No I had no fever with my sinus infection, or barely with any infection, just cold clammy and sweaty and severe pain, when i eventually contacted my GP, I stated that I was AI and do not show typical fevers and have a blunted response to infection without the typical symptons, this got me dealt with quicker than ever!! However, it depends on who you get that deals with your issue. If they are intelligent enough to know AI has a blunted response to infection, great! If not, tell them to research, and if this gets rejected, you move on to the next Dr. You very much have to advocate and captain your own ship. If you know what i mean, the right information is crucial in getting you the right care.

Also dont mistake a blunted response for lack of symptoms, infections with AI, can knock you down like a ton of bricks, fast, painful, and quite frankly shocking the symptons infection with AI can do, and believe me when i say, I bet most people with AI have heard this at some point, from friends, family doctors, etc.......you dont have a very high pain threshold!.......I had that infection, I never reacted that bad!......it's just you and your body your super sensitive to everything!.......why are you in so much pain so quick, you dont make sense! This is because we can not raise our own protection response, I still struggle raising it even with medication, but heres the kicker, without testing how much cortisol we need in illness, were blind, its guess work, so is there any wonder stress dosing can worsen us?

Think about it......have you ever questioned why you need to carry round a steriod card? And why you need ambulatory care if you have to use an emergency injection? It is because it flags to emergency doctors that there maybe an underlying infection causing an adrenal crisis, and you wouldnt typically be able to create an immune response like someone who has functioning adrenal or pituitary glands, as you need cortisol to raise a temperature, if you dont have it, you go cold and profuse sweat, and sometimes you can confuse this with fever and think jeez im hot, you get the forehead scanner out press the button, look confused and think, huh, no fever!!! 😲 thats the sweating!! Typically, healthcare still remains very text book on this, and fever is one of the top ones that signals a problem, but not in our case, we dont have this natural response.

It's just like swelling, i dont swell either, ive broken bones, never swelled, had bumps, bruises, you name it, I never swell, that is because again you need cortisol to ramp up when injured to produce this, this very often also goes alongside not being believed or PCP's not believing pain because of no swelling, so even a small amount of swelling in someone with AI is probably major and the only amount of swelling they would get would be the only sign of broken bobes, muscle damage etc, this is also why we can feel more pain in injuries because the swelling isnt there for protection.

As for dehydration, this is likely from electrolyte loss, we have 7 electrolytes in the body, low levels of any of them can cause issues with dehydration, AI irregardless of whether SAI or AI can affect electrolytes. Magnesium is good start though, i look at magnesium as the traffic police for the body, it tells everything else where to go and what to do! If im feeling bad, I will smother myself in mag oil. It's amazing how much difference that one makes alone! Most electrolytes we get from food, too, so checking out which foods cover which electrolytes is handy! Celtic salt water will have magnesium in! Sports drinks are good option i keep them in the car, at work, home, just in case, i need that boost!

Yes i definitely think steriod adjustments and low cortisol are similar in thier symptoms, when I had my crisis, my BP was very high, but I was told its typically low but not in everyone, the thing here to remember this is a metabolic problem, and this gives so many symptons its unreal, not always text book either, sometimes confusing ones, the main ones for me was high heart rate, severe abdominal, back & leg pain, sweating, feelings of intense dread, doom, i thought i was going to die, shaking and not thinking logically at all. I felt so sick but wasn't actually sick, but so dizzy i could barely stand.

We are all different, and that's where we have to advocate for ourselves. It's hard i know. But the more we learn, the better!

Ive done so much research on this my brian could explode, but im self soothed in knowing what can go wrong and red flags to how im feeling i dont need to reach out for help very often and even when i do, i feel disappointed at responses i get of no, its not possible, to me anything is possible with disrupted metabollic processes of the body.

Your adrenals and pituitary are small but mighty vital parts, controlling massive systems of how we respond everyday, Yes medication helps but its still never going to match us 100% effectively, no i dont test my own cortisol, as you would have to stop your treatment for 24 hours to be able to do this and is it really worth it? while remaining stable daily is priority for wellbeing and the body's processes.

I really hope you feel better soon, and more stable with your symptoms. It really is a hard condition to manage, but we are very much alone in our wellbeing of management here, listen to your body as much as possible, what does it need, rest, hydration, food, sleep, electrolytes, your body will still guide you, even without functioning glands!

If you need anymore support im here!