Doctor insights on:
Low Calcium Levels After Thyroid Surgery
I have low PTH and low vitamin D even when on vitamin D supps (thyroidectomy in 2 weeks) but normal calcium levels. What causes the low Pth?
Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and ...Read more
Low vitamin D level (19), High phosphorus level (4.5), High PTH level (70). What could be the cause of this? Serum Calcium level is normal.
HPT: You have hyperparathyroidism. If left untreated, your risks of heart attack, stroke, osteoporosis, and chronic kidney disease are ALL increased. This will compound the effects of your diabetes. It’s very hard/impossible to cure diabetes but hyperparathyroidism can be cured with surgery. I recommend you fix what you can. ...Read moreSee 1 more doctor answer
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
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
What causes low prolactin levels, MRI scans reported at normal? Also low vit d, low cortisol, high folate (folic acid) level. Now have images of MRI and CT myself.
Depends on calcium: If the calcium is elevated or high normal and PTH is significantly elevated, primary hyperparathyroidism is most likely cause and would most likely be treated with surgery. If the calcium is low the most likely cause is vitamin d deficiency. ...Read moreSee 2 more doctor answers
Besides hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?
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
Other than hyperparathyroidism, what else could cause elevated serum calcium levels, pth and low vitamin d?
Hypercalcemia: A full answer is beyond the space limitations imposed in this space. A full discussion of the causes of high serum calcium levels can be found at this link: http://www.Mayoclinic.Com/health/hypercalcemia/ds00976/dsection=causes this will give you the answers you are looking for. ...Read more
Im taking 150mg of levothyroxine after total thyroidectomy & RAI a month ago due to papillary thyroid cancer.My TSH level is 0.091uIU/mL.Is it normal?
See below : Low hematocrit after surgery is sometimes expected ( above 30) given that you might have lost some blood during surgery. It should get better with time. If you start feeling very fatigued or short of breath or have worsening or new pains then you should get immediately checked out. ...Read more
After thyroid surgery, the amount of calcium get decreased.What are the food need to include for getting this balanced?
Should resolve: After thyroid surgery you can shock your Parathyroid glands which may cause a short period of hypocalcemia. This can be treated with calcium carbinate (tums) or dairy products like milk. The transient hypocalcemia should resolve once the parathyroid glands recover, UNLESS they were mistakenly removed. You should also get your calcium levels checked by a doctor. ...Read moreSee 1 more doctor answer
Tingling lips and no thyroid....Is my calcium too low? What are the dangers of super low calcium?
Low calcium: Tingling or hypoesthesia of the fingers, nose, toes, and or lips is a sign of low calcium. This can also be accompanied by leg and loot cramps, especially at night. This can be temporary 10-30% of the time after total thyroidectomy and permanent 1-3% of the time. Can be treated with calcium, rocaltrol, (calcitriol) and or rarely Natpara. You should have labs drawn that examines calcium and related levels. ...Read moreSee 3 more doctor answers
I have been expericing unintentional weight loss, 2 swollen lymph nodes in neck. Labs showed low calcium and low electrolights and dropping tsh?
Your symptoms suggest excessive thyroid function but also reactive lymphatic nodes or nodules in need of a physician examination since it could represent a thyroid tumor or another neck tumor.
Weight loss could be from thyroid excess or tumor.
Acute inflammation of thyroid gland due to a virus could cause both.
Please seek medical care promptly ...Read more
I have an enlarged fatty liver I have polyps and stones in my gallbladder. I must have thyroid surgery first my high.Calcium. Do i remove gallbladdne?
It depnds on Symptom: Gall stones are frequently asymptomatic(silent) and do not require removal of the gall bladder on any urgent basis unless you have pain caused by the stones. So your doctor can guide you about what is more important to handle first...Thyroid, calcium problem, or gall stones. Follw the advice of your famnily doctor who can help you priortize what should be handled first. ...Read moreSee 1 more doctor answer
Subtotal: This is an arcane surgical term referring to removing most but NOT all of the thyroid. It was historically done to reduce risk of recurrent laryngeal nerve injury and hypoparathyroidism. Currently, thyroid surgeries are mostly half (hemi) or all (total). ...Read moreSee 1 more doctor answer
Usual course: Typically people have some stiffness and soreness in the neck for the first week or two. Sometimes swallowing can be difficult (especially liquids) and the voice can be hoarse for the first month (about 10% of people). Energy levels can fluctuate because of the surgery, as well as, thyroid hormone levels changing. Other specific issues can be addressed by your surgeon. ...Read moreSee 2 more doctor answers
Im having thyroid surgery in two weeks. Should i start trying to eat less and what kind of food should I be eat?
I just recently had thyroid surgery and today my left pupil is larger than the right, NO other symptoms. Could it be my thyroid medication I am taking?
This should be evaluated ASAP by your surgeon and perhaps a Neurologist!
Hope this is helpful
Dr Z ...Read more
Thyroid Surgery: Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and need for additional surgery. ...Read moreSee 3 more doctor answers
Decrease blood flow: If the patient has graves' disease or other hyperthyroidism and is scheduled for surgery, doses of iodine can be given to temporarily decrease the blood to the thyroid and aid in surgery--typically sski is given. Radioactive iodine is given to ablate the thyroid in hyperthyroidism. Some feel it should not be given in grave's if there are eye problems from the graves or it may make the eyes worse. ...Read moreSee 1 more doctor answer
Where is a good place to get this in florida or east coast to get endoscopic thyroid surgery
Why?: There are a number of centers near florida that do endoscopic thyroid surgery, like tulane la, atlanta ga. The only real advantage to this type of thyroid surgery is that you would have a smaller scar in the neck or no scar if done through the axilla (arm pit). However, the procedure usually takes more time, therefore more anesthesia. There is no evidence that complications are less frequent. ...Read more
I ask I'm almost 1half month done my thyroid surgery why it's still I fell my neck is to tired thank u?
There will be: a NORMAL "thickening" at the site of your surgery for several months after the procedure! In addition any fatigue you had prior to the surgery I assume will respond to thyroid replacement (if indicated) or a little "tincture of time"! Hope this helps! BE WELL! Dr Z ...Read moreSee 1 more doctor answer
I ask I go for thyroid surgery How many weeks can I go to work I'm nanny I do some cleaning to house thank you?
Within a few days?: you should ask the surgeon about this, but it all depends on what surgery is being done on your thyroid - if it is a deep procedure, say a subtotal thyroid extort, it could take up to a week for full recovery, while simple biopsies take a day to do and you are back at work the next day. Ask your surgeon ...Read more
Hypocalcemia refers to low measured levels of calcium in the blood. Symptoms of hypocalcemia may include numbness/tinglng of he hands and mouth or cramping. In severe cases, one's ability to think may be impaired. Hypocalcemia may be due to poor diet, vit d deficiency, disorders of the parathryoid ...Read more
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