Addison's Disease
Addison's disease is a rare condition where the adrenal glands do not produce enough cortisol and, often, aldosterone. It is usually caused by autoimmune damage to the adrenal glands. Without treatment, it can be life-threatening, so accurate diagnosis matters.
Common symptoms
- persistent fatigue and muscle weakness
- low blood pressure, particularly on standing
- salt craving and unintentional weight loss
What we offer
- same-day blood tests and a Synacthen test where indicated
- confirmation of diagnosis and identification of the underlying cause
- comprehensive education on sick day rules and emergency steroid injection training
Diagnosis and underlying cause
Assessment considers symptoms, blood pressure, sodium, potassium, morning cortisol and ACTH, with a Synacthen test when appropriate. Further tests may identify autoimmune adrenal disease or another cause. Results must be interpreted in context, particularly during acute illness or current steroid treatment.
Replacement treatment and sick-day rules
Treatment replaces glucocorticoid and, in primary adrenal insufficiency, often mineralocorticoid. Education covers dose timing, medical identification, emergency hydrocortisone and personalised sick-day rules. Steroid replacement must not be stopped abruptly.
UK-wide video consultations
Routine assessment and follow-up can usually take place securely by video, with testing arranged locally. Severe vomiting, collapse, confusion, marked weakness or inability to keep steroid medicine down may indicate adrenal crisis and requires emergency care.