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Hyperparathyroidism is diagnosed by blood tests. Measurement of serum calcium and parathyroid hormone are the means for this. The serum calcium level is almost always elevated and the parathyroid hormone level is inappropriately high for the level of calcium. There are other causes of elevated calcium but these are usually able to be identified when a doctor takes a complete history and physical examination. Surgery is indicated for all patients with symptomatic hyperparathyroidism unless their medical condition makes the risk of operation too high. Kidney stones, loss of bone density (osteoporosis) and muscle weakness have the best response to parathyroidectomy but even problems with depression, mood, weakness and loss of energy and stamina can be improved in many patients. More information on hyperparathyroidism.
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