emergency medical attention.

It would be a good idea to tell your family, friends, place of work, education supplier etc. about your adrenal insufficiency as it can leave you disorientated which may impact on your ability to seek help. If you were to collapse someone would be able to tell the medical professional/s about your adrenal insufficiency and they will consider if your symptoms fit adrenal crisis. It also could be a good idea to get a medic alert, many companies do stylish, classy, any gender alerts, it can really do the talking for you if you're unable to.

Here's a few sources of information if you've been diagnosed with the condition:

Addison's Disease Self-Help Guide: https://www.addisons.org.uk/
Adrenal Insufficiency United: https://aiunited.org/
Adrenal Insufficiency/Addison's Disease: https://www.facebook.com/groups/10322336355/?ref=br_rs
Adrenal Insufficiency Support: https://www.facebook.com/groups/184620951620985/
Secondary Adrenal Insufficiency Support: https://www.facebook.com/groups/100858467144753/
Woman's Adrenal Insufficiency Support: https://www.facebook.com/groups/1550015248576508/

What is the Teal Pumpkin Project?

As Halloween night dawns on us some people may have come across something called the Teal 

Pumpkin Project. Many people will think it's just a nice idea to have a pumpkin that's different to the "normal" orange colour however to many people living with issues related to food it holds a different meaning. The Teal Pumpkin Project was designed to allow inclusion on the amazing holiday that is Halloween. Halloween should be a fun period of time where kids and adults alike can enjoy some spooktacular fun. Children with issues which may mean they cannot eat, have a limited diet, need special accommodations etc. face being isolated from other children as they cannot enjoy Halloween to the same extent children who don't face difficulties with food and/or eating do. Having any medical condition, special need etc. is difficult enough, you face being left out when it comes to holiday season and parties because many people either decide not to accommodate for these requirements or, they simply do not think to accommodate for them. I can completely understand the not thinking part as before I was diagnosed with food allergies I never once considered that what I enjoy eating could be harmful to other people and until I lived with with a feeding tube I never realised just how difficult it can be to live life without eating and/or drinking. It can really leave you feeling alone and remind you of how different your life is to other people, adults struggle with this and I can only guess it must be harder for children, particularly young children, as they don't carry the same level of understanding about their condition/s that someone older does. Can you imagine being extremely excited about going out Trick or Treating but feeling your stomach sink when you realise that many people won't be inclusive of you? Kids with food allergies feel disappointed most of their candy stash will have to be taken away from them due to the risk it poses to them. Kids who cannot eat will feel disappointed on realising many people still only have candy treats. Children who struggle with food aversion won't necessarily want to eat the treats they've obtained from going out Trick or Treating etc. The Teal Pumpkin Project encourages people to have a selection of treats that are non-food related. It aims to allow people with different dietary requirements to still feel a sense of inclusion and not be reminded that they are different from their peers on the basis of their condition/s. These can be easily obtained from many stores (supermarkets, stationary shops, card shops etc.). Some suggestions I personally have for non-food items are:

-glow sticks/bracelets/necklaces

-balloons

-bubbles

-stickers

-temporary tattoos

-toy soliders

-colouring pencils

-pencils

-pens

-crayons

-marker pens

-erasers

-pencil toppers

-slinky's

-coins

-finger puppets

-notebooks

-bouncy balls

-whistles

-mini colouring books

-Halloween themed rings

-Halloween themed hard animals

-vampire fangs

-playing cards

-bookmarks

-stencils

-beaded necklaces/bracelets

-squishes

-fidget toys i.e. tangle, fidget cube etc.

-hard vehicles

-yo-yos

You Know You Have a Chronic Illness When...

So many scenarios arise where I think “You know you have a chronic illness when this happens”. I decided to compile a list of some of the most common situations I associate with being chronically ill that I feel other people may relate to.

You know you have a chronic illness when…

• your medical equipment/supplies are decorated for the holidays
• you’re on a first name basis with many of the medical staff, including: paramedics, nurses, doctors, receptionists in the hospital, cafeteria workers, people who work in the gift shops, pharmacy workers etc.
• when you go to A&E/the ER you no longer need to say your name at reception anymore, as soon as you walk up they recognise you and clock you in
• you have a “just in case” bag pack, just in case you spontaneously land up in the hospital
• when you find empty tablet strips/bottles EVERYWHERE
• whenever someone sees an ambulance going in the direction of your home they question whether it’s for you
• you are on so much medication that you’ve questioned starting your own pharmacy
• you cannot travel light because you have to carry so much with you
• you’ve peed in a cup so many times that you could do it with the lights off/your eyes shut and not spill a single drop
• your pharmacy doesn’t need to ask for your: name, date of birth and address anymore, they instead ask how you’re getting on
• you can pronounce and spell very complicated medical terms/medication names that even some of the medical staff struggle with
• you can give medical staff advice on the best places to get blood from you/insert an IV line
• someone contacts you they ask if you’ve been in hospital recently
• you watch medical dramas and you can tell if the medical terms are being used incorrectly or the procedures performed wrongly
• you know the price of things such as: x-ray’s, MRI scans, CT scans, blood tests, a bag of fluid etc.
• you leave your house you always ensure you’ve got your emergency medication/medical kit with you alongside everything else
• you have to pass up the chance of having really cute, small handbags because you know they just won’t be big enough to keep all your medical supplies in
• you have to arrange your bedroom with the consideration that paramedics may require entry into it at some point
• you try to keep your house constantly in the way you’d like to present it to people in case medical staff have to spontaneously come over
• paramedics are called out to you and you’ve not had an ambulance callout in a while and they say to you “Oh we’ve not seen you in a while!”
• you name all of your medical equipment/supplies
• you always consider in the back of your mind, when you go out, where the nearest hospital is, how you’ll get to the hospital if need be and who will help you get there

13 Things You Hear a Lot of as Someone Who's Chronically Ill

When you're living with a chronic health problem you get used to other people finding your life very abnormal. Often people make comments on just how different aspects of your life are compared to what is considered the "norm" and you become accustomed to it. Throughout my years of being diagnosed with chronic illness, I myself have faced a variety of different comments from a variety of sources however, I have found, that often there are many similarities to the comments and there can be quite a bit in common. 


"You're on a lot of medication for someone so young" - this is something I do hear A LOT as I am on various tablets and inhaled medications and people tend to think it's a little bit eccentric. You often find yourself having to add another medication to the seemingly ever-growing list to deal with the side effects caused through another medication that is vital to you. 

"I've never heard of that before, are you sure it's real?" - yes, I completely came up

with a list of symptoms and a complex medical name in my "free time" because I was bored. 

"I've only got a cold, why can't we meet up?" - what people seem to forget is their simple cold, or their virus which causes minimal symptoms, can be life-threatening to someone with a chronic illness and completely impact their body's normal functioning, it can put a person totally off balance for a longer period of time and result in much more than a few simple symptoms which barely impact them to being very bothersome. 

"I've heard of that before! My sister's, brother's grandad's, cousin's, uncle has that!" - you suddenly find that everyone seems to know of someone with your medical condition whether it be a very rare condition that few people have. Another thing I've found is that everyone seems to become the expert on the condition because they know of someone with the condition, even if they know nothing about the condition. 

"Don't you think that losing/gaining weight would help?" - I've found that everyone

seems to bring weight into things, almost suggesting that my weight could be the underlying reason the health reason exists, even if it's been proven that being underweight/overweight has absolutely no connection to your symptoms. 

"You should become more active, it'll be beneficial" - everyone seems to believe they're the expert in medical conditions nowadays. People seem to believe that by moving about it'll reduce/eliminate symptoms and improve your outlook. The thing that people don't seem to take into account is many people with chronic health problems struggle with issues being active and issues getting out and about, people don't seem to take into consideration that most people with chronic illness would much rather be out and about, exercising instead of staying in. 

"Are you at home or are you at the hospital just now?" - as a patient who's spent a great deal of time in the last few years in and out of hospital I've found that sometimes people will question whether you're admitted to the hospital when they speak to you as it's a somewhat regular occurrence. 

"Are you sure you're well enough to do that?" - I've found that sometimes when people

know you have a chronic health problem they, often unknowingly, begin to treat you somewhat "fragile", that you're just spontaneously going to combust, or break. They feel the need to almost discourage you from doing things and ask whether or not you need help with something or you need someone else to do something for you. 

"Your health can't be THAT bad" - sometimes people think those with chronic health issues play on their health problems and almost exaggerate their symptoms and what is wrong with them. They feel certain that it possibly cannot be as bad as it's being made out to be. 

"My *insert relation* has that and it's really not that bad, you're just being dramatic" - people seem to forget that symptoms vary person to person and even when two people are diagnosed with the same condition their experience of that condition WILL NOT be the same. I always use the analogy of "someone can lose a finger and have a worse experience than someone who's lost their entire hand". 

"You must LOVE getting all the good drugs" - people seem to be under the illusion that

patients who are given medications, particularly things like opiate-based drugs, enjoy getting the drug

because it will get them "high", the reality is so much different. In most situations you will be taking a medication to counteract a particular symptom you are experiencing, so for example you will take morphine when you're in pain, most of the time you will just be happy that you're no longer experiencing the symptom you were before taking the medication to actually sit and register "Oh I'm getting high off the drugs!". Not to mention that often these drugs come with side effects after taking them which whilst can take away the initial symptom you were experiencing can result in you feeling another symptom (i.e. you can feel nauseous after having an opiate-based drug).

"How do you possibly cope with all of that?" - this is a difficult question to answer, the reality is you just do, there's not really another option. You wake up some days, or even each day, and you don't want to cope with it, you don't want to deal with it, but most of the time there is no "off" switch, there is no way of being rid of the symptom/s for an hour or two, you find ways of coping and dealing with what you're going through and that's how you cope with it. 

"Have you tried X natural remedy?" - people come up with all sorts of new and fantastic ways to rid you of your chronic health issues. They seem to think this is a magical solution for every chronic illness out there and it will eliminate everything you're going through. On top of that they think that your care providers are hiding this magical solution from you and not telling you about it. Typically these magical solutions tend to come at a cost to you and definitely have no guarantee of working however certain people seem dead certain it'll cure absolutely everyone and everything!