Doctor insights on:
Calcium D Glucarate In Chronic Kidney Failure
Low vitamin D - 7
High parathyroid- 133
Recurrent kidney stones
Low normal ionized calcium 4.65
Are kidney stones due to low vitamin D?
No: Hi. Nope, stones NOT due to low vitamin D. You should do an accurate 24-hour urine for creatinine (for validation), calcium, oxalate, citrate, phosphate, and sodium; UA for urine pH. Your total calcium looks a tad high; confirm total calcium and albumin, and ionized calcium. You should see an experienced endocrinologist or nephrologist for a thorough evaluation. Good luck! ...Read more
The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more
Ionized Calcium 4.65, PTH 133, Calcium 10.3, Vitamin D 7, Phosphorus 4.9, recurrent Kidney stones. Thyroid lobe, two parathyroids removed in 2004.
Uncertain: These test results don't add up to a straight forward answer. However, I would be concerned about the possibility of recurrent primary hyperparathyroidism. You should take Vit D to eliminate Vit D deficiency as a cause for high PTH levels. Once this is done, if you still have high PTH with high calcium levels, you have recurrent primary HPTH and will need surgery again. ...Read more
Do familial hypocalciuric hypercalcemia patients respond to taking vitamin d supplements with an increased calcium, or is the calcium level stable?
No Change....needed?: In fbhh, the problem lies in the parathyroid perception of ca concentration. The ca sensing receptor (casr) doesn't sense the ca level correctly, resulting in PTH being elevated and kidney resorption increasing. While ca-vit d increases abdominal absorption, it doesn't change the underlying error. Additionally, these patients do not get kidney stones/osteoporosis at an increased rate (asympt). ...Read more
Quite the Opposite: In 2009 there was a conference on taurine. I just read some of the proceedings of that conference along with an extensive review of the renal effects of taurine. Taurine protects the kidney from all kinds of potential insults such as glomerulonephritis, diabetes as well as acute and chronic renal failure. So, taurine has an overall beneficial role to play in the kidney. ...Read moreSee 1 more doctor answer
Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth?]
Masking: Masking of hyperpara with low D is unusual. 40% of hyperpara patients present with vitamin D deficiency. It is important to get all labs checked at the same time (blood draw) to prevent confounding results from tine of day or day to day changes. The labs I check are: total calcium, ionized calcium, 25 OH vitamin D, magnesium, phosphorus, creatinine, chloride, and intact PTH. ...Read moreSee 2 more doctor answers
Rarely: Only at markedly elevated levels.Get a more detailed answer ›
Had a hypertensive crisis w CHF kidney u/s showed echogenic renal pyramids. Bicarbonate (sodium bicarbonate) is low 20.5 aldosterone 2.4 RDW 18.1 blood in urine , ideas?
Aldosterone 2.4: Your question cannot be answered properly, as you did not give enough information. You aldosterone (a) level is 2.4. It is difficult to say what that means because your a is dependent on whether you were standing, sitting, or lying down when the blood was drawn and normal values vary from lab to lab. A physician (p)ordered your test, ask the p for a more-informed answer to your question better. ...Read more
Can I take vitamin C pills (always made of sodium/potassium bicarbonate, (sodium bicarbonate) ascorbate, benzoate...) w. pulmonary hypertension requiring low sodium diet?
Yes, however...: I strongly advise you take Vitamin C, ideally 1000 mg 2-3x/day, but you should try to find forms without sodium. I don't know what's available in Denmark, but in the US you can find ascorbic acid, or calcium or magnesium ascorbate without sodium. Lypo-spheric Vit. C is esp. well-absorbed,but has 120 mg of sodium, but a low sodium diet usually allows 2000mg/day. Vit. C is best with bioflavonoids. ...Read more
What causes low serum phosphate other than parathyroidism? PTH & calcium are constantly normal. Normal D vitamin because of high dose supplements.
Low phos: Phos metabolism is intake /shift/ losses. I am assuming you have good intake. So the other two are the reason, either shift inside the cells or losses from the kidney. How low is the phos? Your medication list shows no meds that can cause losses. A lab doesn't need to be treated, so rpt lab and then get a urine fractional excretion if still low. Talk to your MD. ...Read more
If pt has potassium 3.3 mmol/L sodium 146 mmolL corrected calcium 2.63 mmol/L magnesium 0.70 mmol/L chloride 95 CHF renal & hepatic failure is it OK to add KCL 30 mmol to normal saline IV?
IV FlUID: The decision is an individualized doctor-specific and patient-specific judgement. ...Read more
Vit D toxicity: If you take a lot of Vit D, and I mean A LOT for a prolonged period of time, you can get vit D toxicity, which can raise blood calcium and potentially cause kidney stones. A normal daily supplement is not a problem. The treatment regimens typically used to treat low Vit D are not a problem. ...Read more
Will a magnesium supplement higher your serum potassium levels? Renal
Wasting of Mg and K. When started Mg serum potassium raised.
Be careful: Taking Mg and K may be dangerous for certain people. If you are going to take these supplements, you need to be careful that your kidney function is normal to begin with and that you do not take too much. It is best to seek your doctor's advice especially as high potassium levels can be dangerous. ...Read moreSee 1 more doctor answer
I have consistently elevated ionized calcium, low D, osteopenia & idiopathic chronic pancreatitis. Hyperaparathyroidism a possibility?
Ct abdomen found large stone in kidney.History of k stones years ago.Was recent. Given 10, 000 dose day of d to raise low d level.Could d cause stone?
Not Likely : It is not likely that the vitamin d caused the kidney stone. It is most likely that you are a stone former and that you should be checked frequently and should be under treatment to prevent stones. Drink two qts of water per day. Take magnesium eg. Magnesium malate or magnesium citrate daily. Get frequent check ups. ...Read moreSee 1 more doctor answer
Dx vit d insufficiency, levels now gone up to reasonable level, but calcium gone high - can vit d3 supplements cause serum calcium results?
Vitamin D Metabolism: is tied closely with calcium levels through the parathyroid gland. PTH (parathyroid hormone) increases calcium by removing it from bone, increasing renal reabsorption and converting Vit D(D2 or D3) to Calcitriol. Calcitriol increases the amount of calcium that is absorbed from you gut. This shouldn't happen unless your parathyroid gland is overactive. Would ask your Dr. about this possibility. ...Read moreSee 1 more doctor answer
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