Adrenal Disorder Specialist in KPHB
Specialized endocrine evaluation for adrenal hormone problems affecting blood pressure, weight, energy, salt balance, and long-term health.
Diagnostic Evaluation Pathway
Is This Treatment Relevant for You?
Key indicators, risk factors, and diagnostic preparation prior to your outpatient visit.
Common Symptoms
Severe weakness, weight changes, low/high blood pressure, skin darkening, purple stretch marks, or low potassium.
Abnormal Reports
Steroid medication use, autoimmune disease, high blood pressure resistant to drugs, or adrenal nodule on CT.
Reports to Bring
8 AM serum cortisol, ACTH, 24-hour urine cortisol, serum electrolytes (potassium/sodium), and abdominal CT scan.
Consultation Goal
Diagnose adrenal excess or deficiency, prevent adrenal crisis, and regulate blood pressure and electrolytes.
Symptoms & Warning Signs
Hormone changes trigger diverse physical and metabolic signs. Explore key symptoms for Adrenal Disorders.
Chronic Severe Fatigue
Profound exhaustion and muscle weakness that worsens throughout the day.
Low Blood Pressure & Dizziness
Dizziness or fainting upon standing due to postural hypotension (Addison's).
Skin Darkening (Hyperpigmentation)
Darkening of skin on knuckles, scars, elbows, and gums.
Central Weight Gain & Moon Face
Rapid fat accumulation on face, neck hump, and abdomen with thin limbs (Cushing's).
Purple Abdominal Stretch Marks
Broad, dark purple striae across abdomen, thighs, or armpits.
Resistant High Blood Pressure
Severe hypertension accompanied by low blood potassium levels (Conn's).
Salt Cravings & Nausea
Intense desire for salty foods accompanied by loss of appetite.
Easy Bruising & Thin Skin
Skin becoming fragile and bruising easily with minor contact.
When Should You Consult an Endocrinologist?
Prompt specialist evaluation is recommended if you experience any of the following clinical indicators.
Diagnosis & Diagnostic Tests
A structured diagnostic protocol to accurately pinpoint underlying hormonal and metabolic parameters.
8 AM Basal Cortisol & ACTH
Fasting morning blood draw to evaluate adrenal steroid output and pituitary ACTH drive.
Dynamic Cortisol Testing
Overnight 1mg Dexamethasone Suppression Test for Cushing's or ACTH stimulation test for Addison's.
Aldosterone to Renin Ratio (ARR)
Blood screening for primary aldosteronism in patients with hypertension and low potassium.
Dedicated Adrenal CT Scan
High-resolution non-contrast CT to assess adrenal nodule density (Hounsfield units) and size.
Specialized Treatment & Care Approach
Evidence-based medical management tailored after detailed report evaluation, physical history, and patient goals.
Glucocorticoid Replacement
Physiological hydrocortisone/prednisolone therapy for adrenal insufficiency with sick-day dosing rules.
Mineralocorticoid Therapy
Fludrocortisone replacement for Addison's disease to maintain normal blood pressure and sodium balance.
Aldosterone Receptor Blockade
Targeted spironolactone/eplerenone therapy for primary aldosteronism to normalize blood pressure.
Surgical Co-Management
Coordination for laparoscopic adrenalectomy for functioning adrenal adenomas or pheochromocytoma.
Reports to Bring for Your Consultation
Bringing your recent diagnostic reports and medication history helps ensure a comprehensive first visit evaluation.
Structured Follow-Up & Monitoring Timeline
Long-term hormonal health requires organized re-evaluations to ensure lasting stability and safety.
Dose & Electrolyte Balance
Check blood pressure, serum potassium, sodium, and adjust medication doses.
Clinical & Steroid Re-Audit
Evaluate fatigue resolution, blood pressure stability, and sick-day rule understanding.
Adrenal Nodule CT Re-Scan
Imaging follow-up for non-functioning adrenal incidentalomas.
Annual Steroid & Metabolic Check
Comprehensive adrenal axis review and metabolic safety check.
Dr. Surendra Prasad Guntupalli
MD (General Medicine), DM (Endocrinology) · Senior Consultant Endocrinologist
Senior Consultant Endocrinologist practicing at KPHB Colony, Kukatpally. Specializing in evaluating complex metabolic and hormonal conditions with evidence-based patient guidance.
Related Endocrine Conditions
Explore co-existing or related hormonal conditions evaluated alongside Adrenal Disorders.
Questions Patients Ask About Adrenal Care
Information on adrenal hormone imbalances, cortisol fluctuations, blood pressure spikes, and specialized diagnostics.
Still have questions about your reports?
Our clinic desk team is available to assist you with appointments and test preparation.
Need Specialist Guidance for Adrenal Disorders?
Book a consultation with Dr. Surendra Prasad Guntupalli to review your symptoms, blood reports, medication plan, and long-term follow-up needs.