UAB Department of Surgery Fay Fletcher Kerner Chair Herbert Chen, M.D., has been featured by UAB MedCast to explain the signs, symptoms, and potential complications of parathyroid disease. Chen specializes in endocrine surgery -- focusing on thyroid, parathyroid, and adrenal gland disorders.
About the Parathyroid Glands
The parathyroid glands regulate calcium levels in the blood by releasing calcium from the bones, which is the third most common endocrine abnormality found in patients. Most patients with parathyroid disorders are often diagnosed incidentally while being evaluated for other conditions, often revealed through abnormal lab results.
Although often overlooked, Chen notes that parathyroid diseases can lead to various symptoms, including depression, fatigue, bone weakness, osteoporosis, and even severe complications like bone fractures.
Treatment Strategies for Parathyroid Disease
In this episode, Chen discusses treatment options for parathyroid disease. He mentions that although some medications are available, the only definitive cure for hyperparathyroidism is surgery. He explains that parathyroid removal surgery is minimally invasive, allowing patients to usually be discharged on the same day. Most individuals can quickly resume their regular activities afterward.
In terms of symptom improvement, Chen notes that most symptoms resolve after the operation, leading to an enhanced quality of life for patients. Those who experience fatigue, sleep disturbances, anxiety, and depression often report feeling better after the procedure. Additionally, patients with a history of osteoporosis find it easier to manage their condition post-surgery.
When addressing the possibility of disease recurrence, Chen comments that patients typically recognize a return of symptoms they experienced before surgery. However, he emphasizes that recurrence is quite uncommon, and most patients find that their symptoms and diagnosis are resolved following the operation. He also mentions that if a patient has all four parathyroid glands removed, their calcium levels can often be normalized with vitamin D and calcium supplementation.
"Supporting patients with hyperparathyroidism is a rewarding experience. Many patients report that the procedures we implement lead to significant improvements in their emotional well-being, increased energy levels, and, most importantly, a better quality of life. This positive feedback highlights the vital role addressing calcium abnormalities may have in their overall improvement," says Chen.
To listen to the full episode, visit the UAB MedCast website.