Dietary Guidance for Patients with High Calcium Levels: What to Eat? - Nutrition

Share to:

How should patients with hypercalcemia manage their diet?


Hello, Director:
Could you please advise what foods are suitable for patients with hypercalcemia? Almost every type of food contains calcium! How should one eat? The lab report shows anemia with WBC at 5.8, among other values significantly below the lower limit, calcium at 11.3, phosphorus at 2.4, ferritin at 4.8, and iPTH at 253, indicating hyperparathyroidism! The doctor only mentioned avoiding calcium-rich foods! I have searched online for half a day and couldn't find any foods that are calcium-free! I am at a loss about what to eat every day.
I would greatly appreciate your help! Wishing you health and happiness! Best regards, CC.

cc, 40~49 year old female. Ask Date: 2011/06/05

Dr. Shi Guimei reply Nutrition


Dear CC,
Hello! There is no research indicating that high calcium levels lead to the excretion of magnesium and phosphorus or result in iron deficiency.
Hypercalcemia is usually not caused by excessive calcium intake but rather by other conditions, such as hyperparathyroidism.
Therefore, the fundamental approach lies in treating the underlying disease, and strictly controlling dietary calcium intake has very limited effects.
It is sufficient to avoid foods rich in calcium (such as milk, dairy products, tofu, soy products, small dried fish, anchovies, dried oysters, black sesame, sweet potato balls, brown sugar, curry powder, seaweeds, and hair algae).
Thus, there are still many foods that can be consumed.
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2011/06/05

More Info


When dealing with hypercalcemia, or high calcium levels in the blood, dietary management becomes crucial. It is understandable to feel overwhelmed, especially since many foods contain calcium. However, the key is to focus on foods that are low in calcium while ensuring that you still receive adequate nutrition.

First and foremost, it is important to understand that hypercalcemia is often not caused by excessive dietary calcium intake but rather by underlying conditions such as hyperparathyroidism, malignancies, or certain medications. Therefore, while dietary adjustments are important, addressing the underlying cause of hypercalcemia is essential for effective management.


Foods to Avoid
As your physician has advised, it is wise to limit or avoid foods that are high in calcium. Here are some common foods that are typically high in calcium:
1. Dairy Products: Milk, cheese, yogurt, and other dairy products are rich in calcium.

2. Certain Fish: Fish with edible bones, such as sardines and canned salmon, are high in calcium.

3. Leafy Greens: Vegetables like collard greens, kale, and spinach contain significant amounts of calcium.

4. Fortified Foods: Many cereals and plant-based milk alternatives are fortified with calcium.

5. Nuts and Seeds: Almonds and sesame seeds are also high in calcium.


Foods to Include
Fortunately, there are plenty of foods that are low in calcium and can be included in your diet:
1. Fruits: Most fruits are low in calcium. Options like apples, oranges, berries, and bananas can be great choices.

2. Vegetables: Non-leafy vegetables such as bell peppers, carrots, and cucumbers are low in calcium.

3. Grains: Most grains, including rice, quinoa, and oats, are low in calcium.

4. Meats: Fresh meats, poultry, and fish (without bones) are generally low in calcium.

5. Eggs: Eggs are a good source of protein and are low in calcium.

6. Legumes: Beans and lentils can provide protein and fiber without high calcium content.


Hydration
Staying well-hydrated is crucial, especially in cases of hypercalcemia. Drinking plenty of water can help the kidneys excrete excess calcium. Aim for at least 8-10 glasses of water a day, unless otherwise directed by your healthcare provider.


Monitoring and Consultation
Given your lab results indicating anemia and elevated parathyroid hormone (PTH) levels, it is essential to work closely with your healthcare team. They may recommend further testing or adjustments to your treatment plan. Regular follow-ups will help monitor your calcium levels and overall health.


Conclusion
In summary, while it may seem challenging to navigate dietary choices with hypercalcemia, focusing on low-calcium foods and maintaining hydration can help manage your condition. Always consult with your healthcare provider or a registered dietitian for personalized dietary advice tailored to your specific health needs. They can provide guidance on how to balance your diet while addressing any other health concerns, such as anemia. Remember, the goal is to support your overall health while managing your calcium levels effectively.

Similar Q&A

Balancing Calcium Intake to Prevent Kidney Stones After Surgery

Hello Doctor: I would like to ask you about my situation. I had a fracture and underwent surgery a year ago, but I still haven't fully recovered. I want to increase my calcium intake, so I went to the pharmacy to buy calcium supplements. However, I've heard that excessi...


Dr. Chen Xingyuan reply Orthopedics
Dear Netizen: Bone healing requires nutrients such as calcium and protein. Young adults typically need to consume about 1000 to 1200 milligrams of calcium daily, while patients with fractures may require as much as 1500 milligrams. However, due to dietary habits in our country,...

[Read More] Balancing Calcium Intake to Prevent Kidney Stones After Surgery


Managing Osteoarthritis: Nutrition Tips and Supplement Guidance

Hello! Last month, I sought medical attention due to pain in my left hand. After X-rays and MRI scans, the doctor diagnosed me with degenerative arthritis. Since multiple joints have bone spurs, surgery is not an option. Therefore, the physician recommended physical therapy and a...


Dr. Shi Guimei reply Nutrition
Dear Amy, Hello! Based on your condition, you should increase your intake of calcium-rich foods. It is recommended to drink 1.5 to 2 cups of low-fat or non-fat milk daily (each cup being 240cc). Other good sources of calcium include legumes such as soybeans and black beans, as w...

[Read More] Managing Osteoarthritis: Nutrition Tips and Supplement Guidance


Best Calcium Sources for Bone Health Without Dairy Products

What foods should be consumed to enhance calcium absorption? If someone is hesitant to consume dairy products, what alternatives can be included in daily life to replace milk? (My girlfriend is afraid to drink dairy products due to the taste = =)


Dr. Lai Qiren reply Orthopedics
In addition to milk and dairy products, there are many other foods that are high in calcium, including small dried fish, sardines, and salmon. Dark green vegetables such as spinach, kale, and broccoli are also rich in calcium. Furthermore, legumes and legume products, such as tof...

[Read More] Best Calcium Sources for Bone Health Without Dairy Products


Dietary Recommendations for a 62-Year-Old Woman with Calcium Deficiency

Hello, Dietitian Fan. Recently, I noticed that my mother's nails have prominent white horizontal lines. After visiting a dermatologist, the doctor indicated that this is caused by calcium deficiency. The doctor recommended additional vitamin and calcium supplementation. Our ...


Dr. Fan Chunmei reply Nutrition
Hello, your mother's usual dietary habits have not been specifically mentioned. If her diet is unbalanced, she may easily lack trace elements in her body. If you are concerned about nutritional imbalances, it would be advisable to review her dietary intake to ensure it align...

[Read More] Dietary Recommendations for a 62-Year-Old Woman with Calcium Deficiency


Related FAQ

Calcium Absorption

(Nutrition)

Fracture

(Nutrition)

Gout Diet

(Nutrition)

Dietary Adjustment

(Nutrition)

Stroke Diet

(Nutrition)

Vegetarian Nutrition

(Nutrition)

Post-Operative Diet

(Nutrition)

Elderly

(Nutrition)

Cholesterol

(Nutrition)

Fiber

(Nutrition)