A doctor who suspects hypoparathyroidism begins by taking a medical history and asking about your symptoms, such as muscle cramps or tingling of your toes, fingers or lips. He or she will want to know whether you've had recent surgeries, particularly operations involving the thyroid gland or your neck.
Next, your doctor will conduct a physical examination, looking for signs that suggest hypoparathyroidism, such as facial muscle twitching.
You'll also have blood tests, and the following findings may indicate hypoparathyroidism:
- A low blood-calcium level
- A low parathyroid hormone level
- A high blood-phosphorus level
- A low blood-magnesium level
Your doctor may also order a urine test to determine whether your body is excreting too much calcium.
In diagnosing children, doctors check to see whether tooth development is normal and whether they have met developmental milestones.
May 09, 2014
- Hypoparathyroidism. Eunice Kennedy Shriver National Institute of Child Health & Human Development. http://www.nichd.nih.gov/health/topics/hypopara/Pages/default.aspx. Accessed Dec. 23, 2013.
- Hypoparathyroidism. The Hormone Health Network. http://www.hormone.org/search-page?q=hypoparathyroidism. Accessed Dec. 23, 2013.
- Goltzman D. Treatment of hypocalcemia. http://www.uptodate.com/home. Accessed Dec. 23, 2013.
- Goltzman D. Diagnostic approach to hypocalcemia. http://www.uptodate.com/home. Accessed Dec. 23, 2013.
- Fong J, et al. Hypocalcemia: Updates in diagnosis and management for primary care. Canadian Family Physician. 2012;58:158.
- Bilezikian JP, et al. Hypoparathyroidism in the adult: Epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment and challenges for future research. Journal of Bone and Mineral Research. 2011;26:2317.