Phosphorus Turn-Around Time

[Mizar]

Well, this is Weird. I just looked at my Husbands, Monthly, ( Report Card ) and His Phosphrous Level is so High, it's off the Chart and into the Margin of the Paper. I asked Him, If He, ever has Itching, and He said, " No "  and looked at Me, like I was Crazy. I try so hard to understand, these Symptoms, but they seem to differ, so much, from Person to Person.

[JScott1753]

  When my fistula started to give up last December, my phosphorus started creeping up. They started me on calcium acetate(think that was it) for my binders. And raised treatment time from 3 hrs. to 4 hrs.
  Second month in, I was changed to Renegel, since that was what the pharmacy had changed to.
   Got a real lesson this month when, after a phos. of 7 last month, I really made sure to take the binders, including an extra one with meals if there were any high phos. foods(taking 4 instead of 3).
  Results? In my labs last week, I had gone from phos. reading of 7 to 4.6(4.5 being midpoint of "good range").
  Hopefully, keeping this up a month or two more will get treatment time back to 3 hours!
  So, a change can be made in a month.
  Jon

[*kana*]

Well, this is Weird. I just looked at my Husbands, Monthly, ( Report Card ) and His Phosphrous Level is so High, it's off the Chart and into the Margin of the Paper. I asked Him, If He, ever has Itching, and He said, " No "  and looked at Me, like I was Crazy. I try so hard to understand, these Symptoms, but they seem to differ, so much, from Person to Person.

Mine was 8.5 and I didnt itch at all.  I did notice my eyes were dry but thats it. 

[Hanify]

Mizar what was the phos level?

[Mizar]

Hanify, His Chart, only goes to 7.0 and His Score, was Way Beyond that, Right at the Margin of the Paper, like They, had to put down Something. I Asked Him, about the Itching, the Dry Eyes and He says " No, Nothing of the sort "  He's Symptomless! I don't know if that's a Good thing or a Bad thing. 

[galvo]

After 3 weeks on Dialysis, and a month on a binder, my phosphorus went from 2.26 to 1.22. This is based on a range of mmol/L 0.75 to 1.40. So, bad to perfect very quickly. I nave also been following my renal diet pretty closely.

[RichardMEL]

great work! It does show that being good with binders and the diet can affect your labs quite dramatically. That's sensational!!!

 

[amanda100wilson]

If your phosphate level is out of wack for a prolonged length of time, it will result in your parathyroid gland kicking out more parathyroid hormone which will also effect your phosphate level.  the long term effect of having the parathyroid gland work overtime is that it enlarges in size, which causes it to kick out more PTH which causes more abnormality in the calcium/phosphorous levels in the blood, essentially a vicious circle, alleviated either by a parathyroidectomy or taking sensipar to chemically control it.  Your situation may just be too much phosphorous in, not enough being taken out by dialysis.  My phosphorous and calcium have been high recently and it took adjustments on my dose of sensipar and on my alphicacidrol to get my PTH and also by calcium and phosphorous down.