Can total thyroidectomy hinder calcium absorption?

Question

Hello doctor,

I am 23 years old. Two years ago, I had total thyroidectomy surgery, in which I lost two of my parathyroid glands. I have unbelievably weird calcium problems. Doctors thought that my glands would work again, but at some point, they started decreasing. My last blood test results were unusual; it seems like my body keeps rejecting the calcium that I am taking and instead draws it from my bones and teeth. I am taking Euthyrox and Calcium Sulfate 1500 mg per day, which also has vitamin D in it. I have pain in my back and legs, which is sometimes annoying. I would like to speak to someone who is willing to give me good advice.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Losing two parathyroid glands during surgery can lead to hypoparathyroidism, a condition in which the body is unable to regulate calcium levels properly. This can result in symptoms such as muscle cramps, weakness, and bone pain.

Based on your description, it sounds like you may be experiencing symptoms of hypoparathyroidism, as well as bone loss due to your body's inability to properly absorb calcium. The pain in your back and legs could be a result of this bone loss.

Here are a few things you can try to manage your symptoms:

1. Work with your doctor to find the right dosage of calcium and vitamin D: The amount of calcium and vitamin D you need may vary depending on your individual needs. Your doctor can help you determine the right dosage for you based on your blood test results and symptoms.

2. Consider taking medication to help regulate calcium levels: If your symptoms are severe, your doctor may recommend medication to help regulate calcium levels, such as calcitriol or cinacalcet.

3. Discuss bone density testing: Your doctor may recommend bone density testing to monitor the health of your bones and determine if you are at risk for fractures.

4. Practice good bone health habits: To help prevent further bone loss, it is important to eat a diet rich in calcium and vitamin D, exercise regularly, and avoid smoking and excessive alcohol consumption.

5. Consider seeing a specialist: Depending on the severity of your symptoms, you may want to consider seeing a specialist, such as an endocrinologist or a bone specialist, to help manage your condition

I hope I have answered your question.

Let me know if I can assist you further.

Regards