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What Causes Vibrating Sensation In Torso Region After Parathyroidectomy?
Question: I am an 79 year old male. 21 months ago my torso started vibrating when I was asleep and it would wake me up. It's been going ever since and is getting more and more severe and I'm getting less and less sleep and feel awful--no energy at all. This started 2 mos after parathyroid removal (I'd had hyperparathyroidism for several years prior to the surgery. I have pulmonary sarcoidosis, glaucoma. Nothing the doctors have done has helped, but I need help fast. Is there anything you can suggest. I do have ectopic heart beats at times but they usually don't correspond with the virations.
Brief Answer:
Management is needed as suggested in a sequential manner!
Detailed Answer:
welcome to HCM. I appreciate your visit here at this health forum.
I have carefully worked through your case and can well establish how sensitive this issue is.
It happens in patients after Parathyroid glands removal (Total Parathyroidectomy). It is due to low serum calcium levels that causes deranged and disrupted working environment of electrolytes in tissues. Muscles are the most affected tissues amongst all.
In such a condition we first of all go for the tests for serum calcium with concomitant administration of intravenous (IV) Calcium. After resolution of primary symptoms, maintenance therapy with continued Calcium via oral route is started.
Some patients have problem digesting calcium and we need IV calcium again. Also we need to see for vitamin D levels. If low, Supplemental Vit. D is necessary as that is closely related to function of calcium.
If a patient has Magnesium deficiency too alongwith low Calcium, the best next step is to restore Magnesium first to the normal limits. Once Magnesium is normal in body then calcium continuation works best. Please ask your Physician for the same.
Our goal for you should be keeping calcium in limit of 8 to 8.5mg/dL.
If these measures fail, Ask Your Physician to add Recombinant Parathyroid Hormone in treatment regimen. It is somewhat costly though (ask your health insurance if they cover it).
What to keep a check On!!!
Hypercalciuria is a complication of calcium therapy in which calcium is over-excreted in urine (means a risk for the kidney damages). Goal should be to keep it in limits. Ask your physician to keep 24hour Urinary Calcium less than 300 mg to avoid damage to kidneys and potential overdosage of supplemental calcium.
Hope it helps. Please feel free to ask me for further assistance if needed. For future reference my direct link is: tinyurl.com/drhanifmd
Regards!
Management is needed as suggested in a sequential manner!
Detailed Answer:
welcome to HCM. I appreciate your visit here at this health forum.
I have carefully worked through your case and can well establish how sensitive this issue is.
It happens in patients after Parathyroid glands removal (Total Parathyroidectomy). It is due to low serum calcium levels that causes deranged and disrupted working environment of electrolytes in tissues. Muscles are the most affected tissues amongst all.
In such a condition we first of all go for the tests for serum calcium with concomitant administration of intravenous (IV) Calcium. After resolution of primary symptoms, maintenance therapy with continued Calcium via oral route is started.
Some patients have problem digesting calcium and we need IV calcium again. Also we need to see for vitamin D levels. If low, Supplemental Vit. D is necessary as that is closely related to function of calcium.
If a patient has Magnesium deficiency too alongwith low Calcium, the best next step is to restore Magnesium first to the normal limits. Once Magnesium is normal in body then calcium continuation works best. Please ask your Physician for the same.
Our goal for you should be keeping calcium in limit of 8 to 8.5mg/dL.
If these measures fail, Ask Your Physician to add Recombinant Parathyroid Hormone in treatment regimen. It is somewhat costly though (ask your health insurance if they cover it).
What to keep a check On!!!
Hypercalciuria is a complication of calcium therapy in which calcium is over-excreted in urine (means a risk for the kidney damages). Goal should be to keep it in limits. Ask your physician to keep 24hour Urinary Calcium less than 300 mg to avoid damage to kidneys and potential overdosage of supplemental calcium.
Hope it helps. Please feel free to ask me for further assistance if needed. For future reference my direct link is: tinyurl.com/drhanifmd
Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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