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What Is Hypercalcemia?
Hypercalcemia — also known as high calcium levels — happens when you have too much calcium in your blood. Although there are many causes for hypercalcemia, it can happen when you have a parathyroid disorder, a genetic condition, or your kidneys aren’t working properly.
What are the types of hypercalcemia?
Hypercalcemia is classified as mild, moderate, or severe based on your blood calcium level.
Types of hypercalcemia include:
- Mild hypercalcemia — Blood calcium levels of 10.5 – 11.9 mg/dL.
- Moderate hypercalcemia — Blood calcium levels of 12.0 – 13.9 mg/dL.
- Severe hypercalcemia (hypercalcemic crisis) — Blood calcium levels greater than 14.0 mg/dL.

What causes hypercalcemia?
Finding the cause of your hypercalcemia will help your medical team to deliver effective treatment. Many factors can cause or contribute to hypercalcemia, including:
- Cancers — such as breast cancer, leukemia, lung cancer, lymphoma, multiple myeloma, muscle cell cancer, and renal cell carcinoma.
- Genetic conditions that affect your body’s calcium levels.
- Kidney failure or chronic kidney disease.
- Lung diseases, such as sarcoidosis or tuberculosis.
- Medications, such as diuretics (water pills), lithium, or dietary supplements containing vitamin D, vitamin A, or calcium.
- Parathyroid disorders that affect hormone levels, such as hyperparathyroidism.
What are hypercalcemia risk factors and complications?
Hypercalcemia risk factors
You may be at risk for hypercalcemia if you:
- Have a parathyroid disorder.
- Have cancer, kidney disease, or lung disease.
- Have a genetic condition that causes problems with calcium levels.
- Take medications, including supplements, that raise your calcium levels.
Complications of hypercalcemia
Hypercalcemia is often diagnosed after routine blood work, so it is usually treated before serious, long-term complications develop.
Although complications are rare, they may include:
- Abnormal heart rhythms.
- Depression.
- Gastrointestinal problems, such as pancreatitis or peptic ulcer disease.
- High blood pressure (hypertension).
- Osteoporosis, which increases your risk of broken bones.
- Polyuria — an increase in urine output that causes the body to lose a lot of fluid.
- Reduced kidney function, kidney failure, or kidney stones caused by calcium deposits in your kidneys.
How can I prevent hypercalcemia?
Depending on the cause, you may not be able to prevent hypercalcemia. However, you should talk to your doctor before taking calcium or vitamin D supplements to ensure they are safe for you — especially if you have a family history of hypercalcemia or another condition that causes high calcium levels.
How common is hypercalcemia?
Hypercalcemia affects 1% to 2% of the general population. It is more common among people who have cancer, older people, and people with parathyroid disorders.
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What Are the Signs and Symptoms of Hypercalcemia?
In most people, hypercalcemia is diagnosed during routine blood tests and treated early, before symptoms develop.
If hypercalcemia is left untreated for a long time or is severe, symptoms may include:
- Bone fractures.
- Confusion.
- Constipation.
- Dehydration.
- Excessive thirst.
- Fatigue.
- Frequent urination.
- High blood pressure.
- Muscle twitching or weakness.
- Nausea or vomiting.
- Poor appetite.
When should I see a doctor about my hypercalcemia symptoms?
Symptoms of hypercalcemia usually don’t develop unless your condition is severe. If you have symptoms of hypercalcemia, you should schedule an appointment with your doctor right away. You should also talk to your doctor if you have a family history of hypercalcemia or a personal or family history of parathyroid disorders.
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How Do You Diagnose Hypercalcemia?
Hypercalcemia is usually diagnosed with a blood test to check your calcium level.
What to expect during your visit
During your visit, your doctor will:
- Ask about any medications you’ve taken recently.
- Order blood tests.
- Perform a physical exam.
- Review your health history.
Tests to diagnose hypercalcemia
Your doctor will order a blood test to check your calcium level. Because other hormones, vitamins, and minerals can affect your calcium level, your doctor may also order other blood tests to check your levels of:
- Albumin — a protein that binds and transports calcium in your blood.
- Minerals such as magnesium, potassium, sodium, or phosphorus.
- Hormones produced by your parathyroid and adrenal glands.
- Vitamin D.
Hypercalcemia prognosis
Most people can recover from or manage hypercalcemia with treatment and ongoing monitoring. However, if your hypercalcemia is caused by cancer, a kidney disorder, or a genetic condition, more follow-up care may be needed.
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How Do You Treat Hypercalcemia?
The goal of hypercalcemia treatment is to find the cause of your high calcium levels and return them to normal.
How do you fix hypercalcemia?
If your hypercalcemia is mild and isn’t causing symptoms, you may be able to treat it by reducing the amount of calcium in your diet or adjusting your calcium supplement dose.
Your doctor may recommend:
Lifestyle changes
Your doctor may recommend reducing the amount of calcium in your diet, drinking more water, or taking fewer calcium supplements.
Medicine to treat hypercalcemia
Your doctor may suggest medications, including:
- Corticosteroids — These medications can lower vitamin D and calcium levels.
- Intravenous fluids and medications — Severe hypercalcemia may be treated with IV fluids and other medications.
- Medication adjustments — If your medication is causing high calcium levels, your doctor may switch your medication or adjust your dose.
- Medications to prevent bone loss — These medications strengthen your bones to help reduce your risk of fractures.
- Synthetic hormones — If problems with your parathyroid cause hypercalcemia, synthetic hormones may help.
Surgery for hypercalcemia
If your condition is caused by a parathyroid disorder, your doctor may recommend surgery to remove your abnormal parathyroid glands.
Why choose UPMC for hypercalcemia care?
When you choose UPMC for hypercalcemia care, you will receive:
- Access to world-class nephrology expertise — Our world-renowned experts treat the full spectrum of kidney diseases using the latest techniques for diagnosis and treatment.
- Advanced diagnostic care — We’ll find the cause of your illness and work with you to develop a comprehensive treatment plan.
- A full range of treatment options — We offer comprehensive care tailored to your individual needs.
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By UPMC Editorial Staff. Last reviewed on 2025-04-24 by Cary Shiwarski, MD, PhD.