Calcium is super important for our bodies, acting like a building block for good health. Think of it as a superhero mineral that every person has about 1 kilogram of, inside them. This mineral does a lot of jobs: it keeps your heart beating nicely, your bones and teeth strong, helps your blood to clot when you get a cut, makes your muscles move, and keeps your nerves working correctly.
If someone doesn’t have enough calcium, which means their levels drop below 8.8 mg/dL, they might start to notice some not-so-great changes. Their hair might feel rough, nails could become brittle, skin could get dry and itchy, they might see cloudy spots in their vision (this is called cataracts), and their teeth might not be as strong.
If calcium levels fall really low, it can cause some serious problems like heart issues, uneven heartbeats, seizures, and a condition where muscles and nerves get overly excited. These serious issues usually mean a trip to the hospital is needed.
There are a few things that can make it more likely for someone to run low on calcium, like not being able to handle lactose (which is in dairy), sticking to a very strict diet, having liver or kidney problems, being pregnant, or going through menopause.
The best way to keep calcium levels up is by eating foods that are full of it. Dairy products like milk, cheese, and yogurt are great, but so are green veggies like spinach, kale, and broccoli, and even nuts. If someone isn’t getting enough calcium from their food, they might need to take calcium and vitamin D supplements to help. In really bad cases, they might need to go to the hospital to get their calcium levels back to normal.
In short, calcium is really important for keeping our bodies healthy and working right, from our bones to our heart and nerves. Eating the right foods can help keep our calcium levels where they should be.
Types Of Calcium Deficiency
When it comes to not having enough calcium in your body, it can happen in a couple of different ways:
Sudden Low Calcium (Acute Hypocalcemia): This is when your calcium levels drop really fast and it can get serious. Imagine it like your body suddenly running out of fuel. This sudden drop can cause big health problems that might need you to go to the hospital to get sorted out.
Slow Low Calcium (Chronic Hypocalcemia): This type happens more slowly, over time. It’s like a slow leak rather than a sudden drop. Your body kind of gets used to the lower levels of calcium, so you might not feel as bad at first. But, you still need to treat it to stop other health problems from happening later on.
Both types mean your body doesn’t have the calcium it needs to do important stuff like keep your bones strong and your heart beating right. So, whether it’s a quick drop or a slow slide, getting your calcium levels back to normal is key.
Symptoms Of Calcium Deficiency
Sometimes, people don’t have enough calcium in their blood, and this can cause problems. There are two main types of not having enough calcium:
Sudden Low Calcium (Acute Hypocalcemia):
- Burning or tingling: This feels like your arms, legs, and feet are getting little shocks or are asleep.
- Passing out: Sometimes, you might faint or lose consciousness for a bit.
- Muscle spasms or cramps: Your muscles suddenly tighten painfully, especially in your legs and back.
- Trouble swallowing: Eating can be hard because it feels like food won’t go down easily.
- Feeling tired: You’re super sleepy or just don’t have energy for anything.
- Muscles moving on their own: Your muscles twitch or move without you wanting them to.
- Hard time breathing: You might wheeze or feel like you can’t catch your breath.
- Feeling numb: Parts of your body might feel like they have no sensation.
- Seizures: Your body shakes uncontrollably because of sudden electrical activity in the brain.
- Voice changes: Your voice might sound different, or you might have trouble speaking.
- Forgetting things: It’s hard to remember stuff, more than usual.
- Kidney problems: Your body struggles to clean your blood properly.
Slow Low Calcium (Chronic Hypocalcemia):
- Rough hair: Your hair doesn’t feel smooth; it’s coarse and dry.
- Brittle nails: Your nails easily crack or chip.
- Dry skin: Your skin is flaky and itches a lot.
- Itching: You feel itchy, often without any visible rash.
- Cloudy vision (Cataracts): Your eyesight gets foggy because of cloudy areas in your eye lens.
- Weak teeth: Your teeth might look dull and can be more fragile.
These points highlight what happens when your body doesn’t have enough calcium, whether it happens all at once or gradually. In both cases, it’s really important to take care of your health and get enough calcium to avoid these problems.
Causes of Calcium Deficiency
There are several reasons why someone might not have enough calcium in their body. Let’s look at some of the common causes and risk factors that can lead to calcium deficiency:
Eating a Low Calcium Diet: If you don’t eat enough foods that have calcium, like dairy products, green leafy vegetables, or nuts, you might not get enough calcium. This is especially true for people who can’t eat dairy due to lactose intolerance or allergies, and for vegans who avoid dairy and might not replace it with other calcium-rich foods. Studies show that vegans often have lower levels of calcium in their blood and lower mineral density in their bones.
Not Getting Enough Vitamin D: Vitamin D is super important because it helps your body absorb calcium. If you don’t have enough vitamin D, your body can’t get all the calcium it needs from your food.
Being Pregnant: When you’re pregnant, your body needs more nutrients, including calcium. Plus, if you’re throwing up a lot because of morning sickness, you might lose a lot of nutrients, making it hard to keep calcium levels up.
Going Through Menopause: After menopause, women can start to lose bone density faster because their bodies make less estrogen, which helps keep calcium levels stable. This can lead to weaker bones.
Having Certain Medical Conditions: Some health issues can make it hard for your body to keep enough calcium. These include problems with your parathyroid gland (like hypoparathyroidism), changes in magnesium or potassium levels, liver or kidney diseases, and others.
Getting a Massive Blood Transfusion: Sometimes, the stuff used to keep blood safe for transfusions can bind to calcium and make it unusable by your body, leading to lower calcium levels.
Taking Certain Medications: Some medicines can lower the amount of calcium in your body. These include treatments for cancer, bone loss, and some antibiotics.
Having Radioactive Iodine Therapy: This treatment is sometimes used for thyroid problems, but it can harm the parathyroid glands, which help control calcium levels. People who have this treatment might see their calcium levels drop.
All these factors can contribute to not having enough calcium, which is why it’s important to be aware of your diet, health condition, and any treatments you’re undergoing that might affect calcium levels.
Diagnosis of Calcium Deficiency
When doctors think someone might not have enough calcium, they do a few things to check. First, they talk to the person about their health and examine them to look for any signs that point to calcium deficiency. After that, they might do some tests to be sure.
Blood Tests
These are the main tests doctors use to check for calcium deficiency:
- Total Blood Calcium: This measures how much calcium is in your blood.
- Phosphorus and Magnesium Levels: Since these minerals work closely with calcium, their levels can also give clues about calcium status.
- Electrolytes: This test looks at the balance of minerals in your blood that helps your body work right.
- Creatinine: Checking this helps see how well your kidneys are working, which is important because kidneys help manage calcium levels.
- Alkaline Phosphatase: This enzyme can be higher if there are bone problems related to calcium deficiency.
- PTH (Parathyroid Hormone): This hormone regulates calcium levels in your blood, so testing it can help find issues.
- Complete Blood Count (CBC): Though not directly related to calcium, this test can give an overall picture of your health.
Imaging Tests
Doctors might also use special machines to look inside your body, such as:
- Renal Ultrasonography: This uses sound waves to create pictures of your kidneys to check if they’re working right and not causing calcium loss.
- Electrocardiography (ECG): Since calcium is important for heart health, this test checks your heart’s electrical activity to find any problems.
- Bone X-rays: These can show if there’s any damage or changes in your bones that might be due to low calcium.
DNA Sequencing
Sometimes, the reason for calcium deficiency might be genetic. In these cases, doctors can look at your DNA to find any genetic causes that might be affecting how your body handles calcium.
By using these tests, doctors can get a good idea if you have a calcium deficiency, what might be causing it, and how severe it is.
Prevention of Calcium Deficiency
Avoiding calcium deficiency is all about making sure you get enough of this essential mineral through your diet, lifestyle, and managing any health conditions that might affect calcium levels. Here’s how you can prevent it:
1. Get Enough Calcium
First up, eating the right amount of calcium for your age is key. Here’s a quick guide on how much calcium you need:
- Babies 0-6 months: 200 mg/day
- Babies 7-12 months: 260 mg/day
- Toddlers 1-3 years: 700 mg/day
- Kids 4-8 years: 1000 mg/day
- Teens 9-13 years: 1300 mg/day
- Adults 19-70 years: 1000 mg/day
- Seniors over 70: 1200 mg/day
You can get calcium from foods like:
- Dairy products (milk, yogurt, cheese) – they’re super rich in calcium.
- Vegetables like soybeans, spinach, kale, broccoli, and green turnip.
- Fruits like apples (with the skin on).
- Fortified foods like some breakfast cereals and tofu made with calcium salts.
- Fish like canned sardines and salmon, which you eat with the bones.
- Nuts and almond butter.
- Eggs.
2. Don’t Forget Vitamin D
Vitamin D is also important because it helps your body absorb calcium. You can get Vitamin D from sunshine, eating foods like fatty fish and fortified dairy, or taking supplements if needed.
3. Watch Out for Restrictive Diets
Some diets cut out whole groups of foods, which can make it hard to get enough calcium. It’s best to eat a balanced diet to make sure you’re not missing out on important nutrients.
4. Take Care of Your Health
If you have a health condition like liver or kidney disease, it can affect how well your body handles calcium. Taking care of these underlying conditions can help keep your calcium levels right.
By keeping these tips in mind, you can help prevent calcium deficiency and keep your bones, heart, muscles, and nerves healthy.
Specialist To Visit
When it comes to dealing with calcium deficiency, you might need to see a few different healthcare professionals, depending on how it’s affecting you. Here’s who you might visit and how they can help:
General Physician
First off, your general physician (or family doctor) is usually the one to spot the signs of calcium deficiency. They can do a general check-up, order blood tests, and look at your overall health to see if calcium deficiency might be the issue.
Endocrinologist
These are doctors who specialize in hormone-related diseases. Since the parathyroid gland (which controls calcium levels in your blood) is part of your hormonal system, an endocrinologist can be crucial in managing and treating calcium imbalances, especially if they’re related to gland issues.
Nutritionist
A nutritionist focuses on helping you get the right nutrients from your diet, including calcium. They can give you advice on what foods to eat more of to boost your calcium levels, and maybe even suggest supplements if you need them.
Ophthalmologist
This is an eye doctor. If calcium deficiency leads to eye problems like cataracts, an ophthalmologist can diagnose and treat these conditions to help protect your vision.
Dermatologist
For issues with your skin, hair, or nails that could be caused by not having enough calcium, a dermatologist is the go-to specialist. They can treat symptoms like dry skin, brittle nails, and hair problems.
Orthopedician
An orthopedic surgeon deals with bone issues. Since calcium is key for strong bones, if you’re having bone pain or other bone-related problems due to low calcium, an orthopedician can help manage these complications.
Dentist
Calcium is also vital for healthy teeth. If you’re experiencing dental issues like weak teeth or decay as a result of calcium deficiency, a dentist can provide the necessary care and treatment.
Each of these specialists plays a different role in diagnosing, treating, and managing calcium deficiency and its effects on your body, ensuring you get comprehensive care.
Treatment of Calcium Deficiency
Treating calcium deficiency involves figuring out how severe it is and what’s causing it, then addressing both the symptoms and the root cause. Here’s how it’s typically done:
1. Calcium Supplementation (SHOP NOW)
If you’re not getting enough calcium from your diet, you might need supplements. These come in various forms like chewable tablets, capsules, liquids, and powders, making it easy to find something that works for you. The usual aim is to take about 1500 to 2000 mg of elemental calcium every day, spread out over 2 or 3 doses. Some common types of calcium supplements include:
- Calcium Carbonate: A popular choice because it has a high amount of calcium and is cost-effective.
- Calcium Citrate: This is easier to digest and is a good option for people with digestive issues.
- Calcium Gluconate and Calcium Lactate: These have less calcium per dose, so you might need to take more.
For those with a severe calcium drop, doctors may give calcium through an IV (intravenous drip) to quickly raise levels and prevent heart issues like arrhythmias.
2. Vitamin D Supplementation (SHOP NOW)
Vitamin D is crucial because it helps your body absorb calcium. If you’re low on Vitamin D, you’ll likely need supplements for it too. Doctors often prescribe a high dose, like 50,000 units once a week for about 8 to 12 weeks, to people with a big deficiency. After that, a daily dose of 1000 to 5000 units helps maintain levels.
Taking both calcium and Vitamin D supplements can significantly improve calcium absorption and help correct the deficiency. Just remember, it’s always best to talk to a healthcare professional before starting any new supplement to make sure it’s safe and right for you.
Home Care for Calcium Deficiency
Managing calcium deficiency at home involves adding a variety of calcium-rich foods to your diet. Here are some easily available options that go beyond the usual dairy products:
Indian Gooseberry (Amla): Amla is packed with calcium and boosts your immunity too. You can eat it raw or boil it in water and drink the liquid.
Sesame Seeds (Til): A small powerhouse of calcium, with about 88 milligrams in just one tablespoon. Sprinkle powdered sesame seeds over your cereals, soups, and salads, or mix roasted sesame powder in warm milk for a calcium boost.
Cumin Seeds (Jeera): Even a little bit of cumin is rich in calcium. Drinking cumin water twice a day can help with calcium deficiency. Make it by boiling a teaspoon of cumin seeds in a glass of water.
Ashwagandha: Known for its antioxidant and anti-inflammatory properties, ashwagandha also provides calcium. It’s available in tablets and capsules, making it easy to include in your diet.
Guggul: This herb is celebrated for improving bone density and speeding up the recovery from bone fractures. It also helps with joint pain. You can take guggul by mixing its extract or powder in lukewarm water.
Ragi: A staple grain in many Indian households, ragi is rich in calcium. It can be used whole or ground into flour for various dishes.
Incorporating these items into your daily routine can help manage and prevent calcium deficiency from home, ensuring your bones stay strong and your overall health remains good.
Complications Of Calcium deficiency
When your body doesn’t have enough calcium, it can lead to some serious health problems, especially if the deficiency is severe or happens suddenly. Here’s what could happen:
With Severe or Sudden Calcium Drop:
- Seizures: Because calcium plays a key role in nerve function, not having enough can cause uncontrolled electrical activity in the brain.
- Arrhythmia: Low calcium can mess with your heart’s normal rhythm, making it beat irregularly.
- Cardiovascular Collapse: This is a serious condition where your body can’t pump enough blood, leading to multiple organ failure.
- Hypotension: Also known as low blood pressure, it can make you feel dizzy or faint.
- Congestive Heart Failure: This means your heart can’t pump blood as well as it should.
- Angina: Chest pain caused by reduced blood flow to the heart muscle.
- Coma: In extreme cases, severe calcium deficiency can lead to unconsciousness.
With Long-Term Calcium Deficiency:
- Osteoporosis: This condition makes your bones weak and more likely to break. It happens because calcium is crucial for bone strength and density.
- Rickets: In children, not getting enough calcium (along with vitamin D) can lead to soft and weak bones, a condition known as rickets.
- Bone Fractures: Weak bones are more prone to breaking, even from minor falls or bumps.
- Weakened Tooth Enamel: Calcium is important for strong teeth too. Not having enough can lead to cavities and other dental problems.
Getting enough calcium is crucial to avoid these complications and keep your body working right. If you think you’re not getting enough calcium, it’s important to talk to a doctor who can help you figure out the best way to manage and prevent further issues.
When is low calcium an emergency?
Low calcium becomes an emergency situation when it leads to acute, severe symptoms that can be life-threatening. These include:
- Seizures: Uncontrolled electrical activity in the brain, which can be dangerous without immediate medical attention.
- Arrhythmias: Irregular heartbeats that can lead to more serious heart conditions if not treated quickly.
- Cardiovascular Collapse: A critical condition where the heart fails to pump blood effectively, which can lead to organ failure.
- Severe Muscle Spasms or Tetany: Intense muscle contractions that can affect breathing and body movement.
- Laryngospasm: A sudden spasm of the vocal cords, which can block the airway and make it difficult to breathe.
- Hypotension (Severely Low Blood Pressure): Can lead to fainting and shock, requiring immediate intervention.
- Changes in Mental Status: Such as confusion, irritability, or even coma, indicating the brain is not functioning properly.
If you or someone you know experiences these symptoms, it’s crucial to seek emergency medical care right away. Timely treatment is essential to prevent serious complications or death.
How long does it take to fulfill calcium deficiency?
The time it takes to correct a calcium deficiency depends on several factors, including the severity of the deficiency, the underlying cause, how well the individual absorbs calcium, and their overall diet and health. Generally, if the deficiency is due to dietary inadequacies and is addressed with calcium and vitamin D supplementation, improvements in blood calcium levels can be seen within a few weeks to a few months.
For individuals with severe hypocalcemia or underlying health conditions that affect calcium absorption or metabolism, it may take longer to correct the deficiency, and they may require more intensive treatment and monitoring. In such cases, it’s not just about taking supplements; the underlying condition must be managed as well.
It’s also important to note that while blood calcium levels might normalize relatively quickly with treatment, correcting the effects of long-term calcium deficiency, such as bone density loss or dental issues, can take much longer—often years.
Consistent intake of calcium-rich foods, along with appropriate supplementation under medical guidance, is crucial for maintaining healthy calcium levels and supporting bone health over the long term. Regular follow-ups with a healthcare provider are important to monitor progress and adjust treatment as needed.
Can calcium deficiency be genetic?
Yes, calcium deficiency can have a genetic component, especially in conditions that affect calcium absorption or regulation in the body. Some genetic disorders directly impact the body’s ability to maintain normal calcium levels, including:
- Hypoparathyroidism: This condition can be inherited and results in insufficient production of parathyroid hormone (PTH), which is crucial for calcium regulation in the body. Without enough PTH, the body can’t maintain normal calcium levels, leading to hypocalcemia.
- Pseudohypoparathyroidism: This is a genetic condition where the body is unable to respond properly to PTH, leading to low calcium levels and high phosphate levels in the blood, despite having normal or elevated PTH levels.
- Vitamin D-resistant rickets: Also known as familial hypophosphatemia, this condition affects how vitamin D is processed in the body, leading to issues with bone mineralization and calcium absorption.
- Magnesium deficiency: Since magnesium is essential for the proper functioning of the parathyroid glands and the activation of vitamin D (which is crucial for calcium absorption), inherited conditions that lead to magnesium deficiency can indirectly lead to calcium deficiency as well.
- Gitelman syndrome and Bartter syndrome: These are genetic disorders affecting the kidneys, leading to increased excretion of magnesium and calcium, which can result in hypocalcemia.
In cases where genetics play a role in calcium deficiency, managing the condition often requires addressing the underlying genetic disorder, which may involve hormone replacement therapy, calcium and vitamin D supplementation, and other treatments tailored to the specific condition and symptoms.
Which calcium is best absorbed?
The body absorbs different types of calcium compounds at varying rates, but generally, calcium citrate is considered to be the best absorbed form of calcium, especially when taken on an empty stomach. This form of calcium does not require a lot of stomach acid for absorption, making it a preferred choice for older adults and those with less stomach acid, such as people taking proton pump inhibitors for acid reflux or those who have had stomach surgery.
Calcium carbonate is another common form of calcium found in supplements and fortified foods. It’s also the main form of calcium in antacids like Tums. Calcium carbonate is more cost-effective and contains a higher amount of calcium per tablet, but it requires a good amount of stomach acid to be absorbed effectively. Therefore, it’s best taken with food.
Other forms of calcium found in supplements include calcium gluconate and calcium lactate. These have a lower amount of elemental calcium compared to calcium carbonate and calcium citrate, meaning you’d need to take a larger quantity to get the same amount of calcium.
For optimal calcium absorption, it’s also important to:
- Spread your calcium intake throughout the day: The body can only absorb a certain amount of calcium at one time, usually around 500 mg or less, so it’s more effective to take calcium in smaller doses several times a day.
- Ensure adequate vitamin D intake: Vitamin D is crucial for calcium absorption, so make sure you’re getting enough through your diet, sunlight, or supplements if necessary.
- Limit factors that reduce calcium absorption: Certain factors can inhibit calcium absorption, such as excessive caffeine or alcohol intake, and the presence of phytic acid (found in grains) and oxalic acid (found in some vegetables like spinach and rhubarb).
Considering these factors can help maximize calcium absorption and effectiveness, whether from supplements or diet.
















