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Home > Medical Reference > Encyclopedia (English)

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Get answers to your Parathyroid Disorders questions.

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Hypoparathyroidism - Treatment

Treatment:

The goal of treatment is to restore the calcium and mineral balance in the body.

Treatment involves calcium carbonate and vitamin D supplements, which usually must be taken for life. Blood levels are measured regularly to make sure that the dose is correct. A high-calcium, low-phosphorous diet is recommended.

Persons who have life-threatening attacks of low calcium levels or prolonged muscle contractions are given calcium through a vein (IV). Precautions are taken to prevent seizures or larynx spasms. The heart is monitored for abnormal rhythms until the person is stable. When the life-threatening attack has been controlled, treatment continues with medicine taken by mouth.

Expectations (prognosis):

The outcome is likely to be good if the diagnosis is made early. However, changes in the teeth, the development of cataracts, and brain calcifications are irreversible.

Complications:

Hypoparathyroidism in children may lead to stunted growth, malformed teeth, and slow mental development.

Overtreatment with vitamin D and calcium can cause hypercalcemia (high blood calcium) and may sometimes interfere with kidney function.

Hypoparathyroidism increases your risk of pernicious anemia, Addison's disease, cataracts, and Parkinson's disease.

Calling your health care provider:

Call your health care provider if you develop any symptoms of hypoparathyroidism.

Seizures or breathing problems are an emergency. Call 911 or your local emergency number immediately.

  • Reviewed last on: 7/15/2008
  • Robert Cooper, MD, Endocinology Specialist  and Chief of Medicine, Holyoke Medical Center, Assistant Professor of Medicine, Tufts University School of Medicine, Boston MA Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Wysolmerski JJ. Insogna KL. The Parathyroid Glands, Hypercalcemia, and Hypocalcemia. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008: chap. 266.

Bringhurst FR, Demay MB, Kronenberg HM. Disorders of Mineral Metabolism. In: Kronenberg HM, Schlomo M, Polansky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. St. Louis, Mo: WB Saunders; 2008: chap. 27.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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