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Checklist: Miscellaneous Symptoms

Print these symptoms to take to your doctor to help with your diagnosis. Check off each day that you have observed this symptom. Rank symptoms on a scale of 1 (present, but not bad), 2 (fair), 3 (bad) and 4 (unbearable!). Also helpful to take are any past medical records; pictures of yourself when you were thinner, had more hair, no striae, etc.

Note: Not every patient has every symptom. Do not attempt to diagnose yourself.

This list is a partial checklist of frequently-noticed symptoms. Carefully filling out this checklist and taking it to your medical personnel can be an important first step in getting appropriate testing and the proper medical diagnosis. Please show this to your qualified medical personnel.

Please read the Important Disclaimer.

Because this list is so long, it made for a slow loading page. It is now split into several pages for easier loading.

Body and Skin

Heart and blood

Thyroid

Bones and Muscles

Psychological

Men

Eyes

Sleep

Women

Hair

Miscellaneous

Children

Download the Cushing's Journal in Excel format

Your Name: __________________________________

Doctor's Name____________________________

Today's Date: ____________________________

Page ___ of ____

Possible Symptoms

First Noticed

Date Date Date Date Date Date Date

Miscellaneous Issues

Immune system suppression E

 

 

 

 

 

 

 

 

Kidney stones C

 

 

 

 

 

 

 

 

Peptic ulcers C

 

 

 

 

 

 

 

 

Enlarged thyroid T

 

 

 

 

 

 

 

 

Glucose intolerance C

 

 

 

 

 

 

 

 

Insulin resistance P

 

 

 

 

 

 

 

 

Diabetes mellitus C

 

 

 

 

 

 

 

 

Diabetes insipidus

 

 

 

 

 

 

 

 

Irritable bladder syndrome, characterized by frequent and/or painful urination and low abdominal discomfort in the absence of infection F

 

 

 

 

 

 

 

 

Incontinence, especially upon sneezing, laughing: urge incontinence (reflects a general loss of smooth muscle tone) PM

 

 

 

 

 

 

 

 

At risk for colon polyps A

 

 

 

 

 

 

 

 

Irritable bowel syndrome, characterized by painless diarrhea, constipation, bloating or hypersensitivity F

  

  

  

  

  

  

  

  

Gastrointestinal distress, indigestion, flatulence, gas pain, nausea PM

  

  

  

  

  

  

  

  

Nausea

 

 

 

 

 

 

 

 

Constipation

 

 

 

 

 

 

 

 

Vomiting CR

 

 

 

 

 

 

 

 

Sudden bouts of bloat PM

 

 

 

 

 

 

 

 

Retention of fluid (edema) GH+

 

 

 

 

 

 

 

 

Hyperlipidemia C

 

 

 

 

 

 

 

 

Recurrent bacterial infections

 

 

 

 

 

 

 

 

Headaches A, CR, F, PR

 

 

 

 

 

 

 

 

Headache change: increase or decrease PM

 

 

 

 

 

 

 

 

Increase in allergies PM

 

 

 

 

 

 

 

 

Vertigo C

 

 

 

 

 

 

 

 

Dizziness, light-headedness, episodes of loss of balance PM

 

 

 

 

 

 

 

 

Electric shock sensation under the skin & in the head PM 

 

 

 

 

 

 

 

 

Gum problems, increased bleeding PM

 

 

 

 

 

 

 

 

Burning tongue PM

 

 

 

 

 

 

 

 

Brittle fingernails, which peel & break easily

 

 

 

 

 

 

 

 

Premature aging: gray hair, decreased energy, decreased sexual function, increased body fat, osteoporosis, cardiovascular disease GH-

 

 

 

 

 

 

 

 

Breast tenderness PM

 

 

 

 

 

 

 

 

Increased
prolactin levels causing a milky discharge from the breast (galactohhrea) PR

 

 

 

 

 

 

 

 

Other Symptoms You Have...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comments:

 

 

 

 

Possibility of

A

Acromegaly

AD

Addison's Disease (Adrenal insufficiency)

AN

Acanthosis nigricans

CFS

Chronic Fatigue Syndrome

C 

Cushing's Disease or Syndrome

CSR

Central Serous Retinopathy

CR 

Craniopharyngioma

EC

Excess Cortisone, naturally occurring or from meds

F

Fibromyalgia

GH

Growth Hormone

GH-

Growth Hormone Deficiency

GH+

Growth Hormone Excess

IBS

Irritable Bowel Syndrome (Celiac Disease/Gluten Intolerance)

L

Lupus

MS

Multiple Sclerosis

P

PCOS (Stein Leventhal Syndrome)

PM

Perimenopause

PR

Prolactinoma

RA

Rheumatoid Arthritis

Thyroid Disorders

NOTE:  This Checklist¬© is compiled from several sources, both online and offline.

If using this Checklist© in another publication, please include a link back to this page, if on the web; or the URL (http://www.cushings-help.com) in publications; the name Mary Kelly O'Connor, editor and founder of Cushings-Help.com

Please also send an email telling me where the web page or publication may be found.


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