Suggest Treatment For Elevated PTH And Calcium Levels

Posted on Tue, 21 Oct 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 21 Oct 2014 Answered on

Mon, 17 Nov 2014 Last reviewed on

Question : I am hypothyroid for a number of years; synthroid now not working correctly. just found out high blood calcium 11.0 high pth 147 have recently had a stress fracture and a gallbladder attack. going for more blood work. scared

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
High calcium and PTH

Detailed Answer:
Good day,
Noted your concern.
Not to worry, with a high PTH and calcium, you are likely to have hyperparathyroidism. You may need few additional tests like Vitamin D, Urine calcium/creatinine ratio, kidney function tests , Ultrasound neck and later possibly a nuclear scan also. '
As you are 63 years, they will also take some bone Xrays and a DXA scan to look at bone density. All this will decide the cause of high calcium and if a surgery will be required or not. There is nothing to worry about. Please stay relaxed. Even if you need a surgery, it is not complicated one.
please feel free to discuss further
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (21 minutes later)

forgot to note that vitamin D level is low also - thank you

Answered by Dr. Binu Parameswaran Pillai (1 hour later)

Brief Answer:
Please inform the test results

Detailed Answer:
Okay. Low vitamin D also can increase PTH levels. Further tests ( urne and blood) will decide the cause of high PTH. If you are going to hav more blood works soon, please let me know the results.
Regards
Binu

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar