What symptom is not typically associated with acute adrenal insufficiency?

Acute adrenal insufficiency, also known as adrenal crisis, is a critical condition that arises when the body does not produce enough cortisol. The symptoms associated with this condition are primarily a result of acute glucocorticoid deficiency and include significant gastrointestinal disturbances, such as nausea and vomiting, as well as abdominal pain and diarrhea.

Headaches can also occur due to a variety of factors, including stress, hypovolemia, or electrolyte imbalances typically seen in those who are in crisis. However, constipation is not one of the common symptoms associated with acute adrenal insufficiency. In fact, the gastrointestinal tract often offers clues to the presence of the condition, which usually manifests with increased gastrointestinal motility rather than decreased. Therefore, the presence of constipation would not align with the clinical presentation generally observed in acute adrenal crisis, making it the symptom least likely to be associated with this condition.