What are the symptoms of hypocalcemia?
- confusion or memory loss.
- muscle spasms.
- numbness and tingling in the hands, feet, and face.
- muscle cramps.
- weak and brittle nails.
- easy fracturing of the bones.
Additionally, how do you fix low ionized calcium?
Thus, the management of hypocalcemia depends upon the severity of symptoms. In patients with acute symptomatic hypocalcemia, intravenous (IV) calcium gluconate is the preferred therapy, whereas chronic hypocalcemia is treated with oral calcium and vitamin D supplements.
Moreover, is low calcium an emergency?
Severe hypocalcemia, defined by a serum calcium <1.9 mmol/L (7.6 mg/dL), is often considered an emergency because of a potential risk of life-threatening cardiac arrhythmias or seizures (6, 7, 8, 9, 10, 11).
What affects ionized calcium?
Acidemia decreases calcium binding to protein, with consequent increases in ionized calcium as a fraction of total calcium. In patients with perturbations of extracellular fluid pH, each 0.1 decrease in pH increases ionized calcium by approximately 0.2 mg/dl (0.05 mmol/L).
Signs and symptoms of hypoparathyroidism can include:
- Tingling or burning in your fingertips, toes and lips.
- Muscle aches or cramps in your legs, feet, stomach or face.
- Twitching or spasms of your muscles, particularly around your mouth, but also in your hands, arms and throat.
- Fatigue or weakness.
- Painful menstrual periods.
Vitamin D deficiency, low parathyroid gland function, gut disorders, and kidney disease are among the more common causes of hypocalcemia. Rarely, you can become deficient if you’re not getting enough dietary calcium. Work with your doctor if your calcium levels are low to discover and treat the underlying cause.
Ionized calcium is calcium in your blood that is not attached to proteins. It is also called free calcium. All cells need calcium in order to work. Calcium helps build strong bones and teeth.
The parathyroid glands can be thought of as the “calcium thermostat” of the body.
|Lab||Normal range (conventional units)|
|Calcium (serum)||8.6-10.3 mg/dL|
|Calcium (ionized)||4.4-5.2 mg/dL|
|PTH (parathyroid hormone)||11-51 pg/mL|
|Creatinine (marker of kidney function)||0.6-1.3 mg/dL|
The most common cause of hypocalcemia is hypoparathyroidism, which occurs when the body secretes a less-than-average amount of parathyroid hormone (PTH). Low PTH levels lead to low calcium levels in your body.
Over time, hypocalcemia can affect the brain and cause neurologic or psychologic symptoms, such as confusion, memory loss, delirium, depression, and hallucinations.
There are three major population groups that are at highest risk for dietary calcium deficiency. These include women (amenorrheic, the female athlete triad, postmenopausal), individuals with milk allergy or lactose intolerance, and atrisk groups for dietary deficiency intake (adolescents and the elderly).