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    What is Cortisol (Random) Test?

    A Cortisol test measures the amount of the hormone cortisol, which is generated by the adrenal glands, in your body. Cortisol (also known as the stress hormone) plays a crucial role in managing stress, reducing inflammation, regulating blood sugar and metabolism, and controlling blood pressure. It is produced by the adrenal glands, which are regulated by a hormone from the pituitary gland located in your brain. This test helps assess whether your cortisol levels are too high or too low.

    Abnormal cortisol levels could indicate problems with either the adrenal or pituitary glands or a tumour impacting cortisol production. If you're in Hyderabad and wish to assess your cortisol levels, consider getting a Cortisol test today.

    Cortisol (Random) Test Parameters

    The Cortisol (Random) test evaluates a single parameter, specifically the cortisol level in your blood sample at the time of testing. This test is primarily utilised for diagnosing Addison's disease and Cushing's syndrome and may also be conducted if your doctor suspects an adrenal crisis, indicated by symptoms like sudden abdominal pain, confusion, extremely low blood pressure, tiredness, or weakness.

    Low cortisol levels can be linked to Addison's disease, which presents with symptoms such as joint and muscle pain, extreme fatigue, low blood pressure, abdominal pain, weight loss, vomiting or nausea, loss of appetite, and depression.

    Conversely, high cortisol levels may suggest Cushing's syndrome, characterised by symptoms like obesity, thin skin, acne, high blood pressure, elevated blood sugar, a hump at the base of the neck, muscle weakness, and osteoporosis.

    Additionally, your doctor may order urine cortisol or salivary cortisol tests along with this one, and if there’s a concern about a tumour or abnormal growth, an MRI or CT scan may be warranted.

    Cortisol (Random) Test Preparation

    There are several key considerations to keep in mind before undergoing a Cortisol (Random) test:

    • Prerequisites

    Fasting is not necessary for the Cortisol test. However, if your doctor has ordered additional tests, you will receive specific instructions regarding fasting.

    • Best Time to Get Tested

    Since fasting is not required, the Cortisol test can be performed at any time during the day. However, it’s essential to note that cortisol levels are generally highest in the morning.

    • Who Should Consider a Cortisol Test

    Your doctor may recommend a Cortisol (Random) test based on a thorough evaluation of your symptoms and condition. This test may be suggested if you exhibit signs of adrenal disorders such as fatigue, unexplained weight fluctuations, muscle weakness, or mood changes, or to assess your body’s stress response.

    • Cautions Before Taking a Cortisol Test

    No special preparation is needed before the Cortisol test. However, since stress can elevate cortisol levels, it may be beneficial to rest before your appointment. Be sure to inform your doctor of any supplements or medications you are taking, as these may impact your test results.

    Why Take the Cortisol (Random) Test?

    The Cortisol (Random) test measures cortisol levels at any time of day, without estimating the typical daily fluctuations. This test can be beneficial for various reasons:

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

    • Early Diagnosis : It assists in diagnosing conditions associated with cortisol imbalances, including Cushing's syndrome (high cortisol levels) or Addison's disease (low cortisol levels).

    • Stress Response Assessment : Given that cortisol is often referred to as the “stress hormone,” this test can offer insights into your body’s stress management capabilities.

    • Treatment Monitoring : If you are undergoing treatment for a condition that impacts cortisol levels, this test can help evaluate the effectiveness of your treatment.

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

    Cortisol (Random) Test Results and Interpretation

    Correctly interpreting the findings of your Cortisol test is essential for both identifying and treating medical issues. The test findings can be interpreted in the following ways:

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

    Elevated cortisol levels may suggest Cushing's syndrome, which can arise from prolonged steroid use, tumours in the pituitary or adrenal glands, or other underlying conditions.

    Conversely, low cortisol levels might indicate Addison's disease or secondary adrenal insufficiency, where insufficient cortisol production occurs due to external factors affecting the adrenal glands. This can be caused by autoimmune disorders, infections, or the sudden cessation of steroid therapy.

    Cortisol levels typically peak between 8 and 9 a.m. and drop to their lowest around midnight. Higher cortisol concentrations are often observed in individuals receiving high-dose oestrogen therapy and during pregnancy.

    It's important to recognise that various factors—including stress, pregnancy, physical activity, illness, temperature fluctuations, thyroid dysfunction, obesity, and certain medications—can influence cortisol levels. Additionally, a Cortisol test alone cannot determine the precise cause of abnormal levels; therefore, your doctor may recommend further testing. For the most accurate interpretation of your results, consulting your doctor is advised.

    FAQs on Cortisol (Random) Test in Hyderabad

    The price for the Cortisol test is ₹680. This fee includes home sample collection, which will occur within 60 minutes after your booking. You can expect to receive your results within 69 hours following the sample collection.

    Yes, you can opt for home sample collection when booking the Cortisol test. Once your appointment is confirmed, an eMedic will come to your designated location to collect the sample, usually within 60 minutes of your booking (based on available slots).

    A Cortisol test is utilised to assess cortisol levels in order to diagnose adrenal disorders, evaluate how your body responds to stress, explore symptoms such as fatigue or weight fluctuations, and monitor treatment for conditions that influence cortisol levels.

    No, fasting is not necessary prior to the Cortisol test. However, it is advisable to consult your doctor if you are undergoing other tests alongside this one.

    To book the Cortisol test at home, please follow these guidelines:

    • Search for the Test : Look for “Cortisol test in Hyderabad” in your web browser and select the Orange Health listing.

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

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

    • Lab Processing : The collected sample will be sent to our ICMR-approved and NABL-accredited laboratory for analysis.

    • Receive Results : You will receive your Cortisol test results via email or WhatsApp within 69 hours, and they will also be available for viewing through our app.

    Cortisol levels fluctuate based on the time of day and the specific test conducted. For morning samples, the normal cortisol range is 4.46-22.7 µg/dL, while in the evening, it is 1.7-14.1 µg/dL. It’s advisable to consult your doctor if your cortisol levels fall outside of these ranges.

    After you book the Cortisol test, a trained and vaccinated eMedic from Orange Health Labs will arrive at your chosen location for sample collection within 60 minutes of your booking confirmation. You can expect to view your results online within 69 hours after the sample collection.

    The frequency of the Cortisol test will be determined by your doctor following a comprehensive evaluation of your symptoms and condition.

    The Cortisol test consists of a single parameter: Cortisol, Random.

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

    Experience the convenience of Orange Health’s quick Cortisol Test at home anywhere in Hyderabad, avoiding the need for a physical lab visit. We cover various localities, such as Banjara Hills, Jubilee Hills, Gachibowli, Madhapur, Hitech City, Kondapur, Begumpet, Somajiguda, Ameerpet, Panjagutta, Kukatpally, Miyapur, Manikonda, Secunderabad, Tarnaka, Abids, Koti, Mehdipatnam, Dilsukhnagar, Uppal, LB Nagar, Nallagandla, Nizampet, Attapur, Malkajgiri.

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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