### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi doctor, My name is Siva. I had blood test in 10 may 2014 which was my blood calcium levels are (ca 2.74 & corr ca 2.66), which is quite high, and vitamin d level 18 this report was suspected by my GP and ask me go for thyroid, parathyroid and bone density. Bone density levels are quite below to normal ,and thyroid levels are normal. They found a adenoma below right hand side of my neck in parathyroid nuclear scanning. My gp suggested me to go and see a surgeon for further advise. Before I see him I had one more bllod test of my calcium levels after 2 months on 07/07/2014 Which shows (ca 2.65 & corr ca 2.61) levels down. But Vitamin d levels down less than 10. My surgeon suggested me take a vitamin d tablets and come after 2 months with a blood and urine reports. After 2 months I mean on 31/08/2014 I had a reports which shows my vitamin d levels sufficient (47) and calcium levels gone up ( ca 2.97 corr ca 2.85) & urine reports are fine (6.6) After seen of my reports my doctor suggested me go for an operation of parathyroid. Please suggest me am I have to go for surgery or is there any alternative treatment s. Your advise very valuable and appreciate. Thanks, Siva

### output:

Hi, dairy have gone through your question. I can understand your concern. Your calcium level is very high.  It is due to hyperparathyroidism as a result of parathyroid adenoid.  Treatment of choice is surgical removal of parathyroid.  Consult your doctor and plan accordingly. It is only definitive treatment to control your calcium level. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.