Secondary Hyperparathyroidism (SHPT)

Secondary Hyperparathyroidism (SHPT) is an endocrine disorder that results from a deficiency in the production of active vitamin D. This is often caused by poor diet, inadequate intake of vitamin D, or inadequate absorption of vitamin D from the gut. The initial symptom of SHPT is an increase in the calcium level in the blood, leading to the increased activity of the parathyroid glands. Parathyroid glands produce and secrete the parathyroid hormone (PTH), which helps the body maintain the proper level of calcium in the blood.

Once SHPT has developed, the increased level of calcium and PTH in the blood can lead to a number of other issues including high blood pressure, calcium deposits in the small blood vessels, and kidney damage. It can also cause bone pain, fatigue, and weak muscles. Severe cases can also lead to an increased risk of heart disease.

In order to diagnose SHPT, doctors typically order a simple blood test known as a serum calcium test. If the calcium levels are found to be above the normal range, then an x-ray or MRI may be ordered to look for calcium deposits in the small blood vessels. Additionally, a PTH test may be ordered to determine the level of PTH in the blood.

The first line of treatment for SHPT is typically lifestyle modifications. These can include eating a balanced diet rich in calcium and vitamin D, reducing or stopping smoking, and exercising regularly. Additionally, patients may be prescribed medications such as calcimimetics, which help to reduce the amount of calcium in the body, or bisphosphonates, which help to prevent bone loss caused by SHPT.

SHPT can be a serious condition if left untreated, so it is important to seek medical help if you think you may be experiencing any of the symptoms.

Tips for Managing Secondary Hyperparathyroidism

Get regular blood tests to monitor your calcium level.
Eat a diet rich in calcium and vitamin D.
Exercise regularly.
Take medications as prescribed by your doctor.
Reduce or stop smoking.
Talk to your doctor about any supplements you may be taking.