What's the treatment for hypoparathyroidism?
Whether it is hereditary or acquired, hypoparathyroidism is treated with calcium and vitamin D supplements to maintain a normal level of calcium in the blood. Vitamin D is necessary because it helps the body to absorb calcium. The supplements must be taken for the rest of your life, and your blood levels of calcium and vitamin D must be tested regularly to ensure that
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proper levels are being maintained. Regular checkups are important. Episodes of tetany are treated with calcium given intravenously (into a vein), which provides quick relief of symptoms.
Medications called diuretics sometimes are given to prevent too much calcium from being lost through the urine, a problem that can lead to kidney stones. Taking diuretics also reduces the amount of calcium and vitamin D supplements you need.
In the event of severe muscle spasms, hospitalization may be warranted for calcium injections. Raising carbon-dioxide levels in the blood, which can decrease muscle spasms, may be achieved in immediate situations by placing a paper bag over the mouth and blowing into it to "reuse" each breath. It is critical to obtain timely periodic laboratory tests to check calcium levels. A high calcium, low-phosphorous diet may be of significance and is directed by the physician or dietitian.
A lifelong regimen of dietary and/or supplemental calcium and vitamin D is usually required to restore calcium and mineral balance. In the acute phase of hypoparathyroidism, calcium will be administered intravenously; diuretics may be prescribed in that circumstance as well to prevent over excretion of calcium in the urine and to reduce the amount of calcium and vitamin D needed. |
