Top
30
Doctor insights on: Non Parathyroid Hypercalcemia

Share
1

1
High parathyroid related peptide and hypercalcemia with elevated ACE in 12 yr old. Clear pet scan, CT scan and bone marrow. On prednisone to control.

High parathyroid related peptide and hypercalcemia with elevated ACE in 12 yr old. Clear pet scan, CT scan and bone marrow. On prednisone to control.

Scintigraphy?: Has your child had a nuclear medicine scan with 99mtc-sestamibi...?

This is more accurate than a pet scan for parathyroid adenoma and may be of value for your diagnosis. ...Read more

Dr. Charles A Bryant
51 Doctors shared insights

High Calcium Levels In Blood (Definition)

Defining a high level depends on the normal range of the laboratory measuring the calcium level. There is variability. Commonly a high value is greater than 10.5 mg/dl. However some patients may have fluctuating values ...Read more


2

2
Is weight hard to lose with hypercalcemia and hyperparathyroidism? Also is extreme fatigue related to this as well?

Is weight hard to lose with hypercalcemia and hyperparathyroidism? Also is extreme fatigue related to this as well?

Fatigue yes, wt loss?: It is not unusual to have extreme fatigue due to Hyperparathyroidism and hypercalcemia. But it is not hard to loose weight
Actually patients with Hyperparathyroidism loose weight as they have no appetite most of the time ...Read more

3

3
At 41 yes old what can I expect in living with hyperparathyroidism or hypercalcemia?

Expectations: You can expect to live a healthy and happy life once your diagnosis is thoroughly diagnosed and properly treated. ...Read more

4

4
What is the cause of hypercalcemia?

What is the cause of hypercalcemia?

Causes of Hypercal: Causes are divided into outpatients and in patients. In Outpatients the most common cause is Hyperparathyroidism. In inpatients, the most common cause is metastatic cancer to the bones. There are other causes such as medication, vitamin d overdose, etc. ...Read more

5

5
What's the thyroid vs. The parathyroid?

What's the thyroid vs. The parathyroid?

Anatomy: The thyroid gland is a major regulator of many functions of the body by producing thyroid hormones. It sits in the lower neck on both sides. The parathyroid glands regulate calcium metabolism. There are 4 of them and they lie behind (and often in contact with) the thyroid. ...Read more

6

6
Who gets parathyroid disease?

Anybody: There are a few hereditary causes of parathyroid disease which can increase your risk above the general population but generally speaking, parathyroid disease can occur in anyone and at any age, although the average is around 60 years of age. ...Read more

7

7
What are the parathyroid glands?

What are the parathyroid glands?

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

8

8
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

9

9
How do the parathyroid glands work?

How do the parathyroid glands work?

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

10

10
What does the parathyroid gland do?

What does the parathyroid gland do?

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

11

11
How are parathyroid disorders found?

How are parathyroid disorders found?

Blood test & imaging: It can be confirmed by lab and urine tests, followed by imaging studies (parathyroid scan +/- neck ultrasound). ...Read more

12

12
Are parathyroid disorders hereditary?

Are parathyroid disorders hereditary?

Yes and no: Parathyroid disorder can occur in anyone but it could also be hereditary (that is if a family member has hyperparathyrodiism, you are at higher risk of developing the disease). There is also a condition called men (multiple endocrine neoplasm) that can increase your risk of parathyroid disease if someone in your family has it. ...Read more

13

13
How are parathyroid disorders treated?

How are parathyroid disorders treated?

Many: If it's hyperparathyroidism, the best treatment is surgery. Medications and possibly alcohol injection can be used but these are inferior to surgery and only considered when surgery is refused or contraindicated. If it's hypoparathyroidism, the treatment is calcium and vitamin d (both inactive and active) replacement. ...Read more

14

14
What is done during a parathyroid biopsy?

What is done during a parathyroid biopsy?

Likely FNA: Fna stands for fine needle aspiration. The skin is numbed with an anesthetic shot and usually an ultrasound is used to guide a needle biopsy. Needle biopsy of parathyroid glands are relatively uncommon, so ask your doctor/surgeon to clarify. ...Read more

15

15
Do I have just one bad parathyroid gland?  

Do I have just one bad parathyroid gland?  

Usually: Usually it's one gland that has the adenoma but you can also have a condition called parathyroid hyperplasia where all 4 glands are enlarged. You only need 1/2 of a parathyroid gland to function normally, that is, 1/2 out of 4 glands. ...Read more

16

16
What are the risks from parathyroid surgery?

What are the risks from parathyroid surgery?

See below: Depends on how it is being done, minimal incision or full neck incision. Depends on if it is for only one parathyroid gland, or if all four glands are being evaluated at surgery. Low risk of nerve damage to the vocal cord, low risk of infection, low risk of bleeding and swelling after surgery. Low risk of not being able to locate the offending gland at surgery requiring another surgery later. ...Read more

17

17
What are the symptoms of parathyroid disease?

What are the symptoms of parathyroid disease?

Many symptoms: Parathyroid hormone is responsible for regulating calcium level in blood. If high, it will raise calcium level in your blood causing osteoporosis, kidney stones, kidney problems, bone pain, constipation, abdominal pain, psychological problems...If low, it can cause low calcium in the blood resulting in numbness/tingling, muscle cramps, fatigue, irritability, seizures, uncontrolled movements... ...Read more

18

18
What is the fuction of the parathyroid gland?

What is the fuction of the parathyroid gland?

Calcium control: It very precisely controls the blood calcium level at a max of 10.2 mg /100 ml. If calcium rises then PTH drops, if calcium drops then PTH rises to keep in range. ...Read more

19

19
What are the symptoms of parathyroid disorders?

What are the symptoms of parathyroid disorders?

There are several...: Symptoms are related to an elevated level of parathyroid hormone, which causes a high blood calcium level. Minimal symptoms are present until the calcium level is so high as to cause kidney stones, GI "moans" (constipation, nausea, belly pain), psychic "groans" (confusion, dementia, depression, etc.), and pain in the bones, including diffuse bone pain and fractures. ...Read more

20

20
How common is parathyroid disease in teenagers?

How common is parathyroid disease in teenagers?

Rare: I'm an adult doc but I think it's pretty rare. High calcium is the first finding, but i'd look for other causes. ...Read more

21

21
How can one diseased parathyroid gland be found?

How can one diseased parathyroid gland be found?

Find parathyroid: 1. Ultrasound because it's cheap and can be done by most high volume practitioners in their office.
2. 4D CT. This is new but far superior to the former number 2.
3. SPECT CT Tc 99 sestamibi or other sestamibi based scan.
4. If you go to 4 or beyond, your a special case and make sure you have a really experienced surgeon. ...Read more

22

22
What are the symptoms of pcos and hypercalcemia?

What are the symptoms of pcos and hypercalcemia?

Odd question: These two conditions are not related in any way that I can see. PCOS is a complex syndrome with irregular menses, abdomen obesity, insulin resistance, hirsutism, excess androgens. Hypercalcemia is often asymptomatic, but there can be kidney stones, osteopenia, bone pain. See your doctor. ...Read more

23

23
Where does parathyroid glands locate in our body?

Where does parathyroid glands locate in our body?

In the neck: The parathyroid gland is located in the middle anterior (front) of the neck and these little teardrop looking glands lay on top of the thyroid gland. ...Read more

25

25
What are the complications of parathyroid adenoma?

Many: If the adenoma produces extra parathyroid hormone, you can have high calcium concentration in your blood which can cause many symptoms and conseuquences including: constipation, abdominal pain, fatigue, musle weakness/twiches, renal insufficiency, excessive urination and dehydration, kidney stone production, osteoporosis, memory loss, depression...It needs to be evaluated and taken seriously. ...Read more

26

26
What is a parathyroid gland and where is it located?

What is a parathyroid gland and where is it located?

Neck: The parathyroid glands are diffierent than the thyroid gland (they share part of the name but their functions are very diffierent). There are 4 parathyroid glands. They are usually located on the back of the thyroid gland but they can also be located around the jaw and neck as well. ...Read more

27

27
What are the symptomps of parathyroid gland problems?

What are the symptomps of parathyroid gland problems?

Parathyroid problems: Hi. Too complex for small space. Primary hyperpara (PHPT) is a disease of parathyroids where too much PTH is secreted, which causes high blood calcium, with symptoms/signs of kidney stones, bone fractures, malaise, depression, high blood pressure, and others. Hypoparathy is a disease of parathyroids where they can't secrete enough PTH, with symptoms of numbness, tingling, and muscle twitching. ...Read more

28

28
What would happen if the parathyroid glands were removed?

What would happen if the parathyroid glands were removed?

Low blood calcium: Removal of the parathyroid glands would immediately result in a low blood calcium and ususally tingling, muscle cramps, impaired thinking and occasionally, seizures. It can be treated with a powerful form of vitamin d and calcium. ...Read more

29

29
What happens if one of your parathyroid glands is damaged?

What happens if one of your parathyroid glands is damaged?

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

30

30
What complications come in romoving th parathyroid glands?

What complications come in romoving th parathyroid glands?

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