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Hypocalcaemia: Post-surgical monitoringHHypocalcaemia: Post-surgical monitoringHypocalcaemia: Post-surgical monitoringEnglishEndocrinologyChild (0-12 years)ThyroidEndocrine systemConditions and diseasesAdult (19+) CaregiversNA2022-11-15T05:00:00Z10.300000000000046.5000000000000Health (A-Z) - ConditionsHealth A-Z<p>Hypocalcaemia can sometimes develop after surgery to the thyroid gland. Learn about hypocalcaemia, why it can happen after thyroid surgery and the symptoms parents should look for.</p><h2>What is hypocalcaemia?</h2><p>Hypocalcaemia describes a condition where levels of calcium in the blood are lower than normal. This occasionally occurs following surgery to the thyroid gland. </p><p>The parathyroid glands play a major role in maintaining healthy calcium levels in the body. There are four parathyroid glands which are located behind the thyroid gland at the base of the neck. Hypocalcaemia can be caused by temporary or permanent damage to the parathyroid glands during surgery to the thyroid gland.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Thyroid_parathyroid_glands_MED_ILL_EN.jpg" alt="Inside of throat showing larynx (Adam's apple), thyroid gland, and close up of front and back of thyroid with position of parathyroid glands" /> </figure> <h2>Key points</h2><ul><li>Hypocalcaemia is a condition where calcium levels in the blood are lower than normal.</li><li>Hypocalcaemia can sometimes occur after thyroid surgery due to temporary or permanent damage to the parathyroid glands.</li><li>Calcium levels will be monitored after surgery; if they are too low then the health-care team may start your child on calcium and a form of vitamin D.</li></ul><h2>How is hypocalcaemia diagnosed after surgery?</h2><p>After your child’s thyroid surgery, the health-care team will monitor your child’s calcium levels before they are sent home. If the calcium level is low, calcium and a form of vitamin D may be started. </p><h2>Can hypocalcaemia develop days after surgery? </h2> Rarely, hypocalcaemia can develop several days after surgery, so you should be aware of some of the symptoms of hypocalcaemia in case they happen after you are sent home. Those symptoms can include: <ul><li>numbness around the mouth</li><li>tingling of the fingers or toes</li><li>muscle cramps (called "tetany")</li><li>fast or irregular heartbeat</li><li>seizures</li></ul><p>If your child experiences any of these symptoms after they go home, please contact your primary health-care provider or your endocrinologist right away as your child will require a blood test to measure their calcium level.</p><h2>How is post-surgical hypocalcaemia treated?</h2><p>If your child has low calcium levels following surgery, they will be given a prescription for calcium and/or vitamin D; as well as a bloodwork requisition to recheck your child’s blood calcium level. In some cases, treatment can be stopped weeks to months after surgery. In other cases, children may need lifelong replacement with these medications. </p>

 

 

EndocrinologyEndocrinologyEndocrinologyEEnglishEndocrinologyChild (0-12 years);Teen (13-18 years)NAEndocrine systemConditions and diseasesAdult (19+) CaregiversNALanding PageLearning Hub<p>Learn about endocrine disorders including disorders affecting growth, bones, the thyroid, and puberty. The pages below discuss different endocrine disorders affecting children and teens, diagnosis, treatments and how to manage life-long conditions.</p><p>Learn about endocrine disorders including disorders affecting growth, bones, the thyroid, and puberty. The pages below discuss different endocrine disorders affecting children and teens, diagnosis, treatments and how to manage life-long conditions.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Adrenal</h2></div><div class="panel-body list-group" style="display:none;"><p>The adrenal glands are small, triangular-shaped glands located on top of both kidneys. Learn about conditions of the adrenal glands including congenital adrenal hyperplasia, adrenal insufficiency and Addison's disease.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/Documents/cahbooklet.pdf">Congenital adrenal hyperplasia booklet</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/adrenal-insufficiency/">Adrenal insufficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-florinef-to-babies.pdf">How to give florinef to babies</a></li><li class="list-group-item"><a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Hydrocortisone%20suspension.pdf">Hydrocortisone suspension</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Downloads/Cushing%20Syndrome%20in%20Childhood.pdf">Cushing's syndrome</a></li><li class="list-group-item"><a class="overview-links" href="http://www.addisonsociety.ca/pdfs/cas-brochure.pdf">Addison's disease</a></li><li class="list-group-item"><a class="overview-links" href="/body/interactive?module=sex-development">How the body works: Sex development</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Calcium parathyroid & bone</h2></div><div class="panel-body list-group" style="display:none;"><p>Read about the importance of bone health for children, conditions that affect the bones and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.bones.nih.gov/health-info/bone/bone-health/juvenile">Kids and their bones: A guide for parents</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1970&language=English">Bone health: The role of calcium and vitamin D</a></li><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/vitdrickets.pdf">Vitamin D deficiency and rickets</a></li><li class="list-group-item"><a class="overview-links" href="https://rarediseases.info.nih.gov/diseases/12943/x-linked-hypophosphatemia">X-linked hypophosphatemic rickets (XLH)</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=948&language=English">Osteoporosis: Overview</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/hypoparathyroidism/">Hypoparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/php.pdf">Pseudohypoparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="https://www.stanfordchildrens.org/en/topic/default?id=hyperparathyroidism-in-children-90-P01958">Hyperparathyroidism</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypocalcemia">Hypocalcemia</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypercalcemia">Hypercalcemia</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=209&language=English">Pamidronate: Informational handout for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4175&language=English">Zoledronate: Informational handout for families</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Growth</h2></div><div class="panel-body list-group" style="display:none;"><p>Children and teens can experience growth problems for several reasons. Learn about growth problems, growth hormone deficiency, short stature and what can be done about these conditions.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=951&language=English">Growth problems</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3910&language=English">Virtual care: How to accurately measure your child’s height and weight at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Growth hormone deficiency</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-hormone-deficiency/">Growth hormone deficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4164&language=English">Beginning growth hormone therapy: FAQs</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Short stature (small for gestational age & growth)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/short-stature/">Short stature: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-in-babies-born-small-for-gestational-age/">Growth in babies born small for gestational age: A guide for families</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Hypoglycemia & hyperinsulinism</h2></div><div class="panel-body list-group" style="display:none;"><p>Learn about hypoglycemia and hyperinsulinism, how they impact blood sugar levels, and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4185&language=English">Hypoglycemia in infants and children with hyperinsulinism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4200&language=English">Diazoxide</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-an-emergency-glucagon-injection.pdf">How to give emergency glucagon</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/instructions-for-the-emergency-department.pdf">Hyperinsulinism: Emergency care plan for a hypoglycemic episode</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Pituitary</h2></div><div class="panel-body list-group" style="display:none;"><p>The pituitary gland makes several important hormones. Find out which endocrine disorders affect the pituitary gland and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4085&language=English">Hypopituitarism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4089&language=English">Adrenocorticotrophic hormone (ACTH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4090&language=English">Antidiuretic hormone (ADH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4091&language=English">Gonadotropin (FSH, LH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4093&language=English">Thyroid stimulating hormone (TSH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4092&language=English">Growth hormone (GH) deficiency</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/growth-hormone-deficiency/">Growth hormone deficiency: A guide for families</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4164&language=English">Beginning growth hormone therapy: FAQs</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/septo-optic-dysplasia">Septo-optic dysplasia</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Puberty</h2></div><div class="panel-body list-group" style="display:none;"><p>There are several conditions that can impact puberty. Other conditions may not occur until your child enters puberty. Learn more about puberty and conditions that can affect it.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://youngwomenshealth.org/2010/04/21/puberty/">Puberty: Girls</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=623&language=English">Puberty in girls</a></li><li class="list-group-item"><a class="overview-links" href="https://youngmenshealthsite.org/guides/puberty/">Puberty: Boys</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=624&language=English">Puberty in boys</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/hypogonadism">Low production of sex hormones (hypogonadism)</a></li><li class="list-group-item"><a class="overview-links" href="https://kidshealth.org/en/teens/boybrst.html">Breast tissue in boys (gynecomastia)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Early puberty</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/precocious-puberty/">Early puberty</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=171&language=English">Leuprolide (Lupron)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Delayed puberty</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/delayed-puberty-girls/">Delayed puberty in girls</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/delayed-puberty-boys/">Delayed puberty in boys</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Polycystic ovary syndrome (PCOS)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=10&language=English">Polycystic ovary syndrome (PCOS)</a></li><li class="list-group-item"><a class="overview-links" href="https://youngwomenshealth.org/2014/02/25/polycystic-ovary-syndrome/">Polycystic ovary syndrome (PCOS): General information</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Thyroid</h2></div><div class="panel-body list-group" style="display:none;"><p>The thyroid is a butterfly-shaped gland that sits at the front of the neck. Learn about conditions that can affect the thyroid and how they can be managed.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>General</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/pediatric-thyroid-disorders">Thyroid function, anatomy and hormones</a></li><li class="list-group-item"><a class="overview-links" href="https://thyroid.ca/resource-material/information-on-thyroid-disease/thyroid-disease-in-childhood/">Thyroid disease in childhood</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2526&language=English">Thyroid disease and diabetes</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/how-to-give-l-thyroxine-to-babies-updated-may-2018.pdf">How to give L-thyroxine tablets to babies</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/pediatric-thyroid-function-tests-brochure.pdf">Pediatric thyroid function tests</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Hypothyroidism</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=2309&language=English">Hypothyroidism</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4084&language=English">Congenital hypothyroidsim</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Hyperthyroidism</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="http://www.bcchildrens.ca/endocrinology-diabetes-site/documents/hyperthyroidbooklet.pdf">Hyperthyroidism booklet created by BC Children's Hospital</a></li><li class="list-group-item"><a class="overview-links" href="https://www.stanfordchildrens.org/en/topic/default?id=hyperthyroidism-graves-disease-90-P01955">Graves disease in a newborn created by Stanford Children's Hospital</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/hyperthyroidism_children_adolescents_brochure.pdf">Hyperthyroidism in children and adolescents</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4209&language=English">Methimazole</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h3>Thyroid nodules and cancer</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.thyroidcancercanada.org/en/thyroid-cancer/what-is-it">What is thyroid cancer?</a></li><li class="list-group-item"><a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3430&language=English&hub=cancer">Thyroid cancer for teens</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=3205&language=English">Thyroid biopsy/FNA using image guidance</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/what-to-expect-after-thyroid-biopsy.pdf">What to expect after thyroid biopsy</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/what-to-expect-after-surgery-thyroidectomy.pdf">What to expect after surgery (thyroidectomy)</a></li><li class="list-group-item"><a class="overview-links" href="https://www.sickkids.ca/siteassets/care--services/clinical-departments/endocrinology/instructions-for-patients-receiving-radioiodine-therapy.pdf">Instructions for patients receiving radioiodine therapy</a></li><li class="list-group-item"><a class="overview-links" href="https://static1.squarespace.com/static/58ff955aff7c503f699674d7/t/59754ff83a041155fa4a65ce/1500860412769/TCC_LID_Booklet_E_web_2017.pdf">Low iodine diet created by Thyroid Cancer Canada</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4086&language=English">Hypocalcemia: Post-surgical monitoring</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/thyroid-nodules-children-adolescents-brochure.pdf">Thyroid nodules in children and adolescents</a></li><li class="list-group-item"><a class="overview-links" href="https://www.thyroid.org/wp-content/uploads/patients/brochures/pediatric-differentiated-thyroid-cancer-brochure.pdf">Pediatric differentiated thyroid cancer</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Endocrine disorders after treatment for childhood brain tumours</h2></div><div class="panel-body list-group" style="display:none;"><p>Brain tumours and their treatments can impact the hypothalamus and pituitary gland. As a result, children may need treatment for endocrine disorders. Learn more in the pages below.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1430&language=English">Diabetes insipidus after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1425&language=English">Thyroid abnormalities after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1424&language=English">Effects of brain tumours and treatment on growth in childhood</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1429&language=English">Effects of brain tumours and treatment on the adrenal glands</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1428&language=English">Puberty and fertility in boys after diagnosis and treatment for brain tumours</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=4014&language=English">Puberty and fertility in girls after diagnosis and treatment for brain tumours</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1426&language=English">Osteoporosis after brain tumour treatment</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=1427&language=English">Excess weight gain after brain tumour treatment</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Other endocrine disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Read about other endocrine disorders that affect children and teens, and find resources from other organizations to help support you and your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://www.negenetics.org/genetic-education-materials-school-success-gemss">Genetic education materials for school success (GEMSS)</a></li><li class="list-group-item"><a class="overview-links" href="https://www.kidsbonescanada.org/">Kids Bones Canada</a></li><li class="list-group-item"><a class="overview-links" href="https://pedsendo.org/patient-resource/klinefelter-syndrome/">Klinefelter syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Growth-Disorders/McCune-Albright-Syndrome-or-Fibrous-Dysplasia/">McCune-Albright syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.chop.edu/conditions-diseases/noonan-syndrome">Noonan syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.pwsa.co.uk/">Prader-Willi syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/Growth-Disorders/Russell-Silver-Syndrome/">Russell Silver syndrome</a></li><li class="list-group-item"><a class="overview-links" href="https://www.magicfoundation.org/">The Magic Foundation</a></li><li class="list-group-item"><a class="overview-links" href="https://kidshealth.org/en/parents/turner.html">Turner syndrome</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Nutrition, physical activity and mental health</h2></div><div class="panel-body list-group" style="display:none;"><p>The Meant2Prevent Resource Hub has trusted youth-focused resources that promote healthy living, mental health and lifestyle habits. Also find resources from AboutKidsHealth on supporting mental health and wellbeing. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="https://meant2prevent.ca/">Meant2Prevent Resource Hub</a></li><li class="list-group-item"><a class="overview-links" href="/mental%20health">Mental Health Learning Hub</a></li><li class="list-group-item"><a class="overview-links" href="/Article?contentid=642&language=English">Physical activity guidelines</a></li><li class="list-group-item"><a class="overview-links" href="/nutrition">Nutrition</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span><h2 class="panel-title">Diabetes Learning Hub</h2></div><div class="panel-body list-group" style="display:none;"><p>Visit the Diabetes Learning Hub to learn more about type 1 and type 2 diabetes, insulin, and managing your child's care.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"><a class="overview-links" href="/diabetes">Diabetes Learning Hub</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/Endocrinology%20learning%20hub.jpgendocrinology

 

 

Hypocalcaemia: Post-surgical monitoring4086.00000000000Hypocalcaemia: Post-surgical monitoringHypocalcaemia: Post-surgical monitoringHEnglishEndocrinologyChild (0-12 years)ThyroidEndocrine systemConditions and diseasesAdult (19+) CaregiversNA2022-11-15T05:00:00Z10.300000000000046.5000000000000Health (A-Z) - ConditionsHealth A-Z<p>Hypocalcaemia can sometimes develop after surgery to the thyroid gland. Learn about hypocalcaemia, why it can happen after thyroid surgery and the symptoms parents should look for.</p><h2>What is hypocalcaemia?</h2><p>Hypocalcaemia describes a condition where levels of calcium in the blood are lower than normal. This occasionally occurs following surgery to the thyroid gland. </p><p>The parathyroid glands play a major role in maintaining healthy calcium levels in the body. There are four parathyroid glands which are located behind the thyroid gland at the base of the neck. Hypocalcaemia can be caused by temporary or permanent damage to the parathyroid glands during surgery to the thyroid gland.</p> <figure class="asset-c-80"> <img src="https://assets.aboutkidshealth.ca/akhassets/Thyroid_parathyroid_glands_MED_ILL_EN.jpg" alt="Inside of throat showing larynx (Adam's apple), thyroid gland, and close up of front and back of thyroid with position of parathyroid glands" /> </figure> <h2>Key points</h2><ul><li>Hypocalcaemia is a condition where calcium levels in the blood are lower than normal.</li><li>Hypocalcaemia can sometimes occur after thyroid surgery due to temporary or permanent damage to the parathyroid glands.</li><li>Calcium levels will be monitored after surgery; if they are too low then the health-care team may start your child on calcium and a form of vitamin D.</li></ul><h2>How is hypocalcaemia diagnosed after surgery?</h2><p>After your child’s thyroid surgery, the health-care team will monitor your child’s calcium levels before they are sent home. If the calcium level is low, calcium and a form of vitamin D may be started. </p><h2>Can hypocalcaemia develop days after surgery? </h2> Rarely, hypocalcaemia can develop several days after surgery, so you should be aware of some of the symptoms of hypocalcaemia in case they happen after you are sent home. Those symptoms can include: <ul><li>numbness around the mouth</li><li>tingling of the fingers or toes</li><li>muscle cramps (called "tetany")</li><li>fast or irregular heartbeat</li><li>seizures</li></ul><p>If your child experiences any of these symptoms after they go home, please contact your primary health-care provider or your endocrinologist right away as your child will require a blood test to measure their calcium level.</p><h2>How is post-surgical hypocalcaemia treated?</h2><p>If your child has low calcium levels following surgery, they will be given a prescription for calcium and/or vitamin D; as well as a bloodwork requisition to recheck your child’s blood calcium level. In some cases, treatment can be stopped weeks to months after surgery. In other cases, children may need lifelong replacement with these medications. </p>Hypocalcaemia: Post-surgical monitoringFalse

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