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Suggest Treatment For High Blood Calcium Levels
Question: Hi doctor,
My name is XXXX.
I had blood test in 10 may 2014 which was my blood calcium levels are (ca 2.74 & corr ca 2.66), which is quite high, and vitamin d level 18 this report was suspected by my GP and ask me go for thyroid, parathyroid and bone density.
Bone density levels are quite below to normal ,and thyroid levels are normal. They found a adenoma below right hand side of my neck in parathyroid nuclear scanning.
My gp suggested me to go and see a surgeon for further advise. Before I see him I had one more blood test of my calcium levels after 2 months on 07/07/2014 Which shows (ca 2.65 & corr ca 2.61) levels down. But Vitamin d levels down less than 10.
My surgeon suggested me take a vitamin d tablets and come after 2 months with a blood and urine reports.
After 2 months I mean on 31/08/2014 I had a reports which shows my vitamin d levels sufficient (47) and calcium levels gone up ( ca 2.97 corr ca 2.85) & urine reports are fine (6.6)
After seen of my reports my doctor suggested me go for an operation of parathyroid.
Please suggest me am I have to go for surgery or is there any alternative treatment s.
Your advise very valuable and appreciate.
Thanks,
XXXX
My name is XXXX.
I had blood test in 10 may 2014 which was my blood calcium levels are (ca 2.74 & corr ca 2.66), which is quite high, and vitamin d level 18 this report was suspected by my GP and ask me go for thyroid, parathyroid and bone density.
Bone density levels are quite below to normal ,and thyroid levels are normal. They found a adenoma below right hand side of my neck in parathyroid nuclear scanning.
My gp suggested me to go and see a surgeon for further advise. Before I see him I had one more blood test of my calcium levels after 2 months on 07/07/2014 Which shows (ca 2.65 & corr ca 2.61) levels down. But Vitamin d levels down less than 10.
My surgeon suggested me take a vitamin d tablets and come after 2 months with a blood and urine reports.
After 2 months I mean on 31/08/2014 I had a reports which shows my vitamin d levels sufficient (47) and calcium levels gone up ( ca 2.97 corr ca 2.85) & urine reports are fine (6.6)
After seen of my reports my doctor suggested me go for an operation of parathyroid.
Please suggest me am I have to go for surgery or is there any alternative treatment s.
Your advise very valuable and appreciate.
Thanks,
XXXX
Brief Answer:
best option at the moment
Detailed Answer:
Hi, thanks for using healthcare magic
It is understandable to be concerned regarding any surgical procedure but in some instances surgery is the best available option.
Hyperparathyroidism refers to increase levels of parathyroidism. It can be primary or secondary or tertiary.
IN primary hyperparathyroidism there is a lesion or mass in the parathyroid that is producing more of this hormone.
This is most likely the type of hyperparathyroidism that you are experiencing since the scan noted an adenoma.
Surgical treatment is offered to persons with primary hyperparathyroidism so that the adenoma can be removed.
In 85% of persons there is only one adenoma causing the symptoms and this can be easily removed.
Parathyroidectomy (removal of aspect of the parathyroid) is well tolerated with minimal problems.
There are some risks as with any surgical procedure. The main risks are: (1) damage to a nerve called the recurrent laryngeal nerve and (2) hypoparathyroidism (low levels of the hormone)
These risks are low.
Summary: (1) it is the best option and is offered to patients with this condition
(2)low risks of complications
I hope this helps, feel free to ask any other questions
best option at the moment
Detailed Answer:
Hi, thanks for using healthcare magic
It is understandable to be concerned regarding any surgical procedure but in some instances surgery is the best available option.
Hyperparathyroidism refers to increase levels of parathyroidism. It can be primary or secondary or tertiary.
IN primary hyperparathyroidism there is a lesion or mass in the parathyroid that is producing more of this hormone.
This is most likely the type of hyperparathyroidism that you are experiencing since the scan noted an adenoma.
Surgical treatment is offered to persons with primary hyperparathyroidism so that the adenoma can be removed.
In 85% of persons there is only one adenoma causing the symptoms and this can be easily removed.
Parathyroidectomy (removal of aspect of the parathyroid) is well tolerated with minimal problems.
There are some risks as with any surgical procedure. The main risks are: (1) damage to a nerve called the recurrent laryngeal nerve and (2) hypoparathyroidism (low levels of the hormone)
These risks are low.
Summary: (1) it is the best option and is offered to patients with this condition
(2)low risks of complications
I hope this helps, feel free to ask any other questions
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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