What to do if uremia has high phosphorus

Many patients with uremia have high potassium and high phosphorus, which are complications of uremia. At this time, you should pay more attention to your diet and avoid eating foods high in phosphorus, such as kelp, seaweed, buckwheat, wheat, etc. Coarse grains generally have high phosphorus content, so don't eat them. You can also control it with medication, such as taking calcium carbonate, aluminum hydroxide and other drugs, which can be taken orally or injected. Here we will introduce what to do if the phosphorus content in uremia is high.

If the patient's blood phosphorus level has increased, aluminum hydroxide gel can be taken. Excessive phosphorus can cause risks such as hyperparathyroidism and metabolic bone disease. All foods containing protein or nutrients contain phosphorus. When the kidneys are not in good condition, phosphorus cannot be excreted and must be taken with binders (calcium tablets) to bind phosphorus and excrete it from the feces. Avoid eating foods that are too high in phosphorus.

The kidneys have endocrine functions. When kidney function is impaired, the production of active vitamin D3 decreases and the excretion of phosphorus by the glomeruli also decreases, leading to the occurrence of hyperphosphatemia. I wonder if you have urine output now? If it is indicated that there is still some kidney function left, you are currently only undergoing dialysis treatment and have not received treatment for the kidney itself. The key is to protect this part of the kidney function. Western medicine mainly adopts symptomatic treatment and does not start from the cause. It is recommended that you combine Chinese and Western medicine for treatment, target the cause, and protect the remaining glomeruli. Only in this way can you control the further development of the disease. Once the disease is controlled, the relative symptoms will disappear, and the dialysis time can also be extended. Of course, the diet should be high-quality, low-protein diet (fish, eggs, lean meat, etc.), high-calorie, low-phosphorus diet, and avoid greasy and raw, cold and cool foods.

Hyperphosphatemia can be prevented and treated. Patients themselves should pay attention to limiting the intake of high-phosphorus foods, such as dairy products, animal offal, dried fruits and beans. Patients often ignore the phosphorus in protein. Every gram of protein contains 39 mg of phosphorus. Therefore, under the premise of ensuring nutrition, protein intake should be appropriately limited, especially plant protein with low biological value. If necessary, starch can be added to the flour to reduce the intake of plant protein.

Avoid eating foods high in potassium and phosphorus, such as potatoes, bananas, etc. High-phosphorus foods, such as egg yolks.

If the potassium level is relatively high, glucose plus insulin should be injected intravenously. Calcium gluconate and sodium bicarbonate can also be used, but the medication must be taken as directed by the doctor.

Potassium must be lowered in time, as left heart failure caused by hyperkalemia is very serious.

High potassium foods: dried mushrooms, dried lotus seeds, soybeans, green beans, kelp, dried chili peppers, tofu skin, mustard tuber, peanuts, and sunflower seeds. Low-potassium foods: lotus root powder, gluten, pig blood, eggs, pumpkin, apples, rice, tofu, watermelon, and vermicelli.

High-phosphorus foods: walnuts, pork liver, prawns, peanuts, lean beef, egg yolks, yellow croaker, chicken, lean pork, and hairtail. Low-phosphorus foods: soybean oil, jelly, winter melon, wheat starch, pork ribs, egg white, apples, and tomatoes.