Primary Hyperparathyroidism

What to expect when your Primary Care Physician refers you to an ENT for Primary Hyperthyroidism:
There is a saying, “moans, groans, stones and psychiatric overtones” in reference to hyperparathyroidism symptoms. If you have been experiencing some or most of the following symptoms, your Primary Care Physician may order PTH and Calcium lab work:
  • Fragile bones
  • Kidney stones
  • Abdominal pain
  • Excessive urination
  • Weakness/Fatigue
  • Depression/Forgetfulness
  • Bone/Joint pain
  • Loss of appetite
If your PTH is higher than 65 and/or your Calcium is higher than 10.2  you will be referred to an ENT for further evaluation.
At your first visit you will meet with your ENT to review your recent lab work. They will review your current symptoms and explain in detail where the parathyroid glands are as well as their function. They will perform a general ENT exam. The next steps will provide more data for the ENT to determine the best treatment plan and determine if you have a parathyroid adenoma that requires surgical attention:
  • New lab work will be ordered that may include the following: PTH, Calcium, Vitamin D and Urine Calcium
  • If there is a concern of a parathyroid adenoma the following diagnostic imaging will also be scheduled: 4D Parathyroid CT Scan and Sestamibi Scan to localize the parathyroid adenoma.
Once all the imaging is scheduled the ENT office will provide you with a follow up appointment to review all results and discuss the next step in your treatment plan. You will also want to be sure to have your lab work updated prior to that follow up appointment.
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