Treatment FAQ

what is hyperparathyroidism treatment

by Okey Batz Published 2 years ago Updated 2 years ago
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Medication

When hyperparathyroidism is causing health problems from high calcium levels, doctors usually recommend surgery. Removing the problem parathyroid gland (s) is the only treatment that can cure this condition. Surgery can also be an option for people who don't yet have symptoms but are concerned about possible bone or kidney problems in the future.

Procedures

Surgery by an experienced surgeon can cure hyperparathyroidism in about 95% of cases. Medical management Cinacalcet (Sensipar®) has been approved by the Food and Drug Administration for the treatment of secondary hyperparathyroidism. The drug works by signaling the parathyroid glands to produce less PTH.

Therapy

Hyperparathyroidism Treatment. Treatments for hyperparathyroidism depend on: The suspected cause. The severity of your symptoms. Your preferences. Patients with modestly increased calcium and no symptoms may choose to hold off on interventions and instead visit us for regular checkups and careful monitoring, an approach called “watchful waiting.”

Self-care

Nutrition

What are my options for treating hypoparathyroidism?

Can natural treatment methods help with hyperparathyroidism?

What medical specialist would treat hyperparathyroidism?

Can hyperparathyroidism be cured naturally?

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What is the most effective treatment of hyperparathyroidism?

Surgery is the most common treatment for primary hyperparathyroidism and provides a cure in most cases. A surgeon will remove only those glands that are enlarged or have a tumor.Jun 18, 2020

What is the best treatment for parathyroid disease?

Treatment options for the parathyroid disease include monitoring, medication, dietary supplements, and surgery. Surgery is the most effective option to treat the disease. It involves removing overactive parathyroid glands and can be performed either in a minimally invasive way or by a standard neck exploration.Jul 21, 2020

How do you reduce hyperparathyroidism?

Our doctors may recommend the use of cinacalcet for secondary hyperparathyroidism if you have kidney disease that is being treated with dialysis. Taken daily by mouth, cinacalcet belongs to a class of medications known as calcimimetics. These medications reduce the amount of parathyroid hormone produced by the body.

Can hyperparathyroidism be resolved?

On rare occasions, primary hyperparathyroidism has been reported to resolve itself spontaneously as a result of haemorrhage and/or infarction of a parathyroid adenoma and we have identified a limited number of such reports in the literature [1–27].Oct 1, 1999

Is parathyroid surgery major surgery?

Parathyroidectomy is a minimally invasive surgery to remove the parathyroid glands or one or more parathyroid tumors from your neck. All patients have minimally invasive parathyroid surgery (ie, a very small incision) to remove the abnormal parathyroid glands. It is as a same day, outpatient procedure.

Should you take vitamin D if you have hyperparathyroidism?

With care, vitamin D supplementation can safely be given to selected patients with asymptomatic primary hyperparathyroidism and is suggested before deciding on medical or surgical management. Monitoring serum calcium concentration and urinary calcium excretion is recommended while achieving vitamin D repletion.

Can you treat hyperparathyroidism without surgery?

Hyperparathyroidism (HPT) cannot be cured naturally. This is because HPT can be attributed to a set of genetic mutations that results in the abnormal parathyroid gland thinking that a higher calcium level is appropriate for the body (almost like changing the thermostat on your air conditioning).

Can parathyroid affect your eyes?

The commonly described ocular manifestations of hyperparathyroidism include band keratopathy, asymptomatic conjunctival calcification, and conjunctivitis.

What is the most common cause of hyperparathyroidism?

Primary hyperparathyroidism occurs because of some problem with one or more of the four parathyroid glands: A noncancerous growth (adenoma) on a gland is the most common cause. Enlargement (hyperplasia) of two or more parathyroid glands accounts for most other cases.Jun 18, 2020

What happens if you don't treat hyperparathyroidism?

The effects of hyperparathyroidism can result in other health concerns, if left untreated. In addition to kidney stones and osteoporosis, older patients may physical symptoms including depression, mood changes, fatigue, muscle, and bone aches and pains, or even cardiac dysrhythmias.Oct 24, 2016

What happens if hyperparathyroidism is left untreated?

If hyperparathyroidism is not treated, it can lead to high blood calcium levels (hypercalcaemia), which may cause: being sick (vomiting) drowsiness. dehydration.

What kind of doctor treats parathyroid disease?

Endocrinology. Endocrinologists are typically the first line in establishing a diagnosis of parathyroid disease and setting up a treatment plan, and they help coordinate your care with other specialists.

What causes hyperparathyroidism?

Causes of primary hyperparathyroidism include: A noncancerous (benign) growth, called an adenoma, forms on a single parathyroid gland. The adenoma causes the gland to overact and make more PTH. This is the most common cause.

Why is hyperparathyroidism a secondary condition?

In secondary hyperparathyroidism, the overactivity of the parathyroid glands occurs in response to another condition that’s causing calcium loss. Parathyroid overactivity is an attempt on your body’s part to keep the calcium levels normal.

What causes parathyroid glands to become enlarged?

Two or more of your parathyroid glands become enlarged, a condition called hyperplasia, and produce too much hormone. Radiation treatment to the neck area. Inherited conditions, such as multiple endocrine neoplasia type 1. This is a rare cause. Cancer of a parathyroid gland (rare).

What happens if you have an overactive parathyroid gland?

If you have an overactive parathyroid, one or more of your parathyroid glands makes too much parathyroid hormone (PTH). Too much PTH signals your body to make more calcium available. Your body responds by: Releasing more calcium into your blood from your bones (where most of your calcium is stored). Loss of calcium from your bones weakens them and ...

What does a blood test show for hyperparathyroidism?

If you have primary hyperparathyroidism, your blood test will show a higher-than-normal levels of calcium and parathyroid hormone. Your provider may order a sestamibi scan to check for any growths on your parathyroid glands or enlargement of the gland (s).

What is it called when your parathyroid glands are overactive?

What is hyperparathyroidism? Hyperparathyroidism is a condition in which one or more of your parathyroid glands become overactive and release (secrete) too much parathyroid hormone (PTH). This causes the levels of calcium in your blood to rise, a condition known as hypercalcemia.

What happens when you have too much parathyroid hormone?

Hyperparathyroidism happens when one or more of your parathyroid glands release too much parathyroid hormone, causing calcium levels in your blood to rise. Symptoms are often absent in early disease. Treatments include no treatment but close monitoring of your health, medications or surgery if symptoms are severe or you have an enlarged parathyroid ...

What causes too much PTH?

Too much PTH is produced from: Primary Hyperparathyroidism, which is usually tied to an enlargement (hyperplasia) of a parathyroid gland, a benign (non-cancerous) growth (adenoma) or (in rare cases) a malignant (cancerous) tumor. The reasons for enlargement are usually undetermined but can be hereditary.

What are the hard deposits that result from excess calcium getting in the urine and getting filtered by the kidneys?

Kidney Stones: hard deposits that result from excess calcium getting in the urine and getting filtered by the kidneys. Cardiovascular Disease: research suggests that high-calcium levels are associated with high blood pressure (hypertension) and some types of heart disease.

What was Gwen's diagnosis after having a sore throat?

“Her symptoms were not consistent with that I would have expected,” he recalls. The test revealed abnormally high calcium, vitamin D and parathyroid hormone levels in her blood.

Can radiation therapy cause hyperparathyroidism?

Nutritional Deficiencies: Severe, ongoing vitamin D or calcium deficiencies can trigger hyperparathyroidism. Lithium Use: Lithium, a drug used to treat bipolar disorder, can affect calcium levels.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment includes, monitoring and maintaining normal calcium and vitamin D levels using medications, and surgery.
Medication

Calcimimetics: Mimic calcium in circulation, thus the glands produce less hormone.

Cinacalcet


Bisphosphonates: Prevent loss of calcium from bones.

Alendronate

Procedures

Parathyroidectomy: Surgical removal of one or more glands.

Therapy

Hormone therapy:To minimize osteoporosis especially in post-menopausal women.

Self-care

Always talk to your provider before starting anything.

  • Monitor the dietary levels of calcium and vitamin D
  • Drink plenty of fluids
  • Exercise regularly
  • Do not smoke

Nutrition

Foods to eat:

  • Foods with high levels of calcium such as beans, almonds and dark green, leafy vegetables

Foods to avoid:

  • NA

Specialist to consult

Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.
Nephrologist
Specializes in the kidney diseases and its functions.

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