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Understanding
High Phosphorus
and
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Your
Treatment Options
was funded
nal grant fro m
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Important Information
Just For You
Sound it out:
hi-per-fos-fa-team-e-ah
A Guide To Understanding
Hyperphosphatemia
Hyperphosphatemia means
“high phosphorus.” You, or
someone you know, has been
diagnosed with high phosphorus,
and this brochure is designed
to help you learn about how to
treat this condition.
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mation
For You
In this brochure,
you will find out about:
4-5
How your
kidneys work
6-7
High phosphorus and
how it affects you
8-9 Treating your high phosphorus
10-11
Healthy eating,
and a tasty recipe
Fold-out
Additional resources and glossary
➜
Words inboldface
are defined in the glossary.
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Blood with waste
Clean blood
Waste
Your kidneys clean (filter) your blood–
removing waste products and extra water
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KIDNEYS:
Your body’s cleaning system
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 phosphorus
(foss-for-us) stays in your body. Among other
things, kidneys help control your blood
pre s s u re, strengthen your bones, and
maintain your general health.
CAUTION
When kidneys fail to clean your blood
properly, waste products build up, and
your health may suffer.
You may then need to change your diet,
or begin a treatment routine — such as
dialysis or medication.
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Phosphorus
Good
and bad
Phosphorus — in proper
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 stream.
Phosphorus is commonly
found in foods such as
dairy, red meat, fish, poultry,
eggs, and nuts. Important
substances for your overall
h e a l th — such as p rotein,
calcium and vitamin D — are
found in foods that contain
phosphorus.
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E f f e c t s
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o f
High Phosphorus
You may not experience any symptoms
from 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
• heart disease
• buildup of mineral deposits
in your kidneys, heart,
blood vessels, lungs, eyes,
joints, and skin
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Treating
High Phosphorus
There are several ways to treat
high phosphorus.
Phosphorus
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.
DIALYSIS: Dialysis does some
of the cleaning normally done by
healthy kidneys — and may take
place in your home or a
medical setting.
MEDICATIONS: Your healthcare
provider may also prescribe any
of several phosphate (foss-fate)
binder options.
Phosphate binders “attach”
to phosphorus and are
removed through the bowels.
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How phosphatebinders work
Like magnets, phosphate binders
“bind” to phosphorus as it
Phosphate
travels through the stomach
binder
and digestive system, before
it can be absorbed into the
blood stream. Then, the bound
phosphorus is removed through the bowels.
Some phosphate binders may be tablets
or pills that are swallowed, while others
a re chewed. Some require taking
more tablets or pills than others.
Speak to your healthcare
provider about what choice
is best for you.
Your healthcare provider will tell you:
• How many tablets to take each day
• When to take your medication
• What to expect from treatment
These medications work best when
taken during or right after a meal.
This may help lower the risk of side
e ffects — such as nausea.
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Eat healthy,
Eat well!
These are foods you can include
in your low phosphorus diet:
Non-dairy creamer, sorbet, sugar cookies,
beef (and other red meats), and white bread
Some foods with phosphorus create
m o re problems than others, such as:
Dairy (milk, cheese, ice cream), chocolate,
dark cola, and whole wheat bread
But your new diet doesn’t have to be boring.
Here are some tips to help you enjoy the foods
you love:
• Fill omelets with vegetables
• Top pasta with garlic and butter, not meat sauce
• Eat chicken or fish instead of pork
Ask your dietitian for more ideas!
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Let’s get cooking!
Aunt Betty’s Blueberry Pancakes
11⁄2 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 beaten
1 cup canned or frozen blueberries, rinsed
Sift flour, baking powder, and sugar into a mixing
bowl and stir. Add remaining ingredients and stir
until smooth. Begin cooking immediately. Heat a
heavy 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!
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 315
Tampa, FL 33607
(800) 749-2257
www.aakp.org
American Kidney Fund (AKF)
6110 Executive Blvd., Suite 1010
Rockville, MD 20852
(800) 638-8299
www.kidneyfund.org
National Kidney Foundation (NKF)
30 East 33rd Street
New 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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Glossary
H e re you will find definitions of the bolded
t e rms in the text.
Calcium
A mineral that gives strength to bones and
teeth and has an important role in muscle
function, blood clotting, and nerve function
Hyperphosphatemia
A condition that results when the levels
of phosphorus in the blood get too high,
which can happen when the kidneys are
unable to filter the blood properly
Mineral deposits
Buildup of minerals such as calcium and
phosphorus in the tissues or bloodstream
Phosphorus
An essential mineral that is found in foods
and used in all body tissue and bones
Protein
An essential substance for the growth and
repair of body tissue
Vitamin D
A substance in the body that works closely with
calcium; also supplied by foods and supplements
This brochu
by an educat
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Stickyourwith
treatment plan
Medications can be difficult
to take, but you should take
any and all medications
exactly as instructed by
your healthcare provider.
Following the
treatment plan can make
a big diff e rence in controlling
your phosphorus and
overall health —
so stick with it!
And if you have
any questions, ask
your healthcare
provider. He or
she will be happy
to help you.
This brochure was funded
by 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
©2006 Shire US Inc., Wayne, Pennsylvania 19087
FOS1008
08/06