Phosphate nephropathy
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
Phosphate nephropathy | |
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Synonyms | |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Acute kidney injury, electrolyte imbalance |
Complications | Chronic kidney disease, end-stage renal disease |
Onset | |
Duration | |
Types | |
Causes | Oral sodium phosphate bowel preparations |
Risks | Dehydration, advanced age, hypertension, chronic kidney disease |
Diagnosis | Serum creatinine levels, urinalysis, renal biopsy |
Differential diagnosis | Acute tubular necrosis, interstitial nephritis |
Prevention | Adequate hydration, avoiding high-risk bowel preparations |
Treatment | Discontinuation of phosphate intake, supportive care |
Medication | |
Prognosis | Variable, can lead to chronic kidney disease |
Frequency | Rare |
Deaths |
Phosphate Nephropathy is a medical condition characterized by the damage to the kidneys due to high levels of phosphate in the body. This condition is often associated with the use of oral sodium phosphate solutions, which are commonly used for bowel cleansing prior to colonoscopy.
Causes
Phosphate Nephropathy is primarily caused by the ingestion of oral sodium phosphate solutions. These solutions are often used for bowel cleansing prior to procedures such as a colonoscopy. The high levels of phosphate in these solutions can lead to the deposition of calcium phosphate crystals in the renal tubules, causing damage to the kidneys.
Symptoms
The symptoms of Phosphate Nephropathy can vary greatly depending on the severity of the condition. Some individuals may not experience any symptoms, while others may experience symptoms such as:
- Fatigue
- Weakness
- Shortness of breath
- Confusion
- Nausea
- Vomiting
Diagnosis
Diagnosis of Phosphate Nephropathy typically involves a combination of medical history, physical examination, and laboratory tests. Laboratory tests may include blood tests to measure the levels of phosphate and creatinine in the blood, as well as urine tests to check for the presence of calcium phosphate crystals.
Treatment
Treatment for Phosphate Nephropathy primarily involves managing the symptoms and preventing further kidney damage. This may include dietary modifications to reduce phosphate intake, medications to control blood phosphate levels, and in severe cases, dialysis or kidney transplantation may be required.
Prevention
Prevention of Phosphate Nephropathy involves avoiding the use of oral sodium phosphate solutions for bowel cleansing, especially in individuals with risk factors such as advanced age, pre-existing kidney disease, or dehydration.
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Contributors: Prab R. Tumpati, MD