Medical Questions? Ask a Doctor Online!
Hello welcome to JA. You have a deviated pituitary stalk (?), can you tell me why? do you have a micro or macroadenoma? Prolactinoma? Rathke pouch cyst? Do you have empty sella syndrome? Have you had an endocrinology evaluation with blood testing? If you need that reviewed, please upload the report minus your name as this is a public forum. Get back to me and I will try to answer your questions. Dr Frank
Yes to most of your questions. In addition to increased prolactin, you can have increases in ACTH and GH, or somatotropin, which will What about your menses (if you are woman)? It is highly unusual to get swelling though, as a result of trauma, unless you had a sphenoid wing fracture/orbital bones fractures, did you have that?
I wanted to say it is highly unlikely to have swelling in the pituitary in the absence of hemmorhage, because it is a highly vascular spot. the pituitary is surrounded by the cavernous sinuses, so if that is fractured in trauma, it is a life threatening condition. Dr frank
HI. Your EEG's are all essentially normal as per the report.
You need to see an endocrinologist for this sweating however. Are you having panic attacks? How can I help? Please get back to me with questions if you think I can help Dr Frank
You are in the UK, and I am in the USA, in New York. We have some good ones here in the NYC area. But I have no idea in terms of England. Dr Frank
Yes. In the setting of pituitary dysfunction, you need a TSH, T3, T4, T3RU or T7, an FSH/LH, prolactin, ACTH. fasting cortisol and glucose, HgbA1c.
I put out the phone call option, get back to me. I can call you on Skype, but for only a few minutes as charge unfortunately.