Congenital adrenal hyperplasia

Congenital adrenal hyperplasia (CAH) is a problem that affects how the adrenal glands work. The adrenal glands need an enzyme to make certain hormones. Children with CAH are missing or have low levels of this enzyme.

The hormones produced by the adrenal glands affect nearly every organ in the body. They help the body cope with stress, hold salt and water, and maintain blood pressure. They also affect sexual development.

CAH is a problem that is passed through genes. Most of the time it's found during routine newborn blood tests.

When a child has CAH, the child will need to take medicine each day to replace the missing hormones.

You may have just learned that your baby has CAH. You will get more information and support from the hospital staff.

Treatment is aimed at keeping hormone levels as balanced as possible. Your child will need to take medicine every day. It replaces the missing hormones. Taking the medicine is important because it can help prevent a serious problem called an adrenal crisis.

Girls who are born with male-looking genitals may have surgery to make their genitals look more female.

Make sure that any health professional who treats your child knows that your child has CAH. You may want your child to wear or carry medical identification that says your child has CAH.

Call 911 anytime you think your child may need emergency care. For example, call if:

• Your child has signs of an adrenal crisis. These may include:
  • Passing out (losing consciousness).
  • Severe vomiting.
  • Severe diarrhea.
  • Severe belly pain.
  • Looking very sick.
  • Not acting normally.

Call your doctor now or seek immediate medical care if:

• Your child is vomiting.
• Your child has diarrhea.

Watch closely for changes in your child's health, and be sure to contact your doctor if:

• Your child has a poor appetite.
• Your child is losing weight.