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March 6, 2003

Diagnosis and Symptoms

Question from Florida, USA:

I was diagnosed with a 1 centimeter cyst on my pituitary gland a year ago. It was detected from a MRI taken after I had a minor stroke. I have had problems with excessive thirst, urination, extreme swelling of my entire body, thyroid disruptions, experienced hypo and hyperglycemia episodes, mental and physical fatigue which is not prolonged, memory loss (even before the stroke), allergies, migraines. My endocrinologist has been monitoring the cyst with MRI's. It hasn't changed. In fact, a decade ago, an MRI revealed a 1cm unidentified "mass" in the same position as it was last year. My What are my options? Surgery and what is entailed? What? Diet seems to be a control factor with my blood sugar and thyroid. What do you consider my options to be?

Answer:

This is a very complicated situation (as you are well aware!), and cannot be clarified in this forum. It’s unclear if you have been diagnosed with diabetes or not — if your blood sugar has been high enough, it’s diabetes.

You ought to discuss your situation with your endocrinologist.

WWQ
Additional comments from Dr. David Schwartz:
It is unclear what diagnosis, if any, has been detailed. Given the history
and symptoms you describe, you may be at risk for a number of
hormonal imbalances. Presumably you have tested for the following but
I think you should specifically ask as to the status of how your pituitary
gland is controlling your

thyroid
and
adrenal
glands and growth
hormone production. You may be at risk for another hormonal
imbalance that leads to urination, that is confusingly called

Diabetes Insipidus. It is unrelated to “sugar diabetes.”

IDS