Secondary Hyperparathyroidism Treatment
The parathyroid glands help control calcium use and removal by the body. They do this by producing parathyroid hormone, or PTH. PTH helps control calcium, phosphorus, and vitamin D levels within the blood and bone.
When calcium levels are too low, the body responds by increasing production of parathyroid hormone. This increase in parathyroid hormone causes more calcium to be taken from the bone and more calcium to be reabsorbed by the intestines and kidney.
Medical conditions that cause low blood calcium levels or interfere with the body's ability to break down and remove phosphate can lead to secondary hyperparathyroidism. Too much phosphate causes changes in calcium levels.
Kidney failure is a common cause of secondary hyperparathyroidism. Kidney failure can interfere with the body's ability to remove phosphate.
Other causes of secondary hyperparathyroidism may include:
Calcium deficiency
Not enough calcium in the diet
Too much calcium loss in the urine
Conditions that make it hard for the body to breakdown phosphate, including:
Aluminum poisoning
Certain types of cancer
Kidney disease
Malnutrition
Malabsorption
Vitamin D disorders (often seen in children with malnutrition and older adults who do not get enough sunlight):
Problems absorbing vitamin D into the body (malabsorption)
Problems breaking down vitamin D (due to the use of certain drugs)
Rickets
Too little vitamin D (deficiency)
The parathyroid glands help control calcium use and removal by the body. They do this by producing parathyroid hormone, or PTH. PTH helps control calcium, phosphorus, and vitamin D levels within the blood and bone.
When calcium levels are too low, the body responds by increasing production of parathyroid hormone. This increase in parathyroid hormone causes more calcium to be taken from the bone and more calcium to be reabsorbed by the intestines and kidney.
Medical conditions that cause low blood calcium levels or interfere with the body's ability to break down and remove phosphate can lead to secondary hyperparathyroidism. Too much phosphate causes changes in calcium levels.
Kidney failure is a common cause of secondary hyperparathyroidism. Kidney failure can interfere with the body's ability to remove phosphate.
Other causes of secondary hyperparathyroidism may include:
Calcium deficiency
Not enough calcium in the diet
Too much calcium loss in the urine
Conditions that make it hard for the body to breakdown phosphate, including:
Aluminum poisoning
Certain types of cancer
Kidney disease
Malnutrition
Malabsorption
Vitamin D disorders (often seen in children with malnutrition and older adults who do not get enough sunlight):
Problems absorbing vitamin D into the body (malabsorption)
Problems breaking down vitamin D (due to the use of certain drugs)
Rickets
Too little vitamin D (deficiency)
Secondary Hyperparathyroidism Treatment
Treatment
Correcting the calcium level and the underlying problem can bring the PTH levels back to normal.
Treatment may involve:
A special form of vitamin D (requires a doctor's prescription) if you have low vitamin D levels
Surgery for cancer
Patients with chronic kidney failure are usually given calcium and vitamin D, and are told to avoid phosphate in their diet. Dialysis, a kidney transplant, or parathyroid surgery may be needed.
Correcting the calcium level and the underlying problem can bring the PTH levels back to normal.
Treatment may involve:
A special form of vitamin D (requires a doctor's prescription) if you have low vitamin D levels
Surgery for cancer
Patients with chronic kidney failure are usually given calcium and vitamin D, and are told to avoid phosphate in their diet. Dialysis, a kidney transplant, or parathyroid surgery may be needed.
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