Parathyroid Hormone PTH

Also Know as: Parathormone Test, Parathyrin Serum Test

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Last Updated 1 November 2024

What is Parathyroid Hormone (PTH) test?

Parathyroid hormone (PTH) is a key hormone that has a vital role in calcium regulation in the body. This hormone is produced by the parathyroid glands, which are small glands located in the neck near the thyroid gland. Here are some key points about PTH:

  • PTH is primarily responsible for maintaining the levels of calcium and phosphate in the body within a very narrow range. This is crucial for the normal functioning of the nervous system, as well as for bone strength and overall cell function.

  • When calcium levels in the blood are too low, the parathyroid glands release more PTH. This stimulates the release of calcium from the bones, increases the body's ability to absorb calcium from food, and signals the kidneys to conserve calcium, thereby raising blood calcium levels.

  • Conversely, when calcium levels are too high, the parathyroid glands reduce the amount of PTH released. This slows down the release of calcium from the bones, decreases calcium absorption from the food, and allows the kidneys to remove more calcium from the body, thereby lowering blood calcium levels.

  • Abnormal levels of PTH can lead to various health conditions. Excessive PTH can cause hyperparathyroidism, which can result in weakened bones, kidney stones, and other problems. Insufficient PTH can lead to hypoparathyroidism, which can cause numbness, muscle cramps, and seizures amongst other symptoms.

  • The level of PTH in the body can be measured with a blood test, which can help diagnose conditions related to abnormal calcium or PTH levels.


When is Parathyroid Hormone (PTH) test required?

  • Parathyroid hormone (PTH) is an essential element in the human body that is primarily responsible for maintaining calcium and phosphate homeostasis. It is required in situations where the body's calcium levels are low.

  • When calcium levels in the blood drop below normal, the parathyroid glands sense this and release PTH. This hormone then acts on the bones, kidneys, and intestines to increase calcium levels back to normal.

  • PTH plays a pivotal role in bone remodeling, which is a natural process where mature bone tissue is taken out from the skeleton and new bone tissue is formed via a process called ossification.

  • It is also required in situations where there are certain abnormalities in the parathyroid gland itself, such as parathyroid tumors or hyperparathyroidism.


Who requires Parathyroid Hormone (PTH) test?

  • Individuals with low blood calcium levels or conditions that may affect calcium absorption may require PTH. These conditions include kidney disorders, malabsorption syndromes, and vitamin D deficiency.

  • People who have undergone surgery to remove the parathyroid glands (parathyroidectomy) may also require PTH.

  • Patients with chronic kidney disease commonly have abnormal PTH levels and may require monitoring and treatment to manage these levels.

  • People with certain types of cancer, such as lung or breast cancer, which may spread to the bone and affect PTH levels.


What is measured in Parathyroid Hormone (PTH) test?

  • The Parathyroid Hormone PTH test assesses the level of parathyroid hormone in the blood.

  • This test identifies hyperparathyroidism, determines the cause of abnormal calcium levels, or checks the status of chronic kidney disease. It may also be used to monitor the health of individuals who have undergone surgery on their parathyroid glands.

  • The test typically measures the amount of PTH in picograms (pg) per milliliter (mL) of blood. Normal values are generally considered to be between 10-65 pg/mL, but the range can vary slightly depending on the laboratory that analyzes the blood sample.

  • If the PTH levels are higher than the normal range, it could indicate conditions such as hyperparathyroidism, kidney disease, certain types of cancer, or vitamin D deficiency. On the other hand, lower than normal PTH levels could indicate hypoparathyroidism, a condition where not enough PTH is produced, or too much calcium in the blood.


What is the methodology of Parathyroid Hormone (PTH) test?

  • The Parathyroid Hormone (PTH) test is a blood test used to assess the functioning of the parathyroid glands. These glands produce PTH, a hormone which is important for regulating the calcium levels within the body.

  • The PTH test is utilized to diagnose various conditions associated with the parathyroid glands, such as hyperparathyroidism, hypoparathyroidism, and certain types of cancer. It can also help in monitoring the effectiveness of treatments for these conditions.

  • The test is done by taking a sample of the patient's blood, usually from a vein in the arm. The sample is then sent to a laboratory where it is analyzed for PTH levels. The results of the test are typically available within a few days.


How to prepare for Parathyroid Hormone (PTH) test?

  • Preparation for the PTH test involves certain restrictions on food and drink. The patient is usually asked to fast for at least 8 hours before the test. This means no food or drink, except water, should be consumed during this period.

  • It is also important to inform the doctor about any medications, supplements, or over-the-counter drugs that the patient is currently taking. Some of these substances may interfere with test results and may need to be stopped or discontinued before the test.

  • Patients need to speak to their doctor if they have any allergies, particularly to latex or certain types of anesthetics. This information will help ensure the safety and comfort of the patient during the blood draw.


What happens during Parathyroid Hormone (PTH) test?

  • During the PTH test, the patient will be asked to sit or lie down. The area where the blood will be drawn, usually the inside of the elbow, will be cleaned with an antiseptic. A tourniquet will be placed around the upper arm to help the vein swell with blood.

  • A needle is inserted into the vein. The patient may feel a small prick or stinging sensation as the needle goes in. The blood is drawn into a vial or syringe attached to the needle.

  • Once sufficient amount of blood has been collected, the needle is taken out, and a small bandage or a cotton ball is put over the puncture site to stop any bleeding. The patient can usually leave shortly after the blood draw.


What is Parathyroid Hormone (PTH) test normal range?

Parathyroid hormone (PTH) is a hormone that is secreted by the parathyroid glands that are located in the neck. This hormone is crucial in maintaining the right balance of calcium and phosphorus in the body. The normal range of PTH is:

  • Adults: 10-65 pg/mL (picograms per milliliter)

  • Children: 10-69 pg/mL

  • Newborns: 10-100 pg/mL


What are the reasons for abnormal Parathyroid Hormone (PTH) test results?

Abnormal levels of PTH can be due to several conditions. These include:

  • Hyperparathyroidism: In this condition, the parathyroid glands produce too much PTH. It often results from a noncancerous growth (adenoma) on one of the parathyroid glands.

  • Hypoparathyroidism: This is a condition where the parathyroid glands produce too little PTH. It can result from damage to the glands, such as during surgery, or from an autoimmune condition.

  • Chronic kidney disease: The kidneys aid in converting vitamin D into a form the body can use, which helps control calcium and phosphate levels. If the kidneys aren't working correctly, they might not convert enough vitamin D, leading to increased PTH levels.


How to maintain normal Parathyroid Hormone (PTH) test results?

  • Eat a balanced diet: Consuming a diet rich in calcium and vitamin D can help keep PTH levels normal.

  • Limit alcohol and caffeine: Excessive alcohol and caffeine can interfere with calcium absorption and could result in higher PTH levels.

  • Quit smoking: Nicotine can affect calcium levels in your blood and bones, potentially leading to abnormal PTH levels.

  • Exercise regularly: Weight-bearing exercises, like walking and lifting weights, can help you maintain healthy bones and regulate calcium levels.


Precautions and Aftercare tips post Parathyroid Hormone (PTH) test

  • Follow up with your doctor: If your PTH levels were high or low, it's important to have regular check-ups to monitor your condition.

  • Regular medication: If you have been prescribed medication for abnormal PTH levels, make sure to take it as directed.

  • Eat a diet rich in calcium and vitamin D: These food-based nutrients are essential for bone health and can help regulate PTH levels.

  • Limit alcohol and caffeine: These substances can interfere with calcium absorption and can affect PTH levels.

  • Exercise regularly: Regular physical activity helps maintain bone strength and regulate calcium levels.


Why Book with Bajaj Finserv Health?

Bajaj Finserv Health offers a host of benefits that make it the ideal choice for your medical diagnostic needs. Here's why:

  • Precision: All our affiliated labs are equipped with cutting-edge technologies ensuring the utmost precision in your test results.

  • Cost-effectiveness: Our individual diagnostic tests and services are comprehensive yet affordable, ensuring your health needs don't stress your budget.

  • Home-Based Sample Collection: We provide the convenience of having your samples collected from your home at a time that suits you best.

  • National Coverage: No matter where you are in India, our medical test services are always accessible.

  • Flexible Payment Options: We give you the option of multiple payment methods, including cash and digital options, for your convenience.


Note:

This is not medical advice, and this content should only be considered for informational purposes only. Consult with your healthcare provider for individual medical guidance.

Frequently Asked Questions

1. How to maintain normal Parathyroid Hormone (PTH) test levels?

Maintaining normal Parathyroid Hormone (PTH) levels primarily involves a balanced diet that includes foods that have a lot of calcium and vitamin D. Regular exercise also contributes to healthy bone metabolism. It's critical to limit phosphate intake in your diet, especially in processed foods and soft drinks. In some cases, medication may be necessary to regulate PTH levels. Always consult with your doctor for individualized advice.

2. What factors can influence Parathyroid Hormone (PTH) test Results?

Several factors can influence PTH results. These include calcium and vitamin D levels, kidney function, and certain medications. Age and gender may also affect PTH levels. Moreover, the time of day when the blood sample is taken can affect results as PTH levels naturally fluctuate throughout the day. You must discuss these factors with your healthcare provider before testing.

3. How often should I get Parathyroid Hormone (PTH) test done?

The frequency of PTH testing depends on your individual health circumstances. If you have a condition that affects calcium metabolism, such as hyperparathyroidism or kidney disease, your doctor may recommend regular testing. For most people, however, routine testing of PTH is not necessary. As always, the best course of action is to follow your doctor's advice.

4. What other diagnostic tests are available?

Several other diagnostic tests can aid in understanding your calcium metabolism and bone health. These include calcium, vitamin D, and phosphate blood tests, as well as bone density scans. In some cases, imaging tests such as MRI and ultrasonography may be used to view the parathyroid glands. Your doctor will recommend the most appropriate tests based on your symptoms and medical history.

5. What are Parathyroid Hormone (PTH) test prices?

The cost of PTH testing can vary depending on the laboratory, your location, and whether you have insurance. However, many insurance plans cover the cost of this test when it is medically necessary. It's always best to check with your insurance provider and the laboratory to get an accurate estimate.