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  • Parathyroid Imaging
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      • Parathyroid CT Scan Gallery
    • MRI of Parathyroid
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  • OUR EXPERT TEAM
    • Lawrence Gordon, MD, Parathyroid Surgeon
    • Operating Room Team
      • Nancy Fiorino, R.N.
      • China Krupin, R.N.
      • Marlene Roerden, R.N.
      • Gail Babcock, R.N.
      • Marie Bush, R.N.
      • Lynn Hickey, R.N.
    • Parathyroid Imaging Team
      • Steven Leffler, M.D. Ph.D.
      • Robert Wilkins, M.D.
      • Fred Bohn, Nuclear Medicine
      • Rose Richardsen, Ultrasonography
    • Surgical Team
      • Ching-Huang Huang, M.D.
      • Tomi Prvulovic, M.D.
      • Dee Lamb Yates, R.N.
      • Wendy Xu, R.N.
      • Helen Paliana
    • Administration and Office Staff
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  • FAQ
    • Can Parathyroid Disease Improve By Itself?
    • Can I wait for surgery?
    • What Drugs Can Treat Parathyroid Disease?
    • Can I Suffer With Parathyroid Disease Without Symptoms?
    • Post-Operative Wound Care
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  • Parathyroid Glands
    • Hyperparathyroidism
    • What Causes Hyperparathyroidism?
    • Hyperparathyroidism Treatment
    • Diagnostic Tests for Hyperparathyroidism
    • Parathyroid Hormone (PTH)
      • Elevated PTH
    • Osteoporosis
      • Does Parathyroid Disease Lead to Osteoporosis?
      • High Blood Calcium
    • Low Vitamin D
    • Kidney Stones
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  • Parathyroid Surgery
    • Parathyroid Surgery Technique
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    • Intraoperative Parathyroid Hormone
    • Anesthesia for Parathyroid Surgery
    • Minimally Invasive Radioguided Parathyroidectomy (MIRP)
    • Does Length Matter?
    • Parathyroidectomy Consent Forms

High Blood Calcium

High Blood CalciumCalcium is one of the most abundant elements in your body. The mineral account for about 2 to 3 pounds of our total body weight and exists mostly as crystalline hydroxyapatite in your bones and teeth.

If you have a blood test that shows high blood calcium, then your condition should be examined further. A high calcium level in the blood is not a normal condition. The medical term for high blood calcium levels is hypercalcemia.

Hypercalcemia Overview

As a mineral, calcium is important in the regulation and processes of many body functions. Calcium levels are primarily regulated by parathyroid hormone (PTH), calcitonin and vitamin D via the kidneys and the intestinal tract.

Calcium is necessary to maintain your bones or skeletal system. Calcium also plays an important role in releasing hormones, muscle contraction, and nerve and brain function. However, high calcium levels can interfere with these processes. If the levels of calcium in your blood are elevated above normal, this is referred to as hypercalcemia.

A common cause of hypercalcemia is primary hyperparathyroidism, which is the overactivity of one or more of your parathyroid glands. Other causes of hypercalcemia include cancer (rarely), other medical disorders, certain medications and excessive use of vitamin D and calcium supplements.

Moderate high levels of hypercalcemia may produce tiredness or fatigue. There may also appear heart rhythm abnormalities, increased urination, and kidney stones. At high levels of hypercalcemia, patients may experience muscle twitching, anxiety, depression, confusion and even personality changes.

If any of the above symptoms occur without a known cause, you should discuss the possibility of hypercalcemia with your health care practitioner.

High Calcium Levels and Hyperparathyroidism

High Blook Calcuim and HyperparathyroidismHyperparathyroidism can directly lead to high calcium levels otherwise known as hypercalcemia. Hyperparathyroidism is over activity of one or more of the parathyroid glands.  resulting in excessive production of PTH, which regulates the proper levels of calcium and phosphate in the blood. If excessive PTH secretion is due to a problem with the parathyroid glands, then the condition is referred to as primary hyperparathyroidism.

The incidence of primary hyperparathyroidism is approximately one per 1,000 people. The prevalence of primary hyperparathyroidism has been estimated to be three in 1000 in the general population and as high as 21 in 1000 in postmenopausal women.

In any case, elevated PTH levels in the blood are harmful. Ionized calcium levels are measured in patients with suspected hyperparathyroidism. Even if the calcium levels do not rise further than slightly elevated levels, there is still continual damage being done to your bones and skeletal system. The long-term effects of this damage are severe and permanent. Because the constant thinning of the bones, a ‘wait and see’ approach is not advised if there is a suspicion of parathyroid disease.

New testing and surgical techniques have dramatically changed the way parathyroid operations are performed. Minimally invasive parathyroid surgery is an outpatient procedure that requires an incision of only one-inch,  and the procedure can be performed in less than half an hour. Minimally invasive surgery helps patients recover faster with minimal neck scarring.

Learn more about your parathyroid surgery treatment options.

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