How is hypoparathyroidism, due to thyroid surgery treated?

Updated: Jan 25, 2018
  • Author: Pramod K Sharma, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Treatment is as follows:

  • Asymptomatic hypocalcemia in the early postoperative period should not be treated with supplemental calcium

  • In symptomatic patients, replace calcium with IV calcium gluconate

  • Typically, patients who begin to have symptoms can be started on oral calcium and vitamin D

  • In 1-2 months, an attempt to wean the patient off oral calcium may be made

  • Dependence on calcium supplementation for longer than 6 months usually indicates permanent hypoparathyroidism


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