PTH Test Price in Pakistan: PKR 2,310 at Marham Lab

Parathyroid hormone is made by four pea-sized glands in your neck. MedlinePlus explains that PTH controls the level of calcium in your blood, and that when calcium falls too low the parathyroid glands release just enough PTH to bring it back to normal. At Marham Lab an intact PTH test costs PKR 2,310.

Always Book Calcium With It

This is not optional advice, it is how the test is interpreted.

MedlinePlus states that because the amount of PTH in your blood changes with the amount of calcium, your provider will usually order a calcium blood test along with a PTH test, and that comparing both results is what shows whether your parathyroid glands are working properly.

A high PTH with a high calcium means something completely different from a high PTH with a low calcium. Without the calcium value, the PTH number cannot be placed. Check that [calcium](/labs/tests/calcium-test-price) at PKR 525 is on the same form, and add it if it is missing.

How PTH Raises Calcium

MedlinePlus describes three routes:

• Telling your bones to release calcium into your blood
• Helping your intestines absorb calcium from food
• Helping your kidneys keep calcium in your blood rather than losing it in urine

When blood calcium returns to normal, the glands stop making PTH and the level falls again.

Reading the Pair

MedlinePlus sets out the combinations, and the names on your report follow from them.

Primary hyperparathyroidism is most often caused by a benign tumour in one of the glands, called a parathyroid adenoma, which MedlinePlus names as the commonest cause of high PTH. Other causes it lists are hyperplasia, meaning the glands have become enlarged, rare inherited conditions such as multiple endocrine neoplasia type 1, and parathyroid cancer, which is rare.

Secondary hyperparathyroidism points away from the glands. MedlinePlus lists low vitamin D, phosphate or magnesium; not getting enough calcium; digestive disorders such as malabsorption that make it hard to absorb calcium from food; and kidney failure causing calcium loss through urine.

Vitamin D deficiency heading that list matters in Pakistan, where it is common and where [vitamin D](/labs/tests/vitamin-d-test-price) is frequently the correctable cause rather than anything wrong with the glands themselves.

Hypoparathyroidism causes MedlinePlus lists include damage to the glands from neck surgery or radiotherapy, certain autoimmune disorders, genetic disorders such as DiGeorge syndrome, serious illness, and getting too much vitamin D or calcium from supplements or from antacids containing calcium.

What It Is Used For

MedlinePlus lists the uses, naming the most common one first: finding out whether a parathyroid disorder explains abnormal blood calcium. The others are finding the cause of a low phosphate result, monitoring people with chronic kidney disease, finding the cause of severe osteoporosis, checking whether treatment for a known parathyroid disorder is working, and confirming during surgery that all overactive parathyroid tissue has been removed.

Symptoms That Lead to This Test

Most people reach a PTH test through an abnormal calcium result rather than symptoms. MedlinePlus lists the symptoms of both directions.

High calcium: constipation, nausea and vomiting, abdominal pain, loss of appetite, increased thirst, urinating more than usual, kidney stones, bone, joint and muscle weakness, aches and pains, fatigue, and changes in mental health such as depression or confusion.

Low calcium: dry skin, coarse hair and easily broken nails after a long period, muscle cramps, spasms or stiffness, tingling in the lips, tongue, fingers and feet, irregular heartbeat, and seizures if levels are extremely low.

How to Prepare

MedlinePlus states you probably will not need special preparation but advises checking with your provider, since some providers ask you to fast, and you may need to take the test at a certain time of day.

Ask both questions when booking rather than assuming. If a specific time was requested, home collection in Lahore makes it easier to meet.

What Happens During the Test

A trained phlebotomist takes a small blood sample from a vein in your arm using a small needle. MedlinePlus notes it usually takes less than five minutes and a little sting is normal. In Lahore the sample can be collected at your home.

اردو میں

پیراتھائیرائیڈ ہارمون گردن میں موجود چار چھوٹے غدود بناتے ہیں۔ یہ خون میں کیلشیم کی مقدار کو کنٹرول کرتا ہے۔

سب سے اہم بات۔ یہ ٹیسٹ اکیلا نہیں پڑھا جاتا۔ اس کے ساتھ کیلشیم کا ٹیسٹ بھی ضروری ہے، کیونکہ رپورٹ کا مطلب دونوں کو ملا کر نکلتا ہے۔ پی ٹی ایچ زیادہ اور کیلشیم زیادہ ہو تو مطلب الگ ہے، اور پی ٹی ایچ زیادہ مگر کیلشیم کم ہو تو بالکل مختلف۔ نسخے میں دیکھ لیں کہ کیلشیم بھی لکھا ہے یا نہیں۔

پاکستان میں ایک عام صورتحال یہ ہے کہ وٹامن ڈی کی کمی کی وجہ سے کیلشیم کم ہوتا ہے اور غدود اسے بڑھانے کے لیے زیادہ ہارمون بناتے ہیں۔ ایسی صورت میں مسئلہ غدود کا نہیں بلکہ وٹامن ڈی کی کمی کا ہوتا ہے، جو قابل علاج ہے۔

ایک اور بات۔ کیلشیم یا وٹامن ڈی کے سپلیمنٹ زیادہ لینا، یا کیلشیم والی اینٹی ایسڈ گولیاں زیادہ کھانا بھی رپورٹ پر اثر ڈالتا ہے۔ اپنی تمام دوائیں اور سپلیمنٹ ڈاکٹر کو بتائیں۔ ٹیسٹ سے پہلے ڈاکٹر سے پوچھ لیں کہ بھوکا رہنا ہے یا کوئی خاص وقت مقرر ہے۔ مرہم لیب میں قیمت تئیس سو دس روپے ہے۔

Final Thoughts

PTH is one half of a pair. Booked with calcium it answers a clear question about whether your parathyroid glands are the problem or are simply responding to something else. Booked alone it usually means repeating the visit. Ask whether fasting or a particular time is needed, and if the answer turns out to be secondary hyperparathyroidism, remember the commonest explanation on the list is vitamin D deficiency rather than anything wrong with the glands.