Understanding High Phosphorus

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    High Phosphoru s

    Treatment Options

    U n d ers t a n d i n g

    and

    Your

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    Important Information

    A Guide To Understanding

    H y p e r p h o s p h a t e m i a

    H y p e r p h o s p h a t e m i a means

    high phosphorus. You, or

    someone you know, has been

    diagnosed with high phosphoru s,

    and this bro c h u re is designed

    to help you learn about how to

    t reat this condition.

    Just For Yo u

    Sound it out:

    hi-per-fos-fa-team-e-ah

    2

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    4-5

    6-7

    8-9

    10-11

    Fold-out

    3

    Wo rds inb o l d f a c ea re defined in the glossary.

    How your

    kidneys work

    High phosphorus andhow it affects you

    Treating your high phosphorus

    Healthy eating,

    and a tasty re c i p e

    Additional re s o u rces and glossary

    In this bro c h u re ,you will find out about:

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    Your kidneys clean (filter) your blood

    removing waste products and extra water

    Blood with waste

    Clean blood Waste

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    KI D N E Y S:

    Your kidneys are cleaning centers for

    your blood. They remove waste products

    and extra water that would otherwise

    build up. Much of this waste comes from

    the food you eat.

    Your kidneys control how much p h o s p h o ru s

    ( f o s s - f o r- u s )stays in your body. Among other

    things, kidneys help control your blood

    p re s s u re, strengthen your bones, and

    maintain your general health.

    When kidneys fail to clean your blood

    p ro p e r l y, waste products build up, and

    your health may suff e r.

    You may then need to change your diet,

    or begin a treatment routine such as

    dialysis or medication.

    C A U T I O N

    Your bodys cleaning system

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    P h o s p h o rus in pro p e r

    amounts is important for

    the growth and maintenance

    of your body tissues and

    bones. Phosphorus is

    released from food into the

    stomach during digestion,

    and is then absorbed into

    the blood stre a m.

    P h o s p h o rus is commonly

    found in foods such as

    d a i ry, red meat, fish, poultry,

    eggs, and nuts. Importantsubstances for your overall

    h e a l th such as p ro t e i n,

    c a l c i u m and vitamin D are

    found in foods that contain

    p h o s p h o rus.

    6

    P h o s p h o ru s

    G o o dand bad

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    E f f e c t s o f

    High Phosphoru sYou may not experience any symptomsfrom high phosphorus, but serious

    problems may be occurring. Here are

    some of the complications you

    may experience.

    Daily irritations

    The following may become

    daily irritations:

    itchy skin

    red eyes

    bone pain

    joint pain

    Serious problems

    More serious problems may

    develop, such as:

    bone disease

    h e a rt disease

    buildup ofmineral depositsin your kidneys, heart,blood vessels, lungs, eyes,

    joints, and skin

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    DIALYSIS: Dialysis does some

    of the cleaning normally done by

    healthy kidneys and may take

    place in your home or a

    medical setting.

    DIET: Your healthcare provider

    will recommend a diet low in

    phosphorus. Certain foods

    may be substituted for others,

    but you can still enjoy what you eat.

    T h e re are several ways to treat

    high phosphoru s.

    TreatingHigh Phosphoru s

    M E D I C AT I O N S : Your healthcarep rovider may also prescribe any

    of several phosphate (foss-fate)

    binder options.

    Phosphorus

    Phosphate binders attachto phosphorus and are

    removed through the bowels.

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    Like magnets, phosphate bindersbind to phosphorus as it

    travels through the stomach

    and digestive system, before

    it can be absorbed into the

    blood stream. Then, the boundp h o s p h o rus is removed through the bowels.

    Some phosphate binders may be tablets

    or pills that are swallowed, while others

    a re chewed. Some re q u i re takingm o re tablets or pills than others.

    Speak to your healthcare

    p rovider about what choice

    is best for you.

    Howp h o s p h a tebinders work

    Your healthcare provider will tell you:

    How many tablets to take each day

    When to take your medication What to expect from tre a t m e n t

    These medications work best when

    taken during or right after a meal.

    This may help lower the risk of sidee ffects such as nausea.

    Phosphateb i n d e r

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    Eat well!Eat healthy,

    But your new diet doesnt have to be boring.

    H e re are some tips to help you enjoy the foods

    you love:

    Fill omelets with vegetables Top pasta with garlic and b u t t e r, not meat sauce

    Eat chicken or fish instead of pork

    Ask your dietitian for more ideas!

    D a i ry (milk, cheese, ice cream), chocolate,

    dark cola, and whole wheat bread

    Some foods with phosphorus createm o re problems than others, such as:

    N o n - d a i ry cre a m e r, sorbet, sugar cookies,

    beef (and other red meats), and white bre a d

    These are foods you can includein your low phosphorus diet:

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    Aunt Bettys Blueberry Pancakes112 cups sifted plain all-purpose flour

    2 teaspoons baking powder

    3 tablespoons sugar

    1 cup buttermilk

    2 tablespoons no-salt margarine, melted

    2 eggs, slightly beaten1 cup canned or frozen blueberr i e s , r i n s e d

    Sift flour, baking powder, and sugar into a mixing

    bowl and stir. Add remaining ingredients and stir

    until smooth. Begin cooking immediately. Heat aheavy skillet and grease lightly using a non-stick

    cooking spray. Spoon out pancakes and cook until

    done, flipping once. Top with fresh fruit or warmed

    jam and enjoy!

    11

    Lets get cooking!

    Adapted from: Kidney Friendly Comfort Foods. August 2005.

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    Know More!ADDITIONAL RESOURCES

    Several educational resources are listed below,

    but remember:your healthcare provider is

    always the first person you should seek out

    with questions about your condition.

    American Association of Kidney Patients (AAKP)

    3505 E. Frontage Road, Suite 315Tampa, FL 33607

    (800) 749-2257

    www.aakp.org

    American Kidney Fund (AKF)

    6110 Executive Blvd., Suite 1010Rockville, MD 20852

    (800) 638-8299

    www.kidneyfund.org

    National Kidney Foundation (NKF)

    30 East 33rd StreetNew York, NY 10016

    (800) 622-9010

    www.kidney.org

    National Kidney and Urologic Diseases

    Information Clearinghouse (NKUDIC)3 Information Way

    Bethesda, MD 20892-3580

    (800) 891-5390

    www.kidney.niddk.nih.gov

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    G l o s s a ryH e re you will find definitions of the bolded

    t e rms in the text.

    C a l c i u mA mineral that gives strength to bones and

    teeth and has an important role in muscle

    function, blood clotting, and nerve function

    H y p e r p h o s p h a t e m i aA condition that results when the levelsof phosphorus in the blood get too high,

    which can happen when the kidneys are

    unable to filter the blood pro p e r l y

    Mineral depositsBuildup of minerals such as calcium and

    p h o s p h o rus in the tissues or bloodstre a m

    P h o s p h o ru sAn essential mineral that is found in foods

    and used in all body tissue and bones

    P ro t e i nAn essential substance for the growth and

    repair of body tissue

    Vitamin DA substance in the body that works closely with

    calcium; also supplied by foods and supplements

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    Medications can be diffic u l t

    to take, butyou should take

    any and all medications

    exactly as instructed by

    your healthcare pro v i d e r.

    Following the

    t reatment plan can make

    a big diff e rence in contro l l i n g

    your phosphorus andoverall healt h

    so stick with it!

    And if you have

    any questions, ask

    your healthcare

    p ro v i d e r. He or

    she will be happy

    to help you.

    Stickwithyour treatment plan

    This bro c h u re was fundedby an educational grant fro m

    American Association of Kidney Patients (AAKP)3505 E. Frontage Road, Suite 315 Tampa, FL 33607

    (800) 749-2257 www.aakp.org