Hypercalcemia

10 min read

Hypercalcemia is a condition in which the calcium levels in the blood are abnormally high. It is usually caused by an underlying medical condition, such as cancer, or by taking certain medications. Hypercalcemia can be a serious condition and can lead to a variety of health problems if left untreated.

Causes of Hypercalcemia

Hypercalcemia can be caused by a variety of medical conditions, including cancer, hyperparathyroidism, and certain medications. It can also be caused by an overactive thyroid, kidney failure, or an overactive adrenal gland.

Diagnosis of Hypercalcemia

Hypercalcemia is usually diagnosed through a blood test. The doctor will measure the levels of calcium in the blood and compare them to normal levels. If the levels are higher than normal, the doctor may order additional tests to determine the cause of the hypercalcemia.

Complications of Hypercalcemia

Hypercalcemia can lead to a variety of health problems, including kidney stones, bone loss, and heart problems. It can also cause confusion, fatigue, and muscle weakness. If left untreated, hypercalcemia can be life-threatening.

Take the Hypercalcemia Assessment

Symptoms

Common Symptoms of Hypercalcemia

  • Fatigue
  • Nausea and vomiting
  • Loss of appetite
  • Abdominal pain
  • Constipation
  • Muscle weakness
  • Confusion and disorientation
  • Excessive thirst and urination
  • Bone pain

If you experience any of these symptoms, it is important to seek medical attention as soon as possible. Hypercalcemia can be a sign of a serious medical condition, and it is important to get it treated as soon as possible.

Causes

Medical Conditions

Certain medical conditions can cause hypercalcemia. These include primary hyperparathyroidism, which is caused by an overactive parathyroid gland; sarcoidosis, which is an inflammatory condition; and multiple myeloma, which is a type of cancer. Other conditions that can cause hypercalcemia include hyperthyroidism, kidney failure, and certain types of cancer.

Medications

Certain medications can also cause hypercalcemia. These include thiazide diuretics, which are used to treat high blood pressure; lithium, which is used to treat bipolar disorder; and vitamin D supplements, which are used to treat vitamin D deficiency.

Lifestyle Choices

Certain lifestyle choices can also contribute to hypercalcemia. These include excessive alcohol consumption, smoking, and a diet high in calcium. People who are taking certain medications, such as thiazide diuretics, should also be aware that these medications can increase the risk of hypercalcemia.

Prevention

The best way to prevent hypercalcemia is to maintain a healthy lifestyle. This includes eating a balanced diet, exercising regularly, and avoiding excessive alcohol consumption and smoking. People who are taking medications that can increase the risk of hypercalcemia should talk to their doctor about the potential risks and benefits of the medication.

Getting a Diagnosis

Physical Exam

During a physical exam, your doctor will check your vital signs, such as your temperature, pulse, and blood pressure. They will also examine your skin, eyes, and mouth for signs of dehydration or other abnormalities. Your doctor may also check your reflexes and muscle strength.

Blood Tests

Your doctor may order a blood test to measure the levels of calcium, phosphorus, and other minerals in your blood. They may also order tests to measure the levels of parathyroid hormone (PTH) and vitamin D in your blood. These tests can help your doctor determine the cause of your hypercalcemia.

Imaging Tests

Your doctor may order imaging tests, such as an X-ray, CT scan, or MRI, to look for signs of cancer or other conditions that may be causing your hypercalcemia. These tests can also help your doctor determine the cause of your hypercalcemia.

Treatment

Treatment for hypercalcemia depends on the underlying cause. Your doctor may recommend lifestyle changes, such as increasing your fluid intake and limiting your intake of calcium-rich foods. They may also prescribe medications to help lower your calcium levels. In some cases, surgery may be necessary to treat the underlying cause of your hypercalcemia.

Questions for Your Doctor

Symptoms of Hypercalcemia

The symptoms of hypercalcemia can vary from person to person, but some of the most common symptoms include:

  • Fatigue
  • Nausea
  • Vomiting
  • Loss of appetite
  • Constipation
  • Muscle weakness
  • Confusion
  • Increased thirst
  • Frequent urination

Questions to Ask Your Doctor

When discussing your hypercalcemia with your doctor, it is important to ask questions in order to understand your condition and the best course of treatment. Some questions you may want to ask include:

  • What is causing my hypercalcemia?
  • What treatments are available for hypercalcemia?
  • What lifestyle changes can I make to help manage my hypercalcemia?
  • Are there any medications I should avoid?
  • What are the potential side effects of the treatments?
  • How often should I have my calcium levels checked?

Conclusion

Hypercalcemia can be a serious condition, so it is important to discuss it with your doctor in order to determine the best course of treatment. Be sure to ask questions and understand your condition in order to ensure that you are taking the necessary steps to manage your hypercalcemia.

Treatment

Medications

Medications are often used to treat hypercalcemia. These medications can help reduce the amount of calcium in the blood, as well as reduce the symptoms associated with the condition. Common medications used to treat hypercalcemia include diuretics, bisphosphonates, calcitonin, and corticosteroids. Your doctor will determine the best medication for your particular situation.

Lifestyle Changes

Making certain lifestyle changes can also help reduce the symptoms of hypercalcemia. These changes may include reducing the amount of calcium in your diet, avoiding certain medications, and increasing your physical activity. Your doctor can help you determine the best lifestyle changes for your particular situation.

Dietary Modifications

Dietary modifications can also help reduce the symptoms of hypercalcemia. These modifications may include reducing the amount of calcium in your diet, avoiding certain foods, and increasing your intake of certain vitamins and minerals. Your doctor can help you determine the best dietary modifications for your particular situation.

Conclusion

Hypercalcemia is a condition in which the calcium levels in the blood are abnormally high. Treatment for hypercalcemia depends on the underlying cause, but may include medications, lifestyle changes, and dietary modifications. Your doctor can help you determine the best treatment plan for your particular situation.

Drugs & Medications

Drugs Used to Treat Hypercalcemia

There are a variety of drugs that can be used to treat hypercalcemia. These drugs work by either decreasing the amount of calcium in the blood or by blocking the absorption of calcium from the intestines. Some of the most commonly used drugs for hypercalcemia include:

  • Calcitonin: This is a hormone that is produced by the thyroid gland. It helps to reduce the amount of calcium in the blood by decreasing the amount of calcium that is absorbed from the intestines.
  • Bisphosphonates: These drugs work by blocking the absorption of calcium from the intestines. They can also help to reduce the amount of calcium in the blood.
  • Corticosteroids: These drugs work by decreasing the amount of calcium that is released from the bones. They can also help to reduce the amount of calcium in the blood.
  • Diuretics: These drugs work by increasing the amount of urine that is produced. This helps to reduce the amount of calcium in the blood.
  • Calcium channel blockers: These drugs work by blocking the absorption of calcium from the intestines. They can also help to reduce the amount of calcium in the blood.

It is important to note that these drugs should only be used under the supervision of a doctor. They can have serious side effects, so it is important to discuss any potential risks with your doctor before starting any treatment.

Diet

Foods to Eat

When it comes to managing hypercalcemia, it is important to focus on eating foods that are low in calcium and high in other essential nutrients. Some of the best foods to eat include:

  • Fruits and vegetables: Fruits and vegetables are packed with essential vitamins and minerals, and they are low in calcium. Try to include a variety of colors in your diet, as each color provides different nutrients.
  • Whole grains: Whole grains are a great source of fiber and other essential nutrients. Choose whole grain breads, pastas, and cereals over refined grains.
  • Lean proteins: Lean proteins such as chicken, fish, and beans are a great source of protein and other essential nutrients. Try to include a variety of lean proteins in your diet.
  • Low-fat dairy: Low-fat dairy products such as yogurt and milk are a great source of calcium, but they are also high in fat. Choose low-fat or non-fat dairy products to get the calcium you need without the added fat.

Foods to Avoid

When it comes to managing hypercalcemia, it is important to avoid foods that are high in calcium. Some of the foods to avoid include:

  • High-fat dairy: High-fat dairy products such as cheese and ice cream are high in calcium, but they are also high in fat. Avoid these foods to keep your calcium levels in check.
  • Processed foods: Processed foods are often high in sodium and other additives, which can increase your calcium levels. Avoid processed foods as much as possible.
  • Salt: Salt is a common ingredient in many processed foods, and it can increase your calcium levels. Try to limit your salt intake as much as possible.
  • Alcohol: Alcohol can increase your calcium levels, so it is best to avoid it if you have hypercalcemia.

By following a healthy diet and avoiding foods that are high in calcium, you can help manage your hypercalcemia and keep your calcium levels in check.

Lifestyle

Eat a Balanced Diet

Eating a balanced diet is essential for managing hypercalcemia. Foods that are high in calcium, such as dairy products, should be avoided. Instead, focus on eating foods that are high in magnesium, such as leafy greens, nuts, and legumes. Additionally, it is important to limit your intake of processed foods and sugar.

Stay Hydrated

Staying hydrated is important for managing hypercalcemia. Drinking plenty of water can help flush out excess calcium from the body. Additionally, it is important to limit your intake of caffeinated and alcoholic beverages, as these can increase calcium levels in the blood.

Exercise Regularly

Exercising regularly can help reduce symptoms of hypercalcemia. Aim for at least 30 minutes of moderate exercise each day. This can include walking, jogging, swimming, or cycling. Additionally, it is important to avoid strenuous activities, as these can increase calcium levels in the blood.

Reduce Stress

Stress can worsen symptoms of hypercalcemia. Therefore, it is important to find ways to reduce stress. This can include activities such as yoga, meditation, or deep breathing. Additionally, it is important to get enough sleep each night, as this can help reduce stress levels.

Talk to Your Doctor

If you are experiencing symptoms of hypercalcemia, it is important to talk to your doctor. They can help you develop a treatment plan that is tailored to your individual needs. Additionally, they can provide advice on lifestyle changes that can help manage the condition.