Treatment for hypoparathyroidism primarily involves giving a patient vitamin D and calcium supplements to correct the low blood calcium levels that develop as a result of the disease. When an individual has hypoparathyroidism, he or she develops low blood calcium levels (hypocalcemia) and high blood phosphorus levels (hyperphosphatemia) because one or more of the four parathyroid glands are not producing enough parathyroid hormone (PTH) or are absent altogether. The parathyroid glands normally raise low blood calcium levels by releasing PTH, which takes calcium from bone. Low levels of calcium in the blood cause most of the symptoms of hypoparathyroidism. Taking high doses of vitamin D, which helps the intestines absorb calcium from food, along with calcium carbonate supplements will help raise calcium levels and provide treatment for hypoparathyroidism symptoms. In rare situations when hypoparathyroidism is caused by a magnesium deficiency, magnesium supplementation can correct the condition.
Physicians will usually monitor blood levels of the following to ensure that the supplementation dosage used to treat hypoparathyroidism is adequate:
If any of these levels become abnormal again, doctors will adjust calcium, vitamin D, or magnesium dosages. Doctors may also prescribe a diuretic if blood calcium levels remain low to help decrease calcium secretion in urine.
Longer-term hypoparathyroidism treatment may include dietary modifications as well. To increase blood calcium levels, more dairy products and leafy green vegetables can be eaten. To lower blood phosphorus levels, reduced consumption of meat, egg, and carbonated beverages can help.
At the TGH Thyroid & Parathyroid Institute, our physicians can provide these types of treatment for hypoparathyroidism. U.S. News & World Report has recognized TGH as one of America's Best Hospitals for Diabetes & Endocrinology in 2020-2021, where we are ranked #36 in the country and as one of the top 3 in Florida.