Understanding Parathyroid Disorders: Common Questions Answered

A Comprehensive Guide to Parathyroid Conditions and Their Management

Endocrinology

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Last updated: Mar 24, 2025

What Are the Parathyroid Glands?

  • Four small endocrine glands located in the neck
  • Located behind the thyroid gland
  • Produce parathyroid hormone (PTH)
  • Control calcium levels in blood and bones

Common Parathyroid Disorders

Hyperparathyroidism

  • Primary: Overactive parathyroid glands
  • Secondary: Compensation for low calcium levels
  • Tertiary: Develops after long-term secondary hyperparathyroidism

Hypoparathyroidism

  • Underactive parathyroid glands
  • Can be inherited or acquired
  • Often occurs after thyroid surgery

Common Symptoms

Hyperparathyroidism Symptoms

  • Bone pain and fractures
  • Kidney stones
  • Depression and fatigue
  • Memory problems
  • Muscle weakness

Hypoparathyroidism Symptoms

  • Muscle cramps and spasms
  • Tingling in fingers and toes
  • Seizures (in severe cases)
  • Anxiety and depression

Diagnosis and Treatment

Diagnostic Tests

  • Blood calcium levels
  • PTH measurements
  • Vitamin D levels
  • Bone density scans
  • 24-hour urine calcium test

Treatment Options

  • Surgery: For primary hyperparathyroidism
  • Medication: Calcium and vitamin D supplements
  • Regular monitoring: Blood tests and follow-up
  • Lifestyle changes: Diet modifications and exercise

Prevention and Management

  • Regular calcium intake
  • Vitamin D supplementation when needed
  • Bone health maintenance
  • Regular medical check-ups
  • Proper hydration

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