Hypoparathyroidism
Hypoparathyroidism is an underactive state of the parathyroid glands, producing too little parathyroid hormone, which leads to low blood calcium levels. It is most commonly a complication of neck surgery, such as thyroid surgery, though other causes exist.
Common symptoms
- tingling or numbness, particularly around the mouth, fingers, and toes
- muscle cramps or spasms
- fatigue
- anxiety or mood changes
- in severe cases, seizures
Diagnosis and treatment goals
Diagnosis uses calcium, parathyroid hormone, phosphate, magnesium, vitamin D and kidney function, interpreted with symptoms and surgical history. Treatment commonly uses calcium and active vitamin D, aiming to control symptoms while avoiding excessive urine calcium.
Long-term monitoring
Follow-up may include blood calcium, phosphate, magnesium, kidney function and urine calcium, with kidney imaging when indicated. Doses require individual adjustment during illness, pregnancy and medicine changes. Supplements should not be altered without clinical advice.
UK-wide video consultations
Routine review can usually take place securely by video, while blood and urine tests are arranged locally. Tingling with muscle spasm, breathing difficulty, seizures or marked confusion requires urgent assessment.
What we offer
- same-day blood tests checking calcium, parathyroid hormone, magnesium, and vitamin D
- a clear treatment plan using calcium and active vitamin D supplements
- regular monitoring to fine-tune the dose over time