Anatom3DHyperparathyroidism
Hyperparathyreosis primaria · Hyperparatyreóza
What it is
A parathyroid adenoma pulls calcium out of bone into blood.
Symptoms & signs
- Bones, stones, abdominal groans and psychic moans
- kidney stones
- fatigue
- constipation
- depression
- fractures
🚩 Get help if…
- call 112 / 911 now Confusion, severe drowsiness, vomiting and great thirst
- see a doctor soon Kidney stone pain or blood in the urine
- see a doctor soon Bone pain, or a break from a minor knock
- see a doctor soon Low mood, constipation and tiredness getting worse
Where it strikes
- Parathyroid glands
- Kidneys
- Skeleton
Medical treatment
- Parathyroidectomy (curative)
- cinacalcet
- hydration
- treat vitamin D deficiency
- bone density monitoring
Natural & lifestyle
- Hydration
- adequate but not excessive calcium
- avoid thiazides
- weight-bearing exercise
Emerging & experimental
- Minimally invasive radio-guided surgery
- 4D-CT localisation
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Vitamin D repletion — small trials show it is safe and may lower PTH mixed evidence
- Cutting out calcium — makes hyperparathyroidism worse; normal intake is safer anecdotal / traditional
ICD codes
- ICD-10 E21.0
- ICD-11 5A51.0 Primary hyperparathyroidism