Why hyperphosphatemia in renal failure

Talk to your healthcare team about how to best manage your phosphorus so that you prevent bone disease. How you manage your phosphorus will depend on several things, including:. If you are on dialysis, it is very important that you do not skip dialysis treatments!

Your doctor may also suggest changing the number and length of dialysis sessions to get rid of extra phosphorus. Bone disease can still occur even after you have a kidney transplant. This can happen for several reasons, but the most common being:. If you have kidney disease, it is important to manage your phosphorus levels. This can help prevent bone disease. Bone disease often does not have any symptoms until your bones are very weak.

The only way to know if you have, or are at risk for, bone disease is to be tested. Bone disease, or damage to the bones, can be caused by having a high level of phosphorus in the blood over time. To prevent bone damage, your doctor may recommend a combination of medicines, diet changes, and exercise. To know for certain whether your bones have been damaged, you may have to have more than blood tests.

Other tests for bone health might include:. Managing your phosphorus is one of many things your doctor might talk about when you are diagnosed with kidney disease. For more information about managing phosphorus, check out our webinars on phosphorus for people with kidney disease. Take our free online continuing education CE course on Managing Hyperphosphatemia. Donate Now. Give Monthly Give In Honor. High Phosphorus hyperphosphatemia. Content updated on April 7, - Medically reviewed by Gail S.

Learn how to keep your bones healthy Download our infographic and learn how how your kidneys keep your bones healthy. Phosphorus in the Kidney Disease Diet. Phosphorus in the Kidney Disease Holiday Diet. Phosphorus blood test Note: This is sometimes listed on lab results as "phosphate". Checks the level of phosphorus in the blood. A high level means too much phosphorus is in your blood. This is called hyperphosphatemia.

Checks the level of PTH in your blood. Too much PTH in the blood can be a sign of a problem. Your body tries to "fix" this using a hormone called parathyroid hormone PTH.

Checks the amount of calcium in your blood. Calcium levels tend to get lower as kidney function worsens. This occurs for many reasons. Calcium levels in your blood are looked at along with phosphorus, vitamin D and PTH levels to determine bone health.

Checks the level of vitamin D in the blood. In this sense, the concept of preserving the patient's residual diuresis on dialysis is important, not only by avoiding the use of nephrotoxic drugs, but also by continuing the use of angiotensin II receptor blocker nephroprotection inhibitors and Applying the concept of incremental dialysis lower dose of dialysis both at the onset of peritoneal dialysis and hemodialysis [ 5 ]. This is the reason why we proposed together with Dr.

Hsu C. Calcium and phosphate metabolism in chronic renal disease. Berlin: Springer. Ibandro-nate improves hyperphosphatemia in dialysis patients with hyperparathyroidism.

Int Urol Nephrol. Renal calcium, phosphorus, magnesium and uric acid handling: comparison between stage III chronic kidney disease patients and healthy oldest old. Electron J Biomed ; Gonzalez-Sanchidrian S, Deira J. Progressive hemodialysis: Is it the future, or the present? Seminars in dialysis.