Calcium and phosphorus, which are minerals, help build strong bones. Healthy
kidneys help regulate the level of phosphorus in your blood by removing extra
phosphorus. If your kidneys aren't working properly, eventually you'll probably
have high phosphorus levels in your blood (hyperphosphatemia). Too much
phosphorus decreases the level of calcium in your blood, which can lead to bone
disease.
Nearly every food contains some phosphorus. As a general rule, foods high in
protein are also high in phosphorus. If you have an earlier stage of kidney
disease, you'll likely be advised to limit your intake of phosphorus and
protein. A reduced-protein diet helps limit the amount of waste that builds up
in your blood.
If you have late stage kidney disease and you're on dialysis, the picture
changes a bit. Dialysis removes protein (in the form of waste) from your blood,
so your protein needs increase — but you'll still need to choose lower
phosphorus foods. A registered dietitian can help you choose protein-rich foods
that are lower in phosphorus
Because it's difficult to lower phosphorus in your diet, your doctor may
recommend a phosphate binder medication to help control the amount of phosphorus
your body absorbs from foods. Your doctor may also recommend calcium and other
supplements, depending on your nutritional needs. Ask your pharmacist to check
your medications and supplements for phosphorus.