Hyperphosphatemia

Hyperphosphatemia (high phosphate) is an electrolyte disturbance noted by an abnormal elevation of phosphate in the blood. When your kidneys are not working, phosphate is retained in your blood.

Goal phosphate is 2.4-5.5mg/dl.

Symptoms of high phosphate include bone and joint pain, itching, and rash. You can also get low ca levels due to high phosphates, which can cause cardiovascular changes including EKG changes, heart failure, and low blood pressures. Neurologic symptoms include cramping, twitching, numbness, and tingling.

Risks with high phosphate include bone and heart disease, Secondary Hyperparathyroid, Renal Osteodystrophy, heart Calcifications, skin/tissue calcification known as Calciphylaxis, and an earlier death.

By maintaining a low phosphorous diet and taking your prescribed binders with your meals and snacks these complication can be slowed down and prevented. A Registered Dietitian is available for diet education, meal ideas, and encouragement. Your kidney doctor (Nephrologist) will monitor your blood levels of phosphate and prescribe the binder and dose that is appropriate for you. Some common binders include calcium acetate, renvela, fosrenol, aryxia, and velphoro.

Do not let the phosphate get you! Get it before it gets you! Stay on a low phosphate diet and take all your binders as prescribed. By doing so, the quality and quantity of your life will be much improved.