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    What is Cortisol (Random) Test?

    A Cortisol test is used to measure the amount of cortisol, a hormone produced by your adrenal glands, in your body. Often referred to as the stress hormone, cortisol plays a vital role in stress management, reducing inflammation, regulating blood sugar and metabolism, and maintaining blood pressure. It is controlled by the pituitary gland in your brain, which regulates the adrenal glands. This test is essential for determining whether you have excessive or insufficient cortisol levels.

    Abnormal cortisol readings could point to issues with either the adrenal or pituitary glands or even a tumour affecting cortisol production. If you're located in Mumbai and are interested in checking your cortisol levels, schedule a Cortisol test today.

    Cortisol (Random) Test Parameters

    The Cortisol (Random) test assesses a single parameter: the level of cortisol in your blood sample at the time of testing. This test is mainly used for diagnosing Addison's disease and Cushing's syndrome, but it can also be performed if your doctor suspects an adrenal crisis. Symptoms of an adrenal crisis may include very low blood pressure, confusion, sudden abdominal pain, tiredness, or weakness.

    Low cortisol levels might suggest Addison's disease, which can manifest as abdominal pain, vomiting or nausea, extreme fatigue, low blood pressure, joint and muscle pain, loss of appetite, weight loss, and depression.

    On the other hand, high cortisol levels could indicate Cushing's syndrome, associated with symptoms like high blood pressure, muscle weakness, acne, obesity, thin skin, elevated blood sugar, a hump at the base of the neck, and osteoporosis.

    Your doctor might also request urine or salivary cortisol levels in addition to this test. If there's concern about a tumour or abnormal growth, you may need an MRI or CT scan as well.

    Cortisol (Random) Test Preparation

    Several important factors should be considered prior to taking a Cortisol (Random) test:

    • Prerequisites

    There’s no need to fast for the Cortisol test. However, if your doctor has requested additional tests, he or she will provide specific guidelines regarding fasting requirements.

    • Best Time to Get Tested

    As fasting isn’t necessary, you can have the Cortisol test done at any time of day. Just keep in mind that cortisol levels tend to peak in the morning.

    • Who Should Consider a Cortisol Test

    A Cortisol (Random) test may be recommended by your doctor after a thorough evaluation of your symptoms and health condition. It could be suggested if you display symptoms of adrenal disorders, including fatigue, unexplained weight changes, muscle weakness, or mood alterations, or to assess how your body responds to stress.

    • Cautions Before Taking a Cortisol Test

    There is no special preparation for the Cortisol test, but because stress can raise cortisol levels, it might help to relax before your appointment. Additionally, inform your doctor about any medications or supplements you are taking, as they might influence the results.

    Why Take the Cortisol (Random) Test?

    The Cortisol (Random) test assesses cortisol levels at any time of the day without accounting for normal daily variations. This test is useful for several purposes:

    • Evaluating Stress Response : Since cortisol is known as the “stress hormone,” this test can provide valuable information about how your body handles stress.

    • Assessing Adrenal Function : If you experience symptoms like fatigue, weight gain, or changes in mood, a random cortisol test can help determine if your adrenal glands are operating correctly.

    • Facilitating Early Diagnosis : It plays a role in identifying conditions linked to cortisol imbalances, such as Cushing's syndrome (characterised by high cortisol levels) or Addison's disease (marked by low cortisol levels).

    • Monitoring Treatment Progress : If you are receiving treatment for a condition that affects cortisol levels, this test can help gauge the effectiveness of the treatment.

    Overall, the Cortisol test is essential in diagnosing and managing adrenal disorders like Cushing’s syndrome and Addison’s disease.

    Cortisol (Random) Test Results and Interpretation

    To diagnose and treat medical disorders, it's essential to accurately understand the findings of your Cortisol test. 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

    High levels of cortisol might indicate the presence of Cushing's syndrome, potentially stemming from long-term steroid use, tumours in the adrenal or pituitary glands, or other medical issues.

    On the other hand, low cortisol levels could suggest Addison's disease or secondary adrenal insufficiency, where reduced cortisol production is attributed to external influences rather than adrenal gland dysfunction. Possible causes include autoimmune diseases, infections, or abrupt discontinuation of steroid medication.

    Cortisol concentrations are highest between 8 and 9 a.m. and typically reach their lowest point around midnight. Elevated cortisol levels are often seen in individuals undergoing high-dose oestrogen therapy or during pregnancy.

    It is essential to consider that factors such as stress, pregnancy, exercise, illness, temperature changes, thyroid conditions, obesity, and specific medications can also affect cortisol levels. Moreover, a single Cortisol test may not reveal the exact cause of abnormal levels, so additional tests may be necessary as recommended by your doctor. For an accurate understanding of your results, it is advisable to consult with your doctor.

    FAQs on Cortisol (Random) Test in Mumbai

    The Cortisol test price is ₹720. This includes the convenience of home sample collection, which will be done within 60 minutes of booking, and your results will be ready within 68 hours after the sample is collected.

    Yes, home sample collection is an option for the Cortisol test. Once your test is booked, an eMedic will arrive at your chosen location to collect the sample, typically within 60 minutes of your booking confirmation (depending on slot availability).

    The Cortisol test serves to measure cortisol levels to diagnose adrenal disorders, assess your body’s stress response, investigate symptoms like fatigue or weight changes, and monitor the effectiveness of treatments for conditions impacting cortisol levels.

    No, fasting is not necessitated for the Cortisol test. However, it's a good idea to discuss with your doctor if you are planning to take any additional tests along with it.

    To book Cortisol test at home, follow these steps:

    • Search for the Test : Type “Cortisol test in Mumbai” into your search engine and select the Orange Health listing.

    • Review and Verify : Choose the test, review any prerequisites, enter your location, and confirm your booking by selecting a convenient time for sample collection.

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

    • Lab Processing : Your sample will be forwarded to our ICMR-approved and NABL-accredited lab for analysis.

    • Receive Results : The results for your Cortisol test will be sent to you via email or WhatsApp within 68 hours, and you can also view your results on our app.

    Cortisol levels can change based on the time of day and the specific testing method used. The normal cortisol range for morning samples is between 4.46-22.7 µg/dL, whereas for evening samples, it ranges from 1.7-14.1 µg/dL. If your cortisol levels exceed or fall below these limits, it's important to consult your doctor.

    Once you book the Cortisol test, a qualified and vaccinated eMedic from Orange Health Labs will arrive at the specified location for sample collection within 60 minutes of confirming your booking. You can access your results online within 68 hours after your sample has been collected.

    Your doctor will suggest how often you should take the Cortisol test based on a detailed assessment of your symptoms and medical history.

    This test evaluates only one parameter: Cortisol, Random.

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

    Orange Health provides the fastest Cortisol Test right at your home across Mumbai, removing the need for a physical lab visit. We provide our services to numerous localities, including but not limited to Colaba, Mulund, Bhandup, Nariman Point, Marine Drive, Malabar Hill, Vashi, Belapur, Churchgate, Worli, Dadar, Parel, Byculla, Bandra, Andheri, Juhu, Ghatkopar, Powai, Chembur, Santacruz, Khar, Versova, Lokhandwala, Goregaon, Borivali, Kandivali, Kurla.

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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