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My cat has high calcium. What tests are needed to find the cause?

Updated On September 23rd, 2025

Pet's info: Cat | Domestic Shorthair | Female | spayed | 17 years and 3 months old | 7.9 lbs

My 17 year old cat has just been diagnosed with an elevated calcium level. What kind of testing would be needed to find the cause?

1 Answer

Most Helpful Answer

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Answered By Dr. Melanie, BVSc MS

Veterinarian

Published on April 12th, 2019

According to the PetHealth network, testing involves: Complete blood count to look at the white and red blood cells and platelets Chemistry panel to look at the kidney and liver function Electrolytes to look at the calcium, phosphorous, and salt balance (e.g., sodium, potassium, etc.) Urinalysis to look for the presence of an underlying infection, crystals, or appropriate urine concentration Urine culture to rule out an underlying urinary tract infection Feline leukemia (FELV) and feline immunodeficiency virus (FIV) X-rays to rule out underlying cancer, bladder stones, or evidence of mineralization of tissue (secondary to hypercalcemia) Ultrasound to rule out underlying cancer, bladder stones, or inappropriate mineralization Parathyroid hormone (PTH) and PTH-rP concentration (parathyroid hormone related protein) levels. With hyperparathyroidism, the PTH levels are typically normal to high. With hypercalcemia of malignancy, PTH-rP concentrations are typically elevated. With idiopathic hypercalcemia in cats, PTH levels and PTH-rP levels are typically low. This can be expensive, but necessary to get to the cause. I would speak to Sammy's vet to discuss what tests should be done first. Best of luck.

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