If you and your doctor have chosen to monitor, rather than treat, your hyperparathyroidism, the following suggestions can help prevent complications:
May 28, 2014
Monitor how much calcium and vitamin D you get in your diet. The Institute of Medicine recommends 1,000 milligrams (mg) of calcium a day for adults ages 19 to 50 and men ages 51 to 70. That calcium recommendation increases to 1,200 mg a day for women age 51 and older and men age 71 and older.
The Institute of Medicine also recommends 600 international units (IUs) of vitamin D a day for adults ages 1 to 70 and 800 IUs a day for adults age 71 and older. Talk to your doctor about dietary guidelines that are appropriate for you.
- Drink plenty of fluids. Drink enough fluids, mostly water, to produce nearly clear urine to lessen the risk of kidney stones.
- Exercise regularly. Regular exercise, including strength training, helps maintain strong bones. Talk to your doctor about what type of exercise program is best for you.
- Don't smoke. Smoking may increase bone loss as well as increase your risk of a number of serious health problems. Talk to your doctor about the best ways to quit.
- Avoid calcium-raising drugs. Certain medications, including some diuretics and lithium, can raise calcium levels. If you take such drugs, ask your doctor whether another medication may be appropriate for you.
- Primary hyperparathyroidism. National Endocrine and Metabolic Diseases Information Service. http://endocrine.niddk.nih.gov/pubs/hyper/. Accessed Feb. 15, 2014.
- Ferri FF. Ferri's Clinical Advisor 2014: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Feb. 15, 2014.
- El-Hajj Fuleihan G. Pathogenesis and etiology of primary hyperthyroidism. http://www.uptodate.com/home. Accessed Feb. 15, 2014.
- Papadakis MA, et al. Current Medical Diagnosis & Treatment 2014. 53rd ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=1. Accessed Feb. 15, 2014.
- Bilezikian JP, et al. Guidelines for the management of asymptomatic primary hyperparathyroidism: Summary statement from the third international workshop. Journal of Clinical Endocrinology and Metabolism. 2009;94:335.
- Hormone replacement therapy. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed Feb. 15, 2014.
- Vitamin D: Fact sheet for consumers. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/VitaminD-QuickFacts. Accessed Feb. 15, 2014.
- Calcium: Fact sheet for consumers. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/Calcium-QuickFacts. Accessed Feb. 15, 2014.
- Smoking and bone health. NIH Osteoporosis and Related Bone Diseases — National Resource Center. http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/Conditions_Behaviors/bone_smoking.asp. Accessed Feb. 15, 2014.
- Korkmaz HA, et al. Neonatal seizure as a manifestation of unrecognized maternal hyperparathyroidism. Journal of Clinical Research in Pediatric Endocrinology. 2013;5:206.
- Nippoldt TB (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 28, 2014.
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