Doctor insights on:
How Many Parathyroid Glands Do We Normally Have
Parathyroid Glands: The parathyroid glands are 4 small groups of tissue that sit behind the thyroid gland. They make parathyroid hormone or PTH which is involved in calcium metabolism. Too much PTH causes the calcium level in the blood to go up. An overactive parathyroid gland is often diagnosed when a routine blood test shows a high calcium level. ...Read more
Regulates calcium.: They make parathyroid hormone (PTH), which regulates the body's calcium and phosphate levels. These levels are important for normal nerve and muscle function. PTH tells bone to break down and release calcium into the blood. In the gut, it converts vitamin D to its active form which absorbs more calcium. It also tells kidneys to allow less calcium and phosphate to leave the body through urine. ...Read more
Three more remaining: There are four parathyroid glands situated in the neck, behind the thyroid gland -- two on left and two on right, usually a few centimeters apart. These glands make parathyroid hormone (PTH) that control calcium and bone metabolism. Usually only 0.5 to 1 parathyroid is sufficient to make enough pth. If 3 to 3.5 glands are damaged or removed, the body can still maintain PTH and calcium control. ...Read more
Low blood calcium: If one parathyroid gland is removed complications are unusual. If all 4 glands are removed blood calcium levels develop immediately and if untreated lead to tingling and cramps and occasionally a seizure. A nerve supplying a vocal cord could also be damaged and cause hoarseness. ...Read more
Enlarged or absent.: Parathyroid glands (one or more) may enlarge and cause a high blood calcium and lead to kidney stones and bone loss. If high enough symptoms may occur such as mental changes, constipation, frequent urination and weakness. In kidney failure parathyroid glands enlarge but often the blood calcium is low. Absence of parathyroid glands most often is due to thyroid surgery. The blood calcium is low. ...Read more
Low calcium: Parathyroid hormone regulates calcium concentration in the blood. When you have no parathyroid hormone, your calcium level will drop and your phosphorus level will rise. The treatment is to give back calcium and if you indeed have no parathyroid left, you will also need vitamin d- calcitriol. ...Read more
Parathyroid hormone: The parathyroid glands secrete parathyrid hormone. This hormone is important in keeping calcium levels stable in the blood. It does this by removing calcium from bone, activating vitamin d and increasing calcium removal from the urine (so less calcium is lost in the urine). ...Read more
I know main risks of thyroidectomy are damage to the vocal cords or parathyroid glands. Are there any statistics about the likelihood of these risks?
Skill of your MD: Those are definitely the risk of the procedure. But a well skilled surgeon will decrease the odds of those complications. Statistics are just that numbers. Talk to your surgeon and check out their record and experience. ...Read more
No: Separate process.Get a more detailed answer ›
There are small bilateral level 6 hypoechoic well circumscribed ovoid nodules possibly representing parathyroid glands or small lymph nodes. Opinion?
Surely to doctor who is looking after you MUST be taking care of all issues. If you are not satisfied seek a different doctor.
Please let know how things go. ...Read more
No but: The parathyroid can be inadvertently removed, temporarily or permanently damaged during the thyroidectomy. You just need to work with your doc to determine which case pertains to you. ...Read more
Years ago my parathyroid glands were removed by accident. Have recently had roux en y surgery and I can't manage to get down 15 calcium glucanate day?
I have primary hyperparathyroid per lab values. I had a ultrasound and a 4D CT scan done with no location of any alnormal parathyroid glands. Surgeon?
Possibly: Primary hyperthyridism without pathology on CT (no nodules) is autoimmune disease with various causes. Result is increase production of thyroid hormone causing all symptoms related. (rapid heartbeat, sweating, eye changes. Diarrhea, weight loss.) There are some medication to block or suppress production of hormon but in may be better in long run see specialist -surgery or rediaocative ablation. ...Read more
Yes: Depends on what the problem is but the most common problem is overproduction of parathyroid hormone due to a growth. There are treatment options. Surgery will typically cure it. Otherwise, a pill can be used to control it if surgery is not an option. You can also inject alcohol into the gland to "ablate" it (not commonly done). ...Read more
Very quickly: Any of these symptoms that are truly from the hyperparathyroidism typically go away within hours to days. You may wake up frim surgery with some symptoms completely gone. However, there can be many other reasons for these symptoms, and it is impossible to predict beforehand with any certainty which ones will go away after surgical removal of the problem gland (s). ...Read more
I had my thyroid taken out 2 years ago. They took one of my 4 parathyroids. Is it possible for them to ever stop working?
Possible: But not likely if the remaining 3 are working. ...Read more
I had my thyroid and a parathyroid taken out 2 years ago. Could my parathyroids just stop working? And would it cause anxiety?
How long after a total thyroidectomy does it take to tell if your parathyroids have been taken out or injured. Its been 4 weeks now take 9 cal 3 vit?
Blood calcium levels: The most accurate determination of normally functioning parathyroid glands is normal blood calcium levels. These levels can only be accurate without taking supplements. Parathormone levels are another way of measuring parathyroid function. In patients with removal of glands because of hyperparathyroidism elevations can persist awhile postoperatively. ...Read more
I had a total thyroidectomy 2 weeks ago and after the surgery, my calcium dropped to 7.4. I was in the hospital for 3 extra days. My calcium is now 7.1 and parathyroids have gone. Your thoughts?
It's a waiting game: I agree that permanent profound hypoparathyroidism is rare. It would be nice to know if you have any detectable parathyroid hormone. If you do, then your prognosis is better. Often your body will reset its low point. You would still be on calcium supplementation and possibly calcitriol, but at lower doses. You will tolerate lower levels with less side effects. Hang in there. ...Read more
4weeks ago had total thyroidectomy taking 9 calcium and 3 vit D3 aday endocrinologist says parathyroids not producing nothing. Have hashi and hypo?
Question not clear: Patients do not usually have total thyroidectomy because of hashimoto's thyroiditis. We need more information to answer your question. ...Read more
My legs hurt so bad like they are on fire. Have graves. Had total thyroidectomy plis 2 parathyroids and my TSH is 20.What can I do? Dr not tx symp
If your tsh: Is 20, you are not taking enough thyroid replacement. Check w/your doctor to see if dose needs to be adjusted. ...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
Regulate calcium: The parathyroid glands secrete a hormone that keeps the level of calcium in the blood from falling. It does this by pulling calcium from the bone and by preventing loss of calcium through the kidney. It is also necessary to convert vitamin d into its active form, which in turn increases calcium absorption in the gut. ...Read more
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