Can you have high phosphorus without kidney disease?
Anybody can get hyperphosphatemia. However, you're more likely to have hyperphosphatemia if you have advanced chronic kidney disease or kidney failure.
High phosphorus, also called hyperphosphatemia, means you have extra phosphorus in your blood. High phosphorus is often a sign of kidney damage. For someone with healthy kidneys, the normal amount of phosphorus (phosphate) in the blood is between 2.5 to 4.5 mg/dL.
Most commonly, a high level of phosphorus is related to a kidney disorder. It shows that your kidneys are having difficulty clearing phosphorus from your blood. A high level of phosphorus can also mean uncontrolled diabetes and other endocrine disorders.
Normal values range from: Adults: 2.8 to 4.5 mg/dL. Children: 4.0 to 7.0 mg/dL.
- Reduce the amount of phosphorus you eat. ...
- Take phosphorus binders. ...
- Take vitamin D. ...
- Take a calcimimetic medicine. ...
- Stay on dialysis the entire time. ...
- Start an exercise program approved by a doctor. ...
- Get an operation to remove some of the parathyroid glands.
Protein-rich foods are good sources of phosphorus, such as meat, poultry, fish, eggs, dairy products, nuts, and legumes. Other good sources include whole grains, hard potatoes, dried fruit, garlic cloves, and carbonated beverages.
If your kidneys are damaged, you can lower high blood phosphate levels in three ways: reduce the amount of phosphate in your diet. remove extra phosphate with dialysis. lower the amount of phosphate your intestines absorb using medication.
The normal range for phosphorous is 2.5-4.5 mg/dL. Normal values may vary from laboratory to laboratory. Phosphate, or phosphorous, is similar to calcium, as it is found in your teeth and bones.
Serum phosphate lower than 1.5 mg/dL - May lead to muscle weakness, red cell hemolysis, or coma, as well as bone deformity and impaired bone growth. Serum phosphate lower than 1 mg/dL - Considered critical and may be life-threatening.
With vitamin D deficiency, serum phosphorus values usually decrease because of the associated hyperparathyroidism, but hyperphosphatemia has been reported to occur when vitamin D deficiency is severe [1, 6].
What should you avoid if you have high phosphorus?
- Dairy foods.
- Beans.
- Lentils.
- Nuts.
- Bran cereals.
- Oatmeal.
- Colas and other drinks with phosphate additives.
- Some bottled ice tea.
Medications causing hyperphosphatemia include phosphorus-containing laxatives, oral phosphorus supplements, vitamin D supplements, and the bisphosphonates.
Normal Results
Normal values range from: Adults: 2.8 to 4.5 mg/dL. Children: 4.0 to 7.0 mg/dL.
| Test ID | LAB113 | |
|---|---|---|
| Turnaround Time | STAT 1 hr., Routine 2 hrs. | |
| Reference Range | Normal: | Serum Phosphorus (mg/dL) Age Ranges (mg/dL) 0 - 1 year 4.3-7.3 1 - 5 years 4.9-6.5 5 - 13 years 4.6-6.2 13 - 16 years 3.3-5.8 16 - 18 years 2.9-5.1 >18 years 2.4-5.1 |
| Critical: | <1.0 mg/dL | |
| Comments | Reference ranges effective 9/21/2022 | |
| Ages | Upper Limit |
|---|---|
| Teens 14–18 years | 4,000 mg |
| Adults 19–70 years | 4,000 mg |
| Adults 71+ years | 3,000 mg |
| Pregnant teens and adults | 3,500 mg |
Phosphorus is a common element in agricultural fertilizers, manure, and organic wastes in sewage and industrial discharges. Rain and snowmelt can wash fertilizers and manure off agricultural land and into ditches, streams, and lakes. It can also be in discharges of treated wastewater from communities and businesses.
Activation of vitamin D receptors is known to increase small intestine absorption of calcium and phosphorus, and also weakly increases skeletal resorption of calcium and phosphorus, as well as kidney reabsorption of calcium [9].
Extra phosphorus causes body changes that pull calcium out of your bones, making them weak. High phosphorus and calcium levels also lead to dangerous calcium deposits in blood vessels, lungs, eyes, and heart. Over time this can lead to increased risk of heart attack, stroke or death.
The repeated measure analysis showed that the type of the exercise as a factor had significant relation with the phosphorus and hematocrit levels. The phosphorus level decreased significantly in active exercise.
Hyperphosphatemia is a condition in which you have too much phosphate in your blood. Causes include advanced chronic kidney disease, hypoparathyroidism and metabolic and respiratory acidosis. Hyperphosphatemia doesn't have symptoms. Treatment includes making changes to your diet, medications and dialysis.
How can I reduce phosphorus in my body naturally?
- Fast foods, foods sold at gas stations, and other packaged and convenience foods.
- American cheese, canned or jarred processed cheese spreads, and prepared cheese products in block form.
The recommended range for dialysis patients is 3.0 to 5.5 mg/dL. phosphorus is high BUT low phos can also be cause for immediate concern: – Although rare, a severe drop in serum phosphorus 1.5 mg/dL or below, can cause neuromuscular disturbances, coma and death due to impaired cellular metabolism.
Common causes of phosphate toxicity in humans include impaired renal function, rhabdomyolysis and tumour lysis syndrome.
Taking too much vitamin D can cause problems such as constipation and nausea and, in more serious cases, kidney stones and kidney damage.
Depletion of phosphate can lead to ventricular arrhythmias and elimination of ATP synthesis, resulting in reversible myocardial dysfunction. Hyperphosphatemia, observed mainly in patients with chronic kidney failure, is also associated with cardiac hypertrophy, which may worsen cardiac contractility and heart failure.
- Dizziness and Fatigue. One of the first possible signs of weakening kidneys is the experience of overall weakness in yourself and your overall health. ...
- Swelling (Edema) ...
- Changes in urination.
Calcium from foods and supplements can bind to some of the phosphorus in foods and prevent its absorption [1,17].
A phosphorus deficiency is uncommon. It happens when the body has low levels of this vital mineral. Poor diets or eating disorders may contribute to a deficiency. Other medical conditions or situations that cause levels to fall include diabetes, inherited disorders, and alcoholism.
Ingestion of elemental white or yellow phosphorus typically causes severe vomiting and diarrhea, which are both described as “smoking,” “luminescent,” and having a garlic-like odor. Other signs and symptoms of severe poisoning might include dysrhythmias, coma, hypotension, and death.
Chicken and Turkey
One cup (140 grams) of roasted chicken or turkey contains around 300 mg of phosphorus, which is more than 40% of the recommended daily intake (RDI).
Is cheese high in phosphorus?
All cheese contains phosphorus with most having 120-250 mg per ounce; some contain more than 300 mg per ounce. The suggested portion for a dialysis diet is usually one ounce of cheese, one to two times a week if phosphorus is controlled. Check with your dietitian for individual recommendations.
Some studies have found that excess phosphorus can promote the calcification, or hardening, of heart arteries and increase inflammation. [11] Higher phosphate levels may be associated with an increased risk of cardiovascular disease (CVD).
- muscle cramps or spasms.
- numbness and tingling around the mouth.
- bone and joint pain.
- weak bones.
- rash.
- itchy skin.
Activation of vitamin D receptors is known to increase small intestine absorption of calcium and phosphorus, and also weakly increases skeletal resorption of calcium and phosphorus, as well as kidney reabsorption of calcium [9].
In adults, normal phosphate concentration in serum or plasma is 2.5 to 4.5 mg/dL (0.81 to 1.45 mmol/L) [10]. Hypophosphatemia is defined as serum phosphate concentrations lower than the low end of the normal range, whereas a concentration higher than the high end of the range indicates hyperphosphatemia.
A phosphate in blood test may be used to: Diagnose and monitor kidney disease and bone disorders. Diagnose parathyroid disorders. Parathyroid glands are small glands located in the neck.
