Adrenal & Pituitary Disorders
Specialised tertiary care for Congenital Adrenal Hyperplasia (CAH), Addison’s, Cushing’s, and hypopituitarism.
Understanding Adrenal & Pituitary Disorders in Children
The pituitary gland is the master endocrine gland, regulating thyroid, adrenal, growth, and pubertal hormone axes. Adrenal glands produce cortisol and aldosterone, vital for stress response and salt-water balance.
Dr. Smita provides tertiary-level pediatric endocrine management, including dynamic stimulation testing, steroid replacement, and emergency sick-day management.
Careful hormone replacement balances vitality, physiological resilience, and continuous growth.
Early attention can make a difference.
Severe fatigue, salt craving, hyperpigmentation, or electrolyte imbalances require immediate specialist pediatric endocrine assessment.
Skin Hyperpigmentation
Darkening of skin creases, gums, and scars due to high ACTH
Severe Fatigue & Weakness
Extreme lethargy, especially during minor childhood illnesses
Salt Craving & Low Sodium
Preference for salty foods accompanied by recurrent dehydration
Dizziness & Low Blood Pressure
Postural hypotension or episodes of fainting on standing
Atypical Genitalia at Birth
Ambiguous genitalia in newborns pointing towards CAH
Stunted Growth with Weight Gain
Combination of slowed growth and facial rounding (Cushing’s)
Not sure if it's a concern?
Consult our specialist for a personalised evaluation and guidance.
Different Types of Adrenal & Pituitary Disorders
Adrenal and pituitary disorders range from enzymatic blocks to anterior pituitary deficiencies.
Congenital Adrenal Hyperplasia (CAH)
Enzyme deficiency (commonly 21-hydroxylase) managed with precise hydrocortisone and fludrocortisone.
Adrenal Insufficiency (Addison’s)
Inadequate cortisol secretion requiring lifelong hormone replacement and emergency protocols.
Multiple Pituitary Deficiencies
Combined hormonal deficits (GH, TSH, ACTH, LH/FSH) requiring coordinated multi-axis replacement.
Frequently Asked Questions
Find answers to some of the most common questions about adrenal & pituitary disorders and your child's endocrine health.
They are less common but require specialized evaluation and care.
Still have a question?
We're here to help. Feel free to reach out for more information or to book a consultation.
Partnering for Your Child's Healthy Tomorrow
Specialised, evidence-based endocrine evaluations and compassionate long-term care by Dr. Smita Ramachandran.