Many thanks for your comment, Nausea, vomiting, and diarrhea in adrenal insufficiency occur due to several interconnected factors. The deficiency of cortisol impairs normal gastrointestinal motility and mucosal integrity. Additionally, cortisol deficiency causes hyponatremia and hyperkalemia which exacerbating gastrointestinal issues. Aldosterone deficiency further contributes by causing significant sodium loss and water depletion, resulting in hypovolemia and decreased perfusion to the gastrointestinal tract, which can trigger nausea and vomiting.

Very good question, thank you for your comment The presence of peripheral anterior synechiae in both eyes suggests an underlying angle closure process, but with normal intraocular pressure , healthy optic discs, and a relatively young age of 22, this patient does not meet the criteria for angle closure glaucoma. Instead, this condition may be best classified as primary angle closure, indicating a risk for developing glaucoma without current evidence of optic nerve damage or elevated IOP

Thank you for your comment The treatment for lung bullae primarily depends on the size, symptoms, and complications associated with the bullae. For asymptomatic patients with small bullae, regular monitoring and follow-up with imaging may be sufficient. For symptomatic patients or those with large bullae causing breathlessness, recurrent infections, or complications like pneumothorax, surgical intervention such as bullectomy (removal of the bullae) or video-assisted thoracoscopic surgery (VATS) may be indicated. In severe cases with extensive lung damage, lung volume reduction surgery or even lung transplantation might be considered. Smoking cessation is crucial in all patients to prevent further lung damage and improve outcomes

As someone who just took 30 I say just try and find out

@@HobotoboI just went sober im changing my life around bro, hope you do the same 🙏