Calcium 9.9 Vit-D 34.2 Calcium , Ionized, Serum 5.1 PTH

Posted on Wed, 14 Aug 2019

Question: Calcium 9.9
Vit-D 34.2
Calcium , ionized, serum 5.1
PTH intact 54
Bone scan -normal
Calcium in urine 24 hr. 309
Calcium/creat ratio 412
I had my gallbladder out 2008
My Doctor ordered parathyroid scan ultrasound

Answered by Dr. Olgeta Xhufka (1 hour later)

Brief Answer:
Idiopathic hypercalcemia possible.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

I see the values you uploaded and calcium levels are normal also vitamin D levels and PTH are normal so I don't think there can be an issue with parathyroid gland that you may be concerned.
Urine calcium is at its upper levels.
Since these tests are normal you probably are having idiopathic hypercalciuria. It may increase chances of you having kidney stones.

Having a low calcium diet is essential.
Less diary products and less animal products. Having more water. Diuretics and alendronat can be used.

Hope I have answered the question.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Olgeta Xhufka (13 hours later)

Thank you, Dr. Xhufka,

I have thyroid nodules and are benign
is there any downside if I do a parathyroid scan?
Can a parathyroid tumor be mistaken for a thyroid nodule?
Thanks

Answered by Dr. Olgeta Xhufka (1 hour later)

Brief Answer:
Parathyroid tumours can be mistaken for thyroid nodules.

Detailed Answer:
Hello dear and thank you for asking again.
There is a possibility that a parathyroid tumour can be mistaken for thyroid nodules so you may need to get further evaluated.
You may need to do a scintigraphy of thyroid and probably a thyroid scan when parathyroids are evaluated too.
Let me know if I can assist you further.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Olgeta Xhufka (3 hours later)

what do you advise me? should I need to do a parathyroid scan and ultrasound? or should I change my MD get the second opinion?
Thanks

Answered by Dr. Olgeta Xhufka (3 hours later)

Brief Answer:
Better to do CT scan and ultrasound

Detailed Answer:
Hello dear. I think you better do a CT scan and ultrasound before changing doctor.

Best regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee