Can pituitary problems cause a big head?

Hi,

Welcome to icliniq.com.

I believe your plastic surgeon suspects you may have acromegaly or less likely Cushing's syndrome. My suspicion is low at this point.

1) Do you have spacing between your teeth?

2) Do you have headaches?

3) Is there any excess sweating?

4) Do you have any swelling of hands and feet?

5) Do you have any pain in TMJ (temporomandibular joint) while chewing food?

Thanks.

Hi,

Welcome back to icliniq.com.

No, your head does not look large (attachments removed to protect the patient’s identity). That is why, I still believe that the chances for a pituitary disorder is low. When the suspicion is low, I do not want to do tests some of which may come abnormal for no particular reason and send us all in a wild goose chase by causing anxiety. But nothing can replace a god history and physical exam, so I recommended consulting.

1) Are you taking any medicines now?

2) Do you have any medical problems?

3) Are the pictures taken recently?

4) Any previous pictures?

5) Any recent weight gain or change in the appearance of your face?

6) Do you have diabetes or hypertension?

7) Is there any menstrual irregularities?

8) Any striae in the body?

9) Do you have any watery or milky discharge from nipples?

Kindly take tablet Dexamthesaone 1 mg at night and check your serum Cortisol at 7 am.

Thanks.

Hi,

Welcome back to icliniq.com.

I looked at all the pictures. I also asked a colleague of mine to have a look at and weigh in. I think your head looks normal. And I do not see any progressive change in the size or appearance of your head or face. Pituitary disorders are usually progressive, so there should be changes over time, which I do not see in your photos. You are normal, and you do not need any testing.

Regards.