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Calcium Homeostasis is maintained in the body by parathyroid hormone. Most of the calcium is excreted in the feces, and a small amount of calcium is excreted in the urine, depending on the amount ingested.
An increase in calcium in the urine is caused by an increase in intestinal absorption, a decrease in tubular reabsorption, calcium resorption or loss from the bones, and is almost always accompanied by an increase in blood calcium levels. When calcium is excreted in large amounts in the urine, it contributes to the development of nephrolithiasis and nephrocalcinosis, especially if it is associated with increased protein intake.
Determination of calcium in the urine is important for the diagnostics of hypercalcemia, which is responsible for the formation of kidney stones.
Increased concentration of calcium in the urine:
The concentration of calcium in the urine decreases:
If urinary calcium is detected due to metabolic disease, the patient should follow a calcium-poor diet and should stop taking calcium-based medications 1-3 days before the test.
Preferably the first urine in the morning.
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