Are the effects of hypocalcemia permanent?

Question

Hello doctor,

My son is 17 and a half years old. Six months back, my son developed a very low level of calcium; actually, it was untraceable. He was admitted to the hospital, and calcium gluconate was given through IV. Now, after three months, his calcium level is normal. He has started walking again, but still, his alkaline phosphatase is still high. Why? Also, are the effects of hypocalcemia permanent? At the time of hypocalcemia, his heartbeat was irregular. Now the ECG is normal, but the pulse rate is still on the higher side. I am attaching all reports.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read the reports that you have attached (the attachments have been removed to protect the privacy of the patient). I am sorry for what you went through during your son's illness. Since your son was severely deficient in calcium and vitamin D, his bones are weak. Therefore he experienced pain in his knees. Now that he has received his treatment and his calcium and vitamin D levels got corrected, his bones will take some time to become as before or, in other words, become stronger. Till this bone repair time is going on, his alkaline phosphatase may remain high and normalize once the process has been completed and he has healed completely. In 52 % of patients with similar conditions, the alkaline phosphatase can take 9 to 12 months to return to normal. You can increase his bone healing process by giving him sun exposure on his arms and legs for 30 minutes daily over a divided period of time. Avoid carbonated drinks. Take vitamin C supplements. Take Magnesium glycinate 200 mg once daily. Take Neurobion forte (Thiamine nitrate, Riboflavin, Pyridoxine hydrochloride, Cyanocobalamin, Nicotinamide, Pantothenic acid calcium salt) twice daily along with his current medication. Consult a specialist and then take the above-mentioned medications with their consent. He must walk 30 minutes daily. His heart rate you have not mentioned how high it is? Did you check his thyroid function test?

I hope he feels better soon. If you have any further questions, then please do not hesitate to ask me.