Symptoms of Hypopara
There are no symptoms of Hypoparathyroidism (low parathyroid hormone levels).
There are symptoms of Hypocalcaemia (low calcium levels).
Individuals may feel different symptoms in different ways and will often have their own (quite narrow) individual range within the normal reference range where they feel symptom free.
Symptoms are those of tetany and develop along a spectrum ranging from mild to more severe.
Many people have no symptoms at all once their calcium and vitamin D levels are properly adjusted. as levels do fluctuate , blood tests are still important so that occasional blips may be adjusted. People with Idiopathic forms of hypoparathyroidism, once on medication, seem to be able to tolerate lower levels of calcium than post surgical types who may experience more fluctuations.
Many people experience only mild symptoms which may require no action or just an occasional minor adjustment. These usually take the form of paraesthesias - tingling in the hands, fingers, and around the mouth, and twitching muscles.
These are more unusual but may occur post operatively or when medication has been inadequate over a period of time or in Brittle hypoparathyroidism where levels remain constantly unstable. Symptoms may develop over time if ignored or unrecognised, or they may come on rapidly suddenly requiring urgent action to avoid a crisis.
Warning signs may be a drop in temperature, sensitivity to sound, shakiness, irritability, anxiety, diarrhea and gradually worsening muscle spasms.
Early symptoms of tetany may include:
If not treated , more severe symptoms may develop and can include:
Other symptoms may develop over time
Vitamin D and calcium treatment requires regular blood testing as calcium levels can fluctuate in response to many factors and medication occasionally needs to be adjusted. This can also involve a certain amount of guesswork as well. So people with Hypoparathyroidism can sometimes develop high calcium levels and you should be aware of the symptoms to look out for.
Early warning signs can include:
If the hypercalcaemia is not treated then the symptoms become much worse and can include
If you have any of these symptoms you should contact your doctor immediately to arrange a blood test. Left untreated this can be a life threatening condition.