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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatigue, Headaches And Sleeplessness

I have blood calcium of 2.53 mmol per L I have a PTH of 4.3 pmol per L I have common symptoms of high calcium i.e. fatigue, do not feel well, headaches, not sleeping well. I had an ultra sound which was negative. I have read that a person with high calcium and normal PTH can have hyperparathyrodism. My doctor wants to keep testing my calcium and PTH in another 3 months but I do not feel well now. what should I do ?
Fri, 14 Aug 2020
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General Surgeon,  's  Response
Hello,

The level of calcium mentioned is not depicting whether it is total serum calcium or ionised free calcium responsible for the systemic effects. It is remote possibility of a person with normal PTH report and actual symptoms of Hyperparathyroidism.

Till your final diagnosis is approached, primary guidelines for better recovery:
- Drink more liquids
- Balanced nutritious diet
- Tablet paracetamol (650 mg) sustained release medicine thrice a day
- Multi vitamins and minerals medicine as syrup, capsule or tablet formulations
- Quit smoking and alcohol if consuming
Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Fatigue, Headaches And Sleeplessness

Hello, The level of calcium mentioned is not depicting whether it is total serum calcium or ionised free calcium responsible for the systemic effects. It is remote possibility of a person with normal PTH report and actual symptoms of Hyperparathyroidism. Till your final diagnosis is approached, primary guidelines for better recovery: - Drink more liquids - Balanced nutritious diet - Tablet paracetamol (650 mg) sustained release medicine thrice a day - Multi vitamins and minerals medicine as syrup, capsule or tablet formulations - Quit smoking and alcohol if consuming Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon