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Urology (Expert Forum)
Help! Question for everyone!
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Help! Question for everyone!
by tiffany, Dec 08, 1999 12:00AM
I have been seeing an endo for a multitude of symptoms. He ran several tests including a 24hr. urine calcium test because I had a kidney stone in March of this year and I broke my foot in August. My urine calcium level was 1865 with normal being 100-300. The doctor just told me the results over the phone, so I didn't really get a chance to sit down and talk with her. What could be causing this? The also did a parathyroid test along with a blood calcium test. She did not say anything about those being elevated, but that doesn't mean that they weren't. What are all of the possibilities that could cause me to have such a large amount of calcium in my urine? Thanks in Advance!
Doctor's Answer
by hfhs M.D.-AK, Dec 09, 1999 12:00AM
Dear Tiffany,
There are several types of hypercalciuria, mainly : renal leak, absorptive (Gastrointestinal absorption), resorptive(hyperparathyroid) and idiopathic(don’t know). Other disease processes may cause, hypercalciuria, but they are less common. Some of these disease processes also lead to increased calcium in the blood, these would include: hyperparathyroidism, sarcoidosis, being immobilized for a sustained period of time, taking too much vitamin D, cancer, hyperthyroidism, increased function of the adrenal gland, and the milk alkali syndrome. I think a metabolic work-up is in order which would include two 24hr urine collections and labs which it sounds like you have already had drawn. Greater than 90% of the time, the cause of the hypercalciuria can be found. I think you should talk to your doctor and in the mean time keep yourself well hydrated. A metabolic work-up should give you your answer, and a repeat 24 hr urine collection will confirm if your truly have a problem. The second 24 hr urine collection should be on a limited calcium diet.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Stones
There are several types of hypercalciuria, mainly : renal leak, absorptive (Gastrointestinal absorption), resorptive(hyperparathyroid) and idiopathic(don’t know). Other disease processes may cause, hypercalciuria, but they are less common. Some of these disease processes also lead to increased calcium in the blood, these would include: hyperparathyroidism, sarcoidosis, being immobilized for a sustained period of time, taking too much vitamin D, cancer, hyperthyroidism, increased function of the adrenal gland, and the milk alkali syndrome. I think a metabolic work-up is in order which would include two 24hr urine collections and labs which it sounds like you have already had drawn. Greater than 90% of the time, the cause of the hypercalciuria can be found. I think you should talk to your doctor and in the mean time keep yourself well hydrated. A metabolic work-up should give you your answer, and a repeat 24 hr urine collection will confirm if your truly have a problem. The second 24 hr urine collection should be on a limited calcium diet.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Stones
Member Comments (11)
by prattz@hotmail.com, Dec 09, 1999 12:00AM
To: Kidney/Urinary Stones
0
by Barbara, Feb 16, 2000 12:00AM
To: Kidney/Urinary Stones
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by W.D. Haskins, Feb 17, 2000 12:00AM
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by Dottie Jo, Feb 21, 2000 12:00AM
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by Shauna, Mar 18, 2000 12:00AM
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by Shauna, Mar 25, 2000 12:00AM
To: Kidney/Urinary Stones
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by shar, Apr 06, 2000 12:00AM
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by DEB J, Apr 24, 2000 12:00AM
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by Sarah Heed, Jun 28, 2000 12:00AM
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by babistac69@aol.com, Aug 26, 2000 12:00AM
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by DR Bob, Sep 06, 2000 12:00AM
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