Urogynecology Expert Forum
High pth and kidney concerns
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Questions in the Urogynecology forum are answered by Bruce Crawford, MD, J. Kyle Mathews, MD, and other medical professionals and experts. Topics covered include overactive bladders, bladder pain, fallen/drooping bladder, bowel urgency, bowel prolapse, cystitis, incontinence, pain with intercourse, rectal prolapse, surgery, urinary urgency, and uterine prolapse.

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High pth and kidney concerns

I am a 26 year old female with no underlying health problems.  My endo checked my pth levels after my vitamin d 1,25 results came back high at 89 a month before.  My obgyn ordered the 1,25 when I asked her to check my vitamin d...not sure why she ordered that lab instead of 25. I am 5'8.5 and 165 lbs.

Results may 15 2012
Pth intact 87
Serum ca 9.3 (9.3 in march 2011)
Ionized ca 1.24
Phosporus 2.9
Vitamin d (25) 40 (22 in march 2011)
Creatinine .6 (.7 in march 2011)
Bun  10 (16 in march 2011)
24 hour urine normal at 303 
Alkaline phosphatase 49 (43 in march 2011)
No stones that I know of
Negative for celiacs


Follow up on 7/30/12
Pth intact 94
Serum ca 9.1
Ionized ca 1.22
Phosphorus 3.1
Creatinine .7
Bun 16
Alkaline phosphatase 55
Still no stones
Vitamin d (25) 41

What is this looking like?  I'm concerned about this being the beginning of Kidney disease or failure even though my creatinine and bun are fine.  Oh and I don't drink alcohol and I'm not a recovering alcoholic. 
Is it normal for my ca to fluctuate like that in just 2 months?
What are the possible causes for my high pth. I have researched the heck out of ca homeostasis and I am stumped with my results. I take in enough ca etc in my diet as well.

Thanks!
1344197_tn?1392822771
Please refer your question to the medicine forum.  
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J. Kyle Mathews, MD, DVMBlank
Plano Urogynecology Associates
Plano, TX
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