Secondary hyperparathyroidism

Treatment:

The treatment involves correcting the underlying cause of secondary hyperparathyroidism.

Mild secondary hyperparathyroidism may be followed medically unless impaired renal function, bone demineralization, or high blood pressure is present. The treatment consists of forcing oral (by mouth) fluids to prevent kidney stone formation, avoiding sedentary lifestyle or immobilization, avoiding Thiazide diuretics, adding phosphate preparations if the kidney function is good, and giving estrogen therapy to women if they are postmenopausal.

For symptomatic, severe secondary hypercalcemia (high blood calcium levels), hospitalization may be required. Rehydration by intravenous fluid is initiated. Medications may include pamidronate disodium to inhibit bone resorption.

Expectations (prognosis):

The outcome of secondary hyperparathyroidism caused by vitamin D deficiency is usually good.

Complications:

Complications result from excess calcium deposits within the body and may include:

• skeletal damage
• pathological bone fractures
• urinary tract infection due to kidney stones and obstruction
• peptic ulcer disease and pancreatitis
• pseudogout

Calling your health care provider:

Call for an appointment with your health care provider if you have symptoms of this disorder.

Also call if you have a history of secondary hyperparathyroidism and you experience symptoms of any of the complications.