Calcium (Ca) in Blood
Test OverviewA test for
calcium in the blood checks the calcium level in the
body that is not stored in the bones. Calcium is the most common mineral in the
body and one of the most important. The body needs it to build and fix bones
and teeth, help nerves work, make muscles squeeze together, help blood clot,
and help the heart to work. Almost all of the calcium in the body is stored in
bone. Normally the level of
calcium in the blood is carefully controlled. When blood calcium levels get low
(hypocalcemia), the bones release calcium to bring it
back to a good blood level. When blood calcium levels get high (hypercalcemia), the extra calcium is stored in the
bones or passed out of the body in urine and stool. The amount of calcium in
the body depends on the amount of: Vitamin D and these hormones help control the amount of
calcium in the body. They also control the amount of calcium you absorb from
food and the amount passed from the body in urine. The blood levels of
phosphate are closely linked to calcium levels and they work in opposite ways:
As blood calcium levels get high, phosphate levels get low, and the opposite is
also true. It is important to get the right amount of calcium in
your food because the body loses calcium every day. Foods rich in calcium
include dairy products (milk, cheese), eggs, fish, green vegetables, and fruit.
Most people who have low or high levels of calcium do not have any symptoms.
Calcium levels need to be very high or low to cause symptoms. Why It Is DoneA blood calcium test may be done: - To check for problems with the
parathyroid glands or kidneys, certain types of
cancers and bone problems, or inflammation of the pancreas (pancreatitis).
- To find a reason for an abnormal electrocardiogram (EKG) test.
- After a kidney transplant.
- To see if your symptoms may be caused by a very low calcium level
in the blood. Such symptoms may include muscle cramps, spasms, and twitching and tingling
in the fingers and around the mouth.
- To see if your symptoms may be caused by a very high calcium
level in the blood. Such symptoms may include weakness, lack of energy, not
wanting to eat, nausea and vomiting, constipation, urinating a lot, belly pain,
or bone pain.
- As part of a routine blood test.
A blood calcium test can't be used to check for a lack of
calcium in your diet or for the loss of calcium from the bones (osteoporosis). The body can have normal calcium levels
even if your diet does not have enough calcium in it. Other tests, such as
bone density, check the amount of calcium in
the bones. How To PrepareDo not take calcium supplements for 8 to
12 hours before having a blood calcium test. Your doctor will tell you if you
should not eat or drink anything before your test. How It Is DoneThe health professional drawing blood
will: - Wrap an elastic band around your upper arm to stop the flow of
blood. This makes the veins below the band larger so it is easier to put a
needle into the vein.
- Clean the needle site with alcohol.
- Put the needle into the vein. More than one needle stick may be
needed.
- Attach a tube to the needle to fill it with blood.
- Remove the band from your arm when enough blood is
collected.
- Put a gauze pad or cotton ball over the needle site as the needle
is removed.
- Put pressure to the site and then a bandage.
How It FeelsThe blood sample is taken from a vein in
your arm. An elastic band is wrapped around your upper arm. It may feel tight.
You may feel nothing at all from the needle, or you may feel a quick sting or
pinch. RisksThere is very little chance of a problem from
having a blood sample taken from a vein. - You may get a small bruise at the site. You can lower the chance
of bruising by keeping pressure on the site for several minutes.
- In rare cases, the vein may become swollen after the blood sample
is taken. This problem is called phlebitis. A warm compress can be used several
times a day to treat this.
ResultsA test for
calcium in the blood checks the calcium level in the
body that is not stored in the bones. NormalThe normal values listed here-called a reference range-are just a guide. These ranges vary from lab to lab, and your lab may have a different range for what's normal. Your lab report should contain the range your lab uses. Also, your doctor will evaluate your results based on your health and other factors. This means that a value that falls outside the normal values listed here may still be normal for you or your lab. Normal blood calcium values are lower in older people. An ionized calcium test checks the amount of calcium
that is not attached to protein in the blood. The level of ionized calcium in
the blood is not affected by the amount of protein in the blood. Ionized calciumfootnote 1| Adults: | 4.65-5.28 mg/dL or 1.16-1.32 mmol/L
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| Children: | 4.80-5.52 mg/dL or 1.20-1.38 mmol/L |
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High valuesHigh values of calcium may be caused by: Low valuesLow values of calcium may be caused by: What Affects the TestReasons you may not be able to
have the test or why the results may not be helpful include: - Taking calcium or vitamin D in any form including milk, antacids, or supplements right before the test.
- Taking medicines, such as diuretics. Many medicines can affect calcium levels in the blood.
- Having dialysis.
- Having a high volume blood transfusion or many blood transfusions in a short period of time.
What To Think About- More than one blood test may be needed to see if blood calcium
levels are not normal.
- Low blood levels of calcium may be caused by low levels of
protein (albumin) in the blood, because about half of all calcium in the blood
is attached to albumin. For this reason, an ionized calcium level (which is not
attached to albumin) and a blood albumin level may also be measured. To learn more, see the topic
Total Serum Protein.
- Other tests that may be done to find the cause of abnormal blood
calcium levels include blood tests for
parathyroid hormone (PTH), chloride, acid phosphatase,
alkaline phosphatase, and vitamin D.
- Calcium levels can also be checked in the urine. To learn more, see the topic
Calcium (Ca) in Urine.
ReferencesCitations- Fischbach FT, Dunning MB III, eds. (2009). Manual of Laboratory and Diagnostic Tests, 8th ed. Philadelphia: Lippincott Williams and Wilkins.
Other Works Consulted- Chernecky CC, Berger BJ (2008). Laboratory Tests and Diagnostic Procedures, 5th ed. St. Louis: Saunders.
- Fischbach FT, Dunning MB III, eds. (2009). Manual of Laboratory and Diagnostic Tests, 8th ed. Philadelphia: Lippincott Williams and Wilkins.
- Pagana KD, Pagana TJ (2010). Mosby's Manual of Diagnostic and Laboratory Tests, 4th ed. St. Louis: Mosby Elsevier.
CreditsByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Adam Husney, MD - Family Medicine
Specialist Medical ReviewerMartin J. Gabica, MD - Family Medicine Current as ofApril 3, 2017 Current as of:
April 3, 2017 Fischbach FT, Dunning MB III, eds. (2009). Manual of Laboratory and Diagnostic Tests, 8th ed. Philadelphia: Lippincott Williams and Wilkins. Last modified on: 8 September 2017
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