Adrenal Disorders

The adrenal glands play an essential role in blood pressure regulation, stress response, sodium and potassium balance, and energy. Because adrenal symptoms can overlap with common problems like fatigue, weight changes, dizziness, anxiety, and difficult-to-control blood pressure, these conditions often require specialized evaluation to diagnose correctly.

At District Endocrine, we diagnose and manage a wide range of adrenal disorders with a focused, step-by-step approach. We help patients understand whether symptoms are truly hormone-related, what testing is needed, and how treatment will be monitored over time.

Conditions We Treat

Adrenal Insufficiency

Adrenal insufficiency can cause fatigue, dizziness, nausea, weight loss, weakness, low blood pressure, and a persistent sense of feeling unwell that is hard to explain. We evaluate whether the adrenal glands are producing enough cortisol, confirm the diagnosis carefully, and guide long-term steroid replacement and sick-day management when needed.

Cushing's Syndrome

Excess cortisol leads to weight gain, high blood pressure, muscle weakness, easy bruising, diabetes, sleep problems, and mood changes. We perform a careful workup for cortisol excess and help patients navigate next steps including medical treatment, imaging, and specialty referral when appropriate.

Hyperaldosteronism

An important and underdiagnosed cause of high blood pressure — especially when blood pressure is difficult to control or potassium levels are low. We evaluate for aldosterone excess and manage treatment with medication and further workup when indicated.

Adrenal Tumors and Adrenal Nodules

Adrenal nodules are sometimes found incidentally on CT or MRI scans done for other reasons. We help determine whether the lesion is hormonally active, whether it appears benign, whether additional testing is needed, and how often it should be monitored.

Pheochromocytoma and Complex Adrenal Hormone Disorders

Some adrenal conditions are uncommon but clinically important because they affect blood pressure, heart rate, and overall safety. We evaluate these more complex hormone disorders and coordinate treatment plans when additional specialty care or surgery is needed.

Our Approach

Focused Hormonal Evaluation

Adrenal disorders often require more than a single blood test. We review symptoms, blood pressure patterns, medication effects, imaging findings, and hormone testing to determine which studies are truly needed and how to interpret them correctly.

In-Office Dynamic Adrenal Testing

Some adrenal diagnoses require timed or stimulation-based testing rather than a single lab value. We offer ACTH (Cosyntropin) stimulation tests in-office for the evaluation of adrenal insufficiency, as well as dexamethasone suppression testing for Cushing's syndrome evaluation. We guide patients through the appropriate testing process and explain what each result means in practical terms.

Treatment Tailored to the Diagnosis

Management depends on the underlying cause. Some patients need hormone replacement, others need medications to block excess hormone effects, and others need imaging follow-up or referral for adrenal surgery.

Blood Pressure and Metabolic Risk Management

Adrenal disorders can affect blood pressure, electrolytes, and blood sugar. We monitor these related issues closely and incorporate them into the treatment plan rather than looking at hormone levels in isolation.

Long-Term Endocrine Follow-Up

Adrenal disorders often require ongoing care, repeat testing, and reassessment over time. We help patients understand when monitoring is needed and how treatment may change depending on symptoms and lab results.