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The Guide To Dealing With An Adrenal Tumor

A Guide to Your Adrenal Glands

Your adrenals are endocrine system organs that sit atop your kidneys. They release over 50 different hormones. Some of the more well-known of which are epinephrine (also known as adrenaline), norepinephrine, and cortisol. They can also be the site of adrenal tumor.

The glands themselves are made up of two parts – the cortex and the medulla. Each part is responsible for releasing different hormones. The cortex, which is the outer layer, releases hormones involved in blood pressure regulation and metabolism, as well as hormones that affect your appearance, such as your body hair and body shape. Some note-worthy hormones released by the adrenal cortex include:

  • DHEA – the precursor to male and female sex hormones, namely androgens and estrogen.
  • Aldosterone – the hormone that regulates the sodium-potassium balance, which in turn regulates blood pressure and your body’s electrolyte-to-water ratio.
  • Cortisol – your body’s main stress hormone. Although the medulla is what produces the other two major stress hormones mentioned above, cortisol is an adrenocortical hormone.

The medulla, or inner part, is what releases the catecholamines, or stress hormones, epinephrine and norepinephrine. These hormones are involved in your fight or flight response, helping your body prepare to face the stressor by increasing your heart rate, your breathing rate, and your level of alertness.

Cortisol is also involved when we talk about Adrenal Fatigue Syndrome, or AFS. AFS is the condition that develops when your body is under chronic stress. Its symptoms include fatigue, weight gain, sleep disturbance, brain fog, anxiety, mild depression, hair loss, loss of libido, PMS, infertility, dry skin, salt and sugar cravings, hypoglycemia, lowered immunity, heart palpitations, blood pressure issues, and other issues.

Adrenal Tumor Symptoms

Although the symptoms of adrenal tumors depend on the type of adrenal tumor you have, some common ones include:

  • Weakness
  • Fatigue
  • Unexplained weight gain or weight loss
  • Anxiety
  • Nervousness
  • Depression
  • High blood pressure
  • Heart palpitations
  • Hyperglycemia
  • Diabetes
  • Excessive sweating
  • Decreased potassium levels
  • Easily bruising
  • Fat deposits on the neck
  • Stretch marks around the belly
  • Increased hair growth

As you can see, many of these symptoms are also present in AFS. And it makes sense, since both conditions affect the adrenal glands and their functioning. And knowing how many key hormones the adrenal glands produce, you can understand why any condition that impacts them can have such a wide range of symptoms.

But, as we’ll discuss, that’s not the only reason.

The NEM’s Role In Adrenal Tumor Symptoms

The adrenals are part of the Hormone Circuit of your NeuroEndoMetabolic (NEM) Stress Response. The NEM is your body’s global response to stress, and it’s composed of six circuits: The Hormone, the Bioenergetics, the Cardionomic, the Neuroaffect, the Inflammation, and the Detoxification circuits. And as one of the NEM’s first responders, if the adrenals dysregulate, that affects all the other components of the other six circuits.

An image of a lady crying on top of the bedThe Hormone Circuit itself is composed of your adrenal glands, your thyroid, and your pancreas. And when one component is affected, so are the others. That may be why with an adrenal tumor, you can experience hyperglycemia and diabetes. The pancreas isn’t as effective at insulin production and release as it should be. Also, you may get fatigue and weight issues, as your thyroid, which regulates your basal metabolic rate, is effected.

Tumor Types and Symptoms

The type of adrenal tumor plays a big role in the symptoms picture:

  • Aldosteronomas – these are benign tumors that increase the levels of aldosterone the adrenal cortex produces. This then causes the potassium levels in your body to drop, while increasing sodium levels. That imbalance raises blood pressure and makes it difficult to bring down. Other common symptoms include general weakness, increased urination, and increased thirst. These are all part of Conn’s syndrome, also known as hyperaldosteronism.
  • Incidentalomas – these tumors are also usually benign, and generally found by accident. Their main symptoms are high blood pressure, heart palpitations, anxiety, and weakness, although some are symptomless. They are also easy to confuse with other conditions, such as Cardionomic Circuit dysfunction.
  • Adrenal Cortex Carcinomas – also called adrenocortical cancer. These are cancerous tumors of the adrenal cortex, and their most common symptoms are weight gain, changes in body hair and skin, and fluid retention/bloating. Thankfully, these malignant tumors are quite rare, with only 300-500 people diagnosed with them each year.
  • Adrenal cortex tumors have the most shared symptoms with AFS, since they affect cortisol. They can cause the overproduction of cortisol, leading to something called Cushing’s syndrome. Its symptoms include abdominal weight gain, increased fat in the neck area, high blood pressure, weakness, fatigue, depression, hyperglycemia, irregular periods, sexual dysfunction, low potassium, bruising, and osteoporosis.
  • Pheochromocytomas  - are adrenal medulla tumors, and they affect the production of catecholamines – adrenaline and norepinephrine. Their most common symptoms include increased heart rate, heart palpitations, high blood pressure, anxiety, hyperglycemia, excessive sweating, and headaches. They can even lead to sudden cardiac arrest. These tumors can be benign or cancerous. The cancerous ones can spread from the medulla to other areas. Thankfully, they are also quite rare, with only around 800 cases diagnosed per year in the US.
  • Paragangliomas - are tumors that you can find in the adrenal glands or outside of them, but they always affect the neuroendocrine system. They can be located in the abdomen, chest, pelvis, or neck. There are both benign and cancerous types, and they cause similar symptoms to pheochromocytomas.
  • There can also be benign or malignant tumors that indirectly affect the adrenal glands by affecting the areas of the body that produce adrenocorticotropic hormone (ACTH). ACTH is responsible for signaling to the adrenal glands to produce adrenal hormones, and it is a main player in the hypothalamic-pituitary-adrenal (HPA) axis hormone cascade.

Adrenal Tumor Risk Factors and AFS

There are a few genetic conditions that can increase the risk for developing an adrenal tumor and other adrenal issues. They include Multiple Endocrine Neoplasia type 2, Paraganglioma syndrome, Li-Fraumeni syndrome, Von Hippel-Lindau disease, Beckwith-Wiedemann syndrome, and Neurofibromatosis type 1 (or Recklinghausen’s disease).

Although not everyone with these conditions will develop an adrenal tumor, it’s important that you take the necessary precautions to keep your adrenals and endocrine system as healthy as possible in order to avoid any unnecessary risks.

An image of a woman sick on the couch with a bunch of medicines on the tableAFS does not cause adrenal tumors, and neither does any kind of NEM dysregulation. But they can weaken your system so that you become more susceptible to developing chronic conditions, including tumors. And they can also aggravate conditions you may already have. Lastly, they can present symptoms that you can confuse with other conditions, leading you through a maze of misdiagnoses and unsuitable treatment protocols. That on its own can also create a lot of stress on your body.

Adrenal Tumor Recovery and AFS

Adrenal tumor diagnosis usually involves blood and urine tests, checking cortisol levels, biopsies of the growth, MRI or CT scans, and adrenal vein sampling. If you have AFS, however, it cannot be ruled out through such tests. It requires the skillful eye of an experienced professional. It involves taking a thorough medical history as well as a full inventory of symptoms.

If you do have an adrenal tumor, along with the treatment that your doctor will recommend for your specific tumor type, it would be a good idea to also take up an adrenal fatigue recovery protocol. This includes managing your stress levels, balancing your electrolytes, eating an adrenal fatigue diet that will replenish your lost nutrient and energy stores, keeping your blood sugar levels as stable as possible, getting a lot of rest and sleep, and taking some gentle supplements to fill in any nutritional gaps and to give your body a boost. Gentle forms of detoxification and exercise may also be useful.

But just like with adrenal tumor treatment, it’s important to get an adrenal fatigue recovery program that suits your specific condition and needs. A recovery program for someone with less advanced AFS and no adrenal tumors will be significantly different than for someone with advanced AFS and adrenocortical cancer, for example.

Conclusion

Adrenal tumors can be benign or malignant. They can also cause your adrenal hormone levels to change, which is what is mainly responsible for the symptoms you get. Adrenal fatigue shares many of these symptoms.

Depending on the type of adrenal tumor, you may require surgery and/or hormone treatment. With some tumors, you can just observe them and only treat if they progress. But either way, doing an adrenal fatigue recovery protocol that helps rebalance your Hormone Circuit is a good idea as well. That helps support your body as a whole.

But you also need to do this under supervision, so that you don’t accidentally aggravate your condition or interfere with the adrenal tumor treatment given to you by your doctor.

If you have questions about how to deal with adrenal tumors, AFS, or NEM dysregulation, you can contact the Dr. Lam Coaching team. We can offer you a free** no-obligation phone consultation at +1-626-571-1234 where we will privately discuss your symptoms and what your options are. You can also send us a question through our Ask The Doctor system by clicking here.

© Copyright 2015-2021 Michael Lam, M.D. All Rights Reserved.

Dr. Lam’s Key Question

Issues with blood pressure, weight gain, weakness, fatigue, and anxiety are common adrenal tumor symptoms. The problem is that they also resemble many other conditions. So in order to make sure you are diagnosed and treated correctly, you need to know what to do. Especially if you have adrenal fatigue.

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