Traumatic brain injury, also called TBI, is sudden damage to the brain. It happens when the head hits something violently or is hit again and again, or when an object goes through the skull and into the brain. Causes include:
Your endocrine system includes glands and organs that make and release hormones, which are chemicals that help your body work properly. They control growth, sexual development, how your body uses and stores energy (metabolism), how it deals with illness, and more. You need proper types and amounts of hormones to feel well.
Someone with TBI can have one or more problems, depending on the injury. Problems that often occur soon after TBI include:
When the adrenal glands don’t make enough hormones; results in fatigue, weight loss, low blood pressure, vomiting, and dehydration. Adrenal insufficiency can be life-threatening if not treated.
When the pituitary doesn't make enough antidiuretic hormone (ADH); results in frequent urination and extreme thirst.
hen certain hormone problems upset the balance of salt and water in the body; can result in headache, fatigue, vomiting, confusion, and convulsions.
Problems that may occur later and their symptoms include:
Your doctor will ask about your medical history and do a physical exam. Blood tests are done to check your hormone levels. You may have an MRI to look at the pituitary gland and check for tumors, cysts, or other problems.
Often, you will take hormones to replace what's missing (called hormone therapy). Other problems require various treatments, such as treating hyponatremia by cutting back on fluid intake, getting an IV (through a vein) salt solution, and taking medicines.
The outlook depends on the type of problem and how severe it is. Some endocrine problems may be temporary and disappear within a year after TBI. Hormone therapy is a very important part of treatment. It can restore your health, relieve symptoms, and improve your quality of life. In some cases, it can save your life.
The Hormone Health Network is the public education affiliate of the Endocrine Society dedicated to helping both patients and doctors find information on the prevention, treatment and cure of hormone-related conditions.
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