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    What is Cortisol (Random) Test?

    A Cortisol test helps measure the amount of cortisol in your body, which is produced by your adrenal glands. This test can reveal whether you have an excess or deficiency of cortisol, a hormone that helps the body manage stress, reduce inflammation, regulate blood sugar, support metabolism, and control blood pressure. Cortisol is produced by the adrenal glands under the control of the pituitary gland in the brain.

    Higher/lower than normal cortisol levels could signal a problem with your adrenal or pituitary glands, or a tumour influencing cortisol production. If you're in Delhi and want to evaluate your cortisol levels, consider getting a Cortisol test today.

    Cortisol (Random) Test Parameters

    The Cortisol (Random) test consists of evaluating a single parameter, which is the cortisol level in your blood sample at the time of testing. This test is essential for diagnosing two medical conditions: Addison's disease and Cushing's syndrome. It may also be utilised if your doctor suspects an adrenal crisis, characterised by symptoms such as extremely low blood pressure, tiredness, confusion, sudden abdominal pain, or weakness.

    Low cortisol levels may indicate Addison's disease, with symptoms that include loss of appetite, weight loss, extreme fatigue, low blood pressure, joint and muscle pain, abdominal pain, vomiting or nausea, and depression.

    High cortisol levels may signify Cushing's syndrome, presenting symptoms like acne, obesity, thin skin, elevated blood sugar, a hump between the shoulders at the neck's base, high blood pressure, muscle weakness, and osteoporosis.

    Your doctor may also order urine cortisol or salivary cortisol tests alongside this assessment. If a tumour or abnormal growth is suspected, an MRI or CT scan may also be recommended.

    Cortisol (Random) Test Preparation

    Before undergoing a Cortisol (Random) test, it’s important to consider several factors:

    • Prerequisites

    No fasting is needed for the Cortisol test. However, if your doctor has ordered further tests, detailed instructions regarding fasting will be provided.

    • Best Time to Get Tested

    Since fasting is unnecessary, you can have the Cortisol test done at any time during the day. However, remember that cortisol levels are typically highest in the morning.

    • Who Should Consider a Cortisol Test

    Your doctor may order a Cortisol (Random) test based on a comprehensive assessment of your symptoms and medical condition. This test may be suggested if you have symptoms indicative of adrenal disorders, such as fatigue, unexplained changes in weight, muscle weakness, or mood fluctuations, or to evaluate your body’s stress response.

    • Cautions Before Taking a Cortisol Test

    No special preparation is required for the Cortisol test, but it may be beneficial to rest beforehand, as stress can elevate cortisol levels. Be sure to inform your doctor of any medications or supplements you are taking, as they could affect your results.

    Why Take the Cortisol (Random) Test?

    A Cortisol (Random) test measures cortisol levels regardless of the time of day, without accounting for the normal fluctuations that occur throughout the day. This test can serve several important functions:

    • Evaluation of Adrenal Function : If you have symptoms such as fatigue, weight gain, or mood swings, a random cortisol test can help assess the functioning of your adrenal glands.

    • Assessment of Stress Response : Referred to as the “stress hormone,” cortisol levels can reveal how your body copes with stress.

    • Early Diagnosis of Conditions : It aids in diagnosing disorders related to cortisol imbalances, including Cushing's syndrome (characterised by elevated cortisol levels) and Addison's disease (associated with low cortisol levels).

    • Monitoring Treatment Effectiveness : If you are undergoing treatment for a condition that affects cortisol levels, this test can help evaluate how well the treatment is working.

    Overall, the Cortisol test is valuable for diagnosing and managing conditions such as adrenal disorders, including Cushing’s syndrome and Addison’s disease.

    Cortisol (Random) Test Results and Interpretation

    Accurate interpretation of Cortisol test results is critical for detecting and treating health issues. Here is how the test results can be interpreted:

    Test ParameterNormal Range
    Cortisol, Random (Serum, Chemiluminescent Immunoassay)Morning sample: 4.46-22.7 µg/dL Evening sample: 1.7-14.1 µg/dL

    High cortisol levels can be indicative of Cushing's syndrome, which may be triggered by long-term use of steroids, tumours in the adrenal or pituitary glands, or other health issues.

    In contrast, low cortisol levels might suggest Addison's disease or secondary adrenal insufficiency, where low cortisol production is caused by external factors affecting the adrenal glands. These factors can include autoimmune diseases, infections, or abruptly stopping steroid treatment.

    Cortisol levels typically peak between 8 and 9 a.m. and decline to their lowest levels around midnight. Higher cortisol levels are frequently observed in patients on high-dose oestrogen therapy and during pregnancy.

    It’s crucial to recognise that numerous factors—such as stress, pregnancy, physical exercise, illness, temperature changes, thyroid problems, obesity, and certain medications—can influence cortisol levels. Furthermore, a Cortisol test alone may not accurately identify the cause of abnormal cortisol levels, so your doctor might suggest additional testing. For the most precise interpretation of your results, it’s best to consult your doctor.

    FAQs on Cortisol (Random) Test in Delhi

    The Cortisol test costs ₹680. This fee covers home sample collection, which will take place within 60 minutes after you place your order, and your results will be available within 81 hours of sample collection.

    Yes, home sample collection is available for the Cortisol test. After confirming your booking, an eMedic will visit your specified location to collect the sample, typically within 60 minutes of booking, subject to available slots.

    The Cortisol test is conducted to evaluate your cortisol levels to help diagnose adrenal disorders, assess your body’s stress response, explore symptoms such as fatigue or weight fluctuations, and monitor treatments for conditions that affect cortisol levels.

    No, fasting is not necessary for the Cortisol test. However, you should consult with your doctor if you are having other tests done simultaneously.

    To schedule a Cortisol test at home, please follow these steps:

    • Search for the Test : Enter “Cortisol test in Delhi” in your browser and click on the Orange Health listing.

    • Review and Verify : Choose the test, confirm any prerequisites, provide your location, and secure your booking by selecting a time for sample collection that works for you.

    • Sample Collection : A certified eMedic will arrive at your home to collect the sample at the designated time.

    • Lab Processing : Your sample will be sent to our ICMR-approved and NABL-accredited laboratory for processing.

    • Receive Results : Your Cortisol test results will be sent to you via email or WhatsApp within 81 hours, and they can also be accessed through our app.

    Cortisol levels are influenced by the time of day and the testing method employed. The acceptable cortisol range for a morning sample is 4.46-22.7 µg/dL, while for an evening sample, it is 1.7-14.1 µg/dL. It’s important to discuss any levels outside this range with your doctor.

    After scheduling the Cortisol test, a skilled and vaccinated eMedic from Orange Health Labs will come to your chosen location for sample collection within 60 minutes of your booking confirmation. You can expect to see your results online within 81 hours following the sample collection.

    The frequency of testing will be advised by your doctor after thoroughly evaluating your condition and symptoms.

    The Cortisol test includes just one parameter: Cortisol, Random.

    As fasting is not required, this test can be done at any time during the day.

    With Orange Health, you can get the Cortisol Test quickly and conveniently at home throughout Delhi, without needing to visit a physical lab. Our services cover various localities, including but not limited to Connaught Place, Chandni Chowk, Karol Bagh, Lajpat Nagar, South Extension, Greater Kailash, Hauz Khas, Saket, Vasant Kunj, Dwarka, Janakpuri, Rajouri Garden, Rohini, Pitampura, Mayur Vihar, Preet Vihar, Shahdara, Laxmi Nagar, Green Park, Safdarjung Enclave, New Friends Colony, Defence Colony, Kalkaji, Malviya Nagar, Nehru Place.

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    References

    1. Cortisol test: MedlinePlus lab test information [Internet].  Available from:  https://medlineplus.gov/lab-tests/cortisol-test/
    2. Cortisol Test: What It Is, Types, Purpose & Results [Internet].  Available from:  https://my.clevelandclinic.org/health/diagnostics/22417-cortisol-test
    3. Cortisol (Blood) - Health Encyclopedia - University of Rochester Medical Center [Internet].  Available from:  https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=cortisol_serum