Thyroid Cancer / Nodules & Hyperthyroidism Expert Forum
Hyperparathyroidism?
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Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.

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Hyperparathyroidism?

Good Morning,

Diagnosed with hypothyroidism at age 15.  Prescribed synthroid.  At age 30 exhibited hyperthyroid symptoms.  Against two endos belief, was diagnosed with Hashimoto's and Graves. Nodule found and radioactive iodine given and returned to hypothyroid state.  Prescribed synthroid.  Approximately 10 years later, TSH levels having been 'normal' - extreme fatigue, aches, etc. referred to rheumatologist and diagnosed with fibromyalgia.  PCP lowered synthroid from .200 to .175 due to complaints of anxiety and prescribed anti-anxiety med.  Recently diagnosed with kidney stones after seeing urologist for increased urinary output (suggested band procedure!) and given medication for incontinence.  Occasional swelling in feet.  Swelling in face, especially around eyes.  Carpal tunnel has come back severely since pregnancy 17 years ago - sent for emg and suggested immediate surgery.  Can't sleep - wake up with body hurting.  Also have the 'brain fog', loss of interest in things, etc.  Severe nause and pain in stomach daily - recent gastro problems ending up in ER, hiatal hernia, etc.  Sent for ultrasound of thyroid, endo possibly felt very slightly enlarged right lower lobe.  Received call stating thryoid tissue was difficult to detect due to ablation from RAI years ago.    Now dealing with severe plantar fascitis - can barely walk.  Endo checked calcium in 2010 which was 8 and recently checked PTH which was 54 and calcium was 9.  TSH was 16.  Increased synthroid to .200.  Neck feels uncomfortable as well.  Feel like a hypochondriac - endo says will re-check calcium next year.  Please advise.  Could this be hyperparathyroidism?
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With a calcium of 9.0 and PTH at 54, primary hyperparathyroidism is not likely.  Would recheck calcium periodically as suggested by your endocrinologist.  In the meantime, try to optimize the TSH to see if this will help decrease some of the thyroid area symptoms you're having.  Also test  vitamin D to make sure you're not deficient.
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