Parathyroid Disorders: Patient Management Guide

A Comprehensive Care Plan for Patients with Parathyroid Conditions

Endocrinology

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Last updated: Mar 24, 2025

Understanding Your Condition

Parathyroid disorders affect the four small glands in your neck that regulate calcium levels in your body. This management plan will help you maintain optimal health.

Types of Disorders

Hyperparathyroidism

  • Excessive production of parathyroid hormone (PTH)
  • Leads to high blood calcium levels
  • Can cause kidney stones, bone problems, and other symptoms

Hypoparathyroidism

  • Insufficient PTH production
  • Results in low blood calcium levels
  • May cause muscle spasms and numbness

Monitoring Requirements

Regular Testing

  • Blood calcium levels: Every 3-6 months
  • Vitamin D levels: Every 6 months
  • PTH levels: As recommended by your doctor
  • Bone density scans: Annually

Medication Management

For Hyperparathyroidism

  • Calcimimetics (if prescribed)
  • Bisphosphonates (if needed for bone protection)

For Hypoparathyroidism

  • Calcium supplements
  • Vitamin D supplements
  • Magnesium (if prescribed)

Lifestyle Modifications

Diet Requirements

  • Monitor calcium intake as directed
  • Maintain adequate vitamin D through diet and sunlight
  • Stay well-hydrated

Exercise Guidelines

  • Regular weight-bearing exercise
  • Bone-strengthening activities
  • Balance exercises for fall prevention

Warning Signs

Seek immediate medical attention for:

  • Severe muscle spasms
  • Sudden weakness
  • Confusion or memory problems
  • Severe bone pain
  • Kidney stone symptoms

Follow-up Care

Appointments

  • Regular endocrinologist visits
  • Annual physical examination
  • Dental check-ups every 6 months

Support Resources

  • Endocrine Society patient portal
  • Local support groups
  • Nutrition counseling services

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