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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
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4-5
6-7
8-9
10-11
Fold-out
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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.
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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!
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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