ve been struggling with kidney stones for over a year. Urologist did a 24 hr. urine collection which showed hypercalcemia (elevated calcium in blood) and extreme hypercalciuria (elevated calcium in urine). She though it pointed to hyperparathyroidism. Tests for that have been inconclusive so the endocrinologist and ENT doc think maybe I should see a nephrologist to see if the MSK could be a factor before I have surgery for a parathyroid adenoma that might not exist.
Hypercalcemia is a diffcult diagnosis to work up. However there are clear flow chart step by step instructions on what to do next. If you would like to reply with an email address I will scan and email to you.
There is no way on this forum to attach anything.
It appears checking the Parathyroid is next. Remember this is in no way connected to the thyroid other than it is physically sits next to it in the brain. Its a totally different thing.
My DH has been hospitalized twice for hypercalcemia in the past 6 months (levels 14, 13).Both times his Pth is almost nonexistent at less than 0.25 which rules out a parathyroid tumor. Head to toe bone scans and bone xrays are normal as are abdominal and chest Ct scans and chest xrays and abdominal ultrasounds. Ruled out Familial type of hypercalcemia, ruled out multiple myeloma as well as pancreatic cancer, thyroid and parathyroid cancer, bone cancer, chest cancer. His spleen is enlarged.
I think that in light of the fact that your mother and brother also have hypercalcemia, you should look into "Familial Hypocalciuric Hypercalcemia" (FHH) is also known as Familial Benign Hypercalcemia. There is a lot of information written about it. What is your PTH level?
A calcium/creatinine clearance ratio of <0.01 is suggestive of FHH. Have you had this test done?
I also have high ionized calcium but sometimes inappropriately normal and sometimes normal PTH.
bones , groans, emotional overtones
Ovarian cysts are common and that one is tiny.
I would definately get a follow up scan perhaps a pelvic MRI
If a cause of hypercalcemia is not found, you should have that ovary removed.
There is an extremely rare cancer called a small cell cancer that produces hypercalcemia.
My MD put me on Hyzaar for hypertension. Previously I had been on Cozaar but she changed it to Hyzaar for the added benefit of the diuretic.
I noticed my drug company autosubbed generic Losortan. The bottle doesn't say anything about hydrochlorothiazide being included. Could I be getting the wrong thing, or should I assume some form of hydrochlorothiazide is included?
I have been taking Lisinopril and Hydrochlorothiazide (HTCZ) for high blood pressure since May 2007.
Recently I have a feeling that the Hydrochlorothiazide is not working as it used to be.
Will HCTZ lose its effectiveness after a certain number of years?
Anyone know the answer or having similar experience, please let me know.
Thank You In Advance For Your Reply.
I have chronic leukocytosis (elevated WBC), elevated RBC, Hypercalcemia, elevated platelets, and chronic elevated D Dimer. I'm Extremely tired, yet can't sleep due to pain in hips and sternum. I am nauseous the majority of the time with some episodes of vomiting. Muscles twitch often. I am having issues with concentration lately. I have a minimal appetite with abdominal pain and tachycardia what could be wrong? Totally freaked out ER doctor wants me to see a hematologist/ oncologist.
I AM TAKING HYDROCHLOROTHIAZIDE 25MG. I HAVE BEEN TAKEN THEM FOR 3 YRS NOW. THIS MEDICATION JUST STOP WORKING. MY DOCTOR WANTS TO ADD ANOTHER MEDICATION FOR ME TO TAKE. DOES THIS EVER GET BETTER. STAYS THE SAME OR DO THE MEDICATION YOU ARE TAKE ALWAYS GET ADJUSTED. UNTIL YOU ARE TAKEN 10 DIFFERENT MEDICATION.
This discussion is related to <a href='/posts/show/251929'>blood presure medication</a>.
I've been reading about placental calcification and can't seem to find an answer to this question. I've had mild hypercalcemia for a few years and have aslo had 2 late miscarriages (consecutively) at 18 weeks. Can hypercalcemia cause placental calcification or am I way off track ? I don't smoke, so that's not a factor. Except the elevated calcium (usually about 10.9 to 11.0) I am a healthy woman who has had healthy, uncomplicated pregnancies before this calcium issue.
I'm presently on atenolol 40 mg (along with hydrochlorothiazide) once daily. I will be transitioning to propanolol 20 mg (and hydrochlorothiazide) twice daily soon - my doctor wants me to transition by taking propanolol - 1/2 of 20 mg twice a day for one week and then the full 20 mg twice daily. Why? Won't that cause rebound hypertension?
Thanks.
I just don’t see any references anywhere to conditions that exist when calcium is high and PTH is low. Everything I have read about hypercalcemia talks about high calcium with high PTH or hypocalcemia with low calcium and low PTH. Anybody have any experience or knowledge about conditions that might arise in a generally healthy person with high calcium and low PTH? Thank you!
Please go to Parathyroid.com and read -it has TONS of info about hypercalcemia and its symptoms, as well as parathyroid disease and some other possibilities. Hypercalcemia is exactly what brought me here to begin asking questions and I discovered I had a parathyroid tumor (not cancer and only a big deal if you don't get it removed).
Hello,
I was having the numbness and tingling while taking hydrochlorothiazide. I would stop taking it and the numbness/tingle would go away, take it again, and it would come right back. Not sure if he is taking hydrochlorothiazide. They had me on it for edema. I have swelling in my hands and ankles, all tests neg except for CMV. Battling this since April 2008. Hands so swollen, can't open bottles, hold a pen, hold a phone or peel the label off the top of yogurts..ect..
I am so confused because I have too many issues that can cause the same symptoms. Recently, my doctor switched me from Valsartan HCTZ to Hydrochlorothiazide plus regular Valsartan for my blood pressure. When I first started it, right away I was having rapid heart beat and shortness of breath so he told me take potassium supplements. That did help but now I am wondering if I am taking too much potassium.
I do not think are any real correlations between hypercalcemia at the level you are describing and heart attacks. We do sometimes see arrhythmias of the heart in patients with hypocalcemic (low calcium) and could possibly see an arrythmias (abnormal heart rhythm) in a patient with hypercalcemia but I think this would be at a higher level such as 14-15 or so.
However, this could also be due to some medications such as the combination of lisinopril and hydrochlorothiazide that is used to treat high blood pressure. Lisinopril is in a group of drugs called angiotensin converting enzyme (ACE) while Hydrochlorothiazide is in a class of diuretics. Tingling in the hands and feet along with dizziness, headache and cough are some of the effects that are observed in this drug combination.
ve had my calcium checked and, as I stated, my calcium levels have always been high. I had hypercalcemia but the doctor pulled me off vitamin D3 (800 IU daily) and my PTH levels are always normal. I've read that excess vitamin D (up to 50,000 IU daily) can be a sign of primary hyperparathyroidism.
If such a small (comparatively speaking) dose can cause hypercalcemia, doesn't that lead one to a diagnosis of primary hyperparathyroidism?
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