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Doctor insights on: Hyperparathyroidism

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Dr. Brendan Stack Jr.
396 doctors shared insights

Hyperparathyroidism (Overview)

A condition of having an overactive parathyroid gland, which results in higher levels of calcium in the blood, which may cause weakness, constipation, and excessive thirst.


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Can parathyroid adenoma reoccur?

Can parathyroid adenoma reoccur?

No: Once the adenoma is successfully surgically removed, it is gone but it is possible for another adenoma to develop on one of your remaining parathyroid gland (you usually have 4 glands). A blood test will tell if this is happening. ...Read more

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Dr. Brendan Stack Jr.
396 doctors shared insights

Hyperparathyroidism (Overview)

A condition of having an overactive parathyroid gland, which results in higher levels of calcium in the blood, which may cause weakness, constipation, and excessive thirst.


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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.

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

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What is primary adrenal insufficiency (addisons disease)?

What is primary adrenal insufficiency (addisons disease)?

Adrenal cortex: The adrenal cortex makes lots of hormones. Very important are cortisol and aldosterone which help maintain life and salt balance. Addison's disease is caused by adrenal cortex damage rendering it unable to make these hormones anymore, mostly autoimmune cause in us. Patients often have a bronzed look. Hydrocortisone replacement is a lifesaving necessity. Fludrocortisone may also become necessary. ...Read more

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Does vitamin d deficiency cause secondary hyperparathyroidism, or is vitamin d deficiency caused by primary hyperparathyroidism?

Does vitamin d deficiency cause secondary hyperparathyroidism, or is vitamin d deficiency caused by primary hyperparathyroidism?

SecondaryHyperparath: Secondary parathyroidism which is most of the time due to Chronic Renal Failure But can also be caused after Bariatric Surgery,Small Bowel Disease and Chronic Pancreatitis, where there ilow vitamin d and low calcium and that stimulates parathyroid to make more parathyroid hormone ...Read more

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What is primary hyperparathyroid?

PrimaryHyperparathyr: Primary Hyperparathyroidism is usually caused by a tumor of the parathyrod gland called Adenoma,which secretes excesive Parathyroid Hormone causing elevation in Calcium level in blood. Symptoms of Hyperparathyroidism are due to High Calcium Digestive Symptoms like indigestion,ulcers etc Kidney Stones Bone Pains Fatigue,Depression and memory loss Passng too much Urine Classicaly Bone,Moan&Groan ...Read more

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Are hyperparathyroidism and hypothyroidism related?

SEPERATE CONDITIONS: These are two separate conditions and can happen to some patients together There is no concvincing evidence that there is any relationship for these two conditions ...Read more

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Calcium deficiency symptoms?

Calcium deficiency symptoms?

See answer : Early-stage calcium deficiency may not cause any symptoms but may include: brittle nails, dry skin, yellowing of teeth, muscle cramps, excessive eye twitching, weakness, and sweating in cold weather. Later stage deficiency symptoms include: muscle spasms, numbness and tingling in the hands, feet, and face, memory loss, depression, hallucinations, poor appetite, and abnormal heart rhythm. ...Read more

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How does parathyroid hormone lower calcium levels?

How does parathyroid hormone lower calcium levels?

Parathyroid hormone: Normal parathyroid hormone levels does not lower calcium levels. A low parathyroid level will lower calcium. A low calcium may increase parathyroid levels. Please discuss further with your doctor. ...Read more

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Can low vitamin d cause hyperparathyroid symptoms?

Can low vitamin d cause hyperparathyroid symptoms?

Unlikely: Agree with dr. Wingo. Low vitamin d can raise your parathyroid level but it should not cause hyperparathyroid symptoms. Most hyperparathyroid symptoms are caused by the elevated calcium which is not expected to happen in this case. ...Read more

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Is adrenal insufficiency hereditary?

Is adrenal insufficiency hereditary?

It can be.: One cause of adrenal insufficiency, addison's disease, is an auto-immune disorder. The immune system mistakenly makes antibodies targeting one or more proteins in the adrenal cortex, and winds up destroying the adrenal cortex, so that the adrenals can no longer make cortisol, or other hormones. As is true for most auto-immune disorders, a tendency to develop addison's can run in families. ...Read more

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Besides hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?

Besides  hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?

Nothing: Primary hyperparathyroidism is diagnosed by demonstrating simultaneous high serum calcium and high pth. In some patients there is a low vitamin d because PTH increases the metabolism of vitamin d. ...Read more

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34y.o.Calcium10.5(range 8-10),phosphorus2.3(2.5-4.6),protein8.8(6-8),albumin5.2(3-5), wbc 12.5(4-9),hgb18.4(12-18.2),hct52.1(39-52),NE#9.4..worrisome?

34y.o.Calcium10.5(range 8-10),phosphorus2.3(2.5-4.6),protein8.8(6-8),albumin5.2(3-5), wbc 12.5(4-9),hgb18.4(12-18.2),hct52.1(39-52),NE#9.4..worrisome?

Dehydrated: That's my bet. Were you a little bit dried out? Did you actually comply with the instruction "nothing by mouth for eight hours before the test?" Almost nobody does, and just being thirsty can explain this. How do you feel otherwise? ...Read more

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What is hyperparathyroidism?

What is hyperparathyroidism?

Hyper parathyroid's: Is an excess of parathyroid hormone in the bloodstream due to overactivity of one or more of the body's four parathyroid glands. These oval, grain-of-rice-sized glands are located in your neck. The parathyroid glands produce parathyroid hormone, which helps maintain an appropriate balance of calcium in the bloodstream and in tissues that depend on calcium for proper functioning. ...Read more

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Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth?]

Could a severe vitamin d deficiency mask primary hyperparathyroidism by lowering serum calcium levels? [would u see low-normal calcium and high pth?]

Primary hyperpara: Low vit d is common in patients with primary hyperparathyroidism. Although it is possible that it can mask the hypercalcemia, usually it does not. If your d is low, and you have hyperpara, you will likely still have a high ca. The low d may make the PTH level even higher, and vit d supplements should be given and they will not exacerbate the high calcium. This is complex. See endocrinologist. ...Read more

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