We utilize multimodal imaging, meaning various types of imaging to identify where the abnormal parathyroid is located. And most often, it's just one of them that develops a tumor of it. What they are are four little glands that regulate the calcium. And that ranges from the simplest primary hyperparathyroidism to the most complex cases.
CALCIUM GLUCONATE ANTIDOTE FOR HYPERPHOSPHATEMIA FULL
Here at the Mayo Clinic in Endocrine and Metabolic Surgery, we treat the full spectrum of parathyroid problems. A special scanning test uses an injection of a small dose of radioactive material to pinpoint the gland or glands that aren't working properly. In many cases, only one of a person's four parathyroid glands is affected.
Problems associated with overactive parathyroid glands often can be cured by surgery to remove the tissue that's causing the problem. You might need hospitalization for treatment with IV fluids and diuretics to promptly lower the calcium level to prevent heart rhythm problems or damage to the nervous system. Extremely high calcium levels can be a medical emergency. If your hypercalcemia is caused by high levels of vitamin D, short-term use of steroid pills such as prednisone are usually helpful. This drug is often used to treat people with cancer-caused hypercalcemia who don't respond well to bisphosphonates. Risks associated with this treatment include breakdown (osteonecrosis) of the jaw and certain types of thigh fractures. Intravenous osteoporosis drugs, which can quickly lower calcium levels, are often used to treat hypercalcemia due to cancer. Cinacalcet (Sensipar) has been approved for managing hypercalcemia. This type of drug can help control overactive parathyroid glands. This hormone from salmon controls calcium levels in the blood. In some cases, your doctor might recommend:
If your hypercalcemia is mild, you and your doctor might choose to watch and wait, monitoring your bones and kidneys over time to be sure they remain healthy.įor more severe hypercalcemia, your doctor might recommend medications or treatment of the underlying disease, including surgery.
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