If the PTH was normal with calciums this high, this is a straightforward primary hyperparathyroidism was inappropriately normal PTH. With calciums as high as 12.8, normal PTH response would be less than 20. The ultrasound and other x-rays do not make the diagnosis of a parathyroid problem. The diagnosis is made on biochemical grounds and it sounds like you have that.
One year ago I started feeling sick all the time and was eventually diagnosed with hyperparathyroidism and am awaiting surgery. In the same time frame I became pre-diabetic. I have no family history of diabetes and am not overweight. My question is, could the hyperparathyroidism cause pre-diabetes? The nurse at the Norman Clinic told me sometimes the pre-diabetes goes away after the parathyroid is removed. What do you think?
My doctor wants me to consider Sensipar. After reading up on it am more confused than ever. I do not believe I want to take this drug. Scan was negative but from research am not holding it to be accurate. Suggestions and thoughts greatly appreciated.
The short answer is no, she's not correct.
I'm not a healthcare professional but in the course of learning more about my own PPTH I've read quite a few scholarly articles, and I have to say that the decision by your endocrinologist to wait and see because of a negative sestamibi scan seems quite absurd. A scan (be it sestamibi or ultrasound) is *never* used to diagnose primary hyperparathyroidism; it's just to aid the surgeon prior to operation. Your blood tests are unequivocal.
Hi Barb, thanks for the reply. I have already read parathyroid.com - lots of information, but that is obviously a site run by the doctor who makes his living doing the surgeries, so he definitely will not recommend wait and watch. The SEO done here is remarkable - there is more than one site and it pops up in search results everywhere. Other protocols do consider waiting and watching for asymptomatic patients, although most recommend getting the surgery if one is younger than 50 (I am 48).
m so thin my body lacks fat storage space and the doses are simply too high. Another explanation is that I might have primary hyperparathyroidism caused by an adenoma or enlarged parathyroid gland. The doctor thinks it's the more common hyperparathyroidism secondary to d deficiency. But, I'm wondering if any of you have had this experience. Apparently, D supplementation is NOT indicated with primary hyperparathyroidism until after you've had surgery to remove the affected gland(s).
Also remember that calcium AND PTH levels in normal patients are very constant from week to week, measure to measure... while those with primary hyperparathyroidism have calcium and PTH levels that go up and down from day to day, week to week. They are variable.
There is no medical reason to "wait 6 months and get more tests". The patient either has a parathyroid tumor or they do not.
If I took my calcium that morning it would have been elevated. What a lot of BULL CRAP! My calcium was 9.9, it's fine that I suffer a torchured and cruel life as life passes me by, because nobody knows what's wrong with me!
Chances are that because you likely have primary symptomatic hyperparathyroidism, your endocrinologist will suggest you undergo
parathyroidectomy (removal of your parathyroid adenoma/tumor) once everything suspected, is confirmed.
After that most patients are able to function normally, but without all the
annoying unwanted symptoms, lol!
If you want to get many more details on parathyroid issues, including a video of the surgery, visit the parathyroid website.
The calcium of 9.1 is not typical of primary hyperparathyroidism.
Would remeasure vitamin D as 25-OH-D. And repeat blood calcium levels.
Urine Calcium is a bit high.
Usually primary hyperparathyroidism has calcium >10, but not always and the high urine calcium may be a good clue (although it is not that high in your case).
The sestamibi scan is for patients with primary hyperparathyroidism to help locate the source of the problem - it is not used to make or exclude the diagnosis.
I'm 23, male. My endocrinologist told me I don't have primary hyperparathyroidism but rather I have secondary hyperparathyroidism because my calcium is falsely elevated in the blood reports due to elevated albumin.
What do you think ?
serum ca = 10.48 mg/dl (8.10 - 10.40) (10/10/12)
pth = 61.20 (15 - 68) (10/10/12)
albumin = 4.67 g/dl (3.5 - 5.5) (10/10/12)
*CORRECTED SERUM CALCIUM* = 9.94 mg/dl
serum ca = 10.58 (8.10 - 10.
this is early/mild primary hyperparathyroidism - would see an endocrinologist for complete evaluation to see if surgery vs observation is appropriate.
Last year, my PCP came to the conclusion that I may have a case of Primary Hyperparathyroidism. After this conclusion, I was referred to an endo. I've since moved on to a second endo, and at this time, she thinks that I just need to have the bloodwork checked every so often. All of the bloodwork conducted by my PCP indicates Primary Hyperparathyroidism, but the bloodwork done by the second endo scares me and makes me wonder if it is multiple myeloma. I have read over Dr.
I posted once before, I found out I had primary hyperparathyroidism. I now found after an us of the thyroid I have a nodule that is isoechoic with a complex cyst. Are these two conditions related? What is an isoechoic nodule with a complex cyst? Does anybody have any ideas? The only thryoid lab study that was out of whack was my elevated t4.
I have recently been experiencing the following symptoms anxiety, fatigue, aching bones, nausea, and tiredness (tiredness especially after eating).
I have had the following lab results:
Ionic Calcium of 1.35 mmol/L (normal upper range to 1.25 mmol/l)
on a seperate day:
Serum calcium of 2.57 mmol/L (normal up to 2.55 mmol/L)
PTH = 3.3 pmol/L (normal range up to 6.4)
Phosphorous = 1.20 mmol/l (range=0.8-1.4)
Chloride = 107 mmol/l (range=98-106)
Is this hyperparathyroidism?
They tell me that the drugs used for secondary hyperparathyroidism are not effective on primary hyperparathyroidism. I do have most of the symptoms of hyperparathyroidism , Very high anxiety issues, depression, bone pain, headaches, heart palpatations, forgetfulness, lack of concentration, low energy, very tired. I am afraid to have them just poke around my chest for these missing glands and yet I don't feel well and am getting worse.
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