Test Detail
Overview
Interpreting Results
FAQ's
City Price Info
Content created by
Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Calcium

(Ca)
ADD TO CART
You need to provide
Blood
This test is for
Male, Female
Test Preparation
  1. Overnight fasting is preferred.

Overview


What is Calcium?

 

Calcium is a mineral in the body responsible for many vital functions like maintaining bone strength, muscles, nerve function, and blood clotting. Abnormal calcium levels can lead to several complications in the body, like kidney disease, bone disease, and multiple organ tumors.

An ongoing or past history of certain tumors, lung disease or side effects of medications can make a person more vulnerable to suffer from abnormal calcium levels.

Why is Ca done?

  • As a part of regular metabolic panel health checkups 
  • Upon the appearance of symptoms indicating excess or shortfall of calcium
  • To check for diseases causing abnormalities in calcium level in blood like thyroid or parathyroid disorders, heart diseases, kidney diseases, neurological diseases, pancreatitis (inflammation of the pancreas) and bone and teeth diseases
  • At regular intervals to monitor treatment efficacy of calcium supplements or Vitamin D supplements
  • To monitor critically ill patients
  • To monitor the progress of the condition and the efficacy of treatment after the kidney transplant, and in certain types of cancer
  • To monitor calcium levels during and after large-volume blood transfusions

What does Ca Measure?

Calcium (Ca) Test measures the levels of calcium in blood. Calcium is essential for body processes including cell signaling, blood clotting, contraction of muscles, and functioning of nerves. It plays a crucial role in the formation and maintenance of healthy bones. Deficiency of calcium results in Osteoporosis, a disease in which the bones lose their density and become soft and fragile, causing them to fracture very easily.

About 99% of the total amount of calcium received by the body is bound as calcium complex in bones, and the remaining 1% lies in blood circulation. Of the amount of calcium circulating in the blood, about half remains bound to albumin protein or other ions and are metabolically inactive, while the remaining half remains free and metabolically active. Blood Calcium tests can be of two types: Total Calcium Test used to measure the total calcium concentration in blood including both the free and bound forms, and Ionized Calcium Test used to measure the concentration of only the metabolically active form.

Calcium levels in the blood are maintained within a very narrow range by a number of mechanisms. Deviation from the normal range of calcium concentration causes Hypocalcemia (low levels of calcium), or Hypercalcemia (excess of calcium). Both these conditions impact normal body processes in the short term and may give rise to other conditions in the long term.

A blood calcium test cannot be used to check for a lack of calcium in your diet or for osteoporosis (loss of calcium from bones) as the body can have normal calcium levels even in case of dietary deficiency of Calcium. The body can augment mild calcium deficiency by releasing the calcium stored in bones.

Interpreting Ca results


Interpretations

Normal range: 8.5 to 10.5 mg/dL (2.2 to 2.7 mmol/L approx.)

Hypocalcemia: Below 8.5 mg/dL (Below 2.2 mmol/L approx.)

Hypercalcemia: Above 10.5 mg/dL (Above 2.7 mmol/L approx.)

Calcium concentration in the body is maintained within a narrow normal range between 8.5mg/dL and 10.5mg/dL.

Hypocalcemia or low blood calcium is indicated if calcium concentration lies below the normal range.

Hypercalcemia or high blood calcium is indicated if calcium concentration lies above the normal range.

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Ca


Frequently Asked Questions about Calcium

Q. Are there any risks associated with the calcium test?
There is usually no risk associated with this test. However, some people may feel a slight sting while the needle is pricked and may experience some bleeding that is normal and usually not bothersome. Rarely, some people may experience slight swelling or bruising at the site of the needle prick. Applying ice 3-4 times a day for about a week may help reduce swelling and bruising. If it does not get better, consult your doctor.
Q. What are the signs that indicate you are not getting enough calcium in the body?
Brittle nails, tooth troubles, sleep problems, numbness and tingling in hands and feet, and muscle cramps are some of the signs that you are not getting enough calcium.
Q. Should I take calcium supplements if my test results show low calcium levels?
Always consult your doctor before taking calcium supplements. However, a healthy diet including milk, cheese, yogurt, green leafy vegetables, and almonds can support your daily calcium needs.
Q. What is hypocalcemia and its associated symptoms?
Hypocalcemia is a condition where the blood calcium levels are below the normal range. Symptoms associated with hypocalcemia include weak and brittle hairs, brittle nails, thin and brittle bones that fracture easily, numbness and tingling sensation, muscle spasms and cramps, confusion, memory loss, hallucinations, and seizures.
Q. What is hypercalcemia and its associated symptoms?
Hypercalcemia is a condition where blood calcium levels are higher than the normal range. The symptoms associated with hypercalcemia include headache, weakness, fatigue, excessive urination and thirst, nausea, stomach pain, constipation, irregular heartbeat, weak and brittle bones, muscle cramps, irritability, confusion, and coma, which can be potentially fatal.
Q. What is osteoporosis, and how is it related to calcium deficiency?
Bones are the major reservoirs of calcium in our body. The body needs a constant level of calcium for the functioning of various parts such as the heart, muscles, and nerves. When these body parts need calcium, they take it from the calcium stored in the bones. Over time, when the body depletes calcium stores in the bones, it leads to a condition called osteoporosis, which is characterized by fragile bones and an increased risk of falling.
Q. What other tests can be performed if my test results are abnormal?
Other tests that may be performed if your test results are abnormal include an ionized calcium test, urine calcium test, vitamin D test, electrolyte panel test, kidney function test, parathyroid hormone (PTH) test, PTH-related peptide test (PTHrH), and electrocardiography (ECG).
Q. When can false results appear in the Calcium Test?
False results may appear in newborns, showing hypocalcemia. This is usually due to immature parathyroid gland. False results may also appear after a large volume blood transfusion. Some medications can elevate or lower blood calcium levels.
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