Calcium & Parathyroid Disorders
Calcium and parathyroid disorders affect bone strength, nerve function, and muscle health. Conditions such as primary hyperparathyroidism, vitamin D deficiency, and hypocalcemia can cause fatigue, bone pain, or kidney stones.
At The Medical Group of New Jersey, our endocrinologists provide comprehensive evaluation, advanced imaging, and surgical coordination when needed to restore normal calcium balance.
Symptom Onset & Initial Evaluation
Symptoms depend on whether calcium levels are too high or too low:
- High calcium (hypercalcemia): Excessive thirst, constipation, confusion, or kidney stones.
- Low calcium (hypocalcemia): Tingling in the lips or fingertips, muscle cramps, or spasms.
During your evaluation, your endocrinologist will review your medical history, medications (including lithium or diuretics), and family background to identify contributing factors and guide testing.
Diagnosis
Diagnosis involves laboratory and imaging studies to pinpoint the cause of calcium imbalance:
- Serum calcium and parathyroid hormone (PTH) levels
- Vitamin D and phosphate testing
- 24-hour urine calcium to assess kidney stone risk
- Parathyroid imaging (ultrasound or sestamibi scan) when surgery is being considered
Treatment & Ongoing Management
Treatment depends on the underlying cause and severity of the condition:
- Hyperparathyroidism: Parathyroid surgery for symptomatic or severe cases; regular monitoring for mild disease.
- Hypocalcemia or vitamin D deficiency: Calcium and vitamin D supplementation, along with treatment of the underlying cause.
- Kidney stone prevention: Adequate hydration, dietary adjustments, and routine follow-up to prevent recurrence.
Follow-Up & Long-Term Outlook
With proper diagnosis and treatment, most patients regain normal calcium levels, improved energy, and stronger bone health.
Ongoing care at The Medical Group of New Jersey ensures continued balance, symptom control, and long-term protection of bone and kidney function.