Doctor insights on:
Calcium Metabolism Cppd
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
Not necessarily.: Kidney stone formers often have elevated levels of calcium in the urine and calcium lowering medications can help them. However, reducing calcium in the diet is not recommended and does not seem to prevent stones. Excessive intake may predispose to stones, but there is no evidence that it will cause them. If you have a prior history of stone, taking the regular usrda of calcium is recommended. ...Read more
Calcified structure anterior to c1-c2 articulation.Represents longus colli hydroxyapatite tendonitis deposition or c1-c2 cppd arthropathy.Means? Help?
Poor communication: The person who can best explain this to you is the physician who examined you and ordered the testing. It is too complex to attempt to elucidate in 400 spaces, but you might try to google both of these and look for explanations in laymen's terms. Good luck. ...Read more
Either ok: Either form of calcium is reasonable to take as a supplement. Choose a form that you won't mind taking as some are definitely more palatable than others. Calcium citrate may be somewhat better absorbed as calcium is best absorbed with some acid. In general, what is more important is to space out your calcium consumption throughout the day as possible since if you take all your calcium at one time it is not well absorbed. ...Read more
Have bone density scan tomo morn. No calcium supplmnts BUT drank 3 glasses almondMilk:135% daily value calcium (fortified w/tricalcium phosphate).Bad?
If too much sugar: It can be bad if the almond milk has sugar added, which it probably does. Drinking sweetened drinks is a fast way to down many, many grams of sugar. Sugar is bad stuff (but a little bit is ok). As for the bone density scan, no worries. Calcium-fortified foods and drinks won't alter one's bone density overnight. ...Read more
Not, but...: For average young healthy persons, calcium supplement is virtually unnecessary, but people buy and use it indiscriminately out of ignorance, anxiety, & fear, and a 600 mg of calcium would not incite stone formation except someone already being prone to develop urinary stone, i.e., genetic factor, for which we do not have scientific means to detect its strength. More? Ask experts timely. ...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
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
No: Respectfully, calcium restriction is no longer thought to be of benefit in the prevention of kidney stones. Patients with calcium-oxalate stones, benefit from taking Tums (calcium carbonate) with meals. The dietary calcium in the Tums (calcium carbonate) binds to the oxalate in the food, preventing its absorption and ultimate excretion in the urine. ...Read moreSee 1 more doctor answer
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