Bone Disease

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Bone disease in dialysis and Chronic Kidney Diseases is called Renal Osteodystrophy. This is a medical term that means abnormal bone caused by kidney disease.  The signs & symptoms of Renal Osteodystrophy are; bone pain, thin bones, fatigue, increased risk for fractures, hardening of the arteries, increased risk for heart disease, muscle weakness causing   difficulty with stairs, and joint pain.  This disorder presents early in Stage III of Chronic Kidney and is diagnosed by blood tests to determine your Phosphorus, Calcium, Vitamin D and Parathyroid Hormone level.  The National Kidney Foundation has published guidelines that your doctors follow to treat your bone disease.  The diagnosis of Renal Osteodystrophy is made clinically and by laboratory tests.  The parathyroid hormone, calcium, and phosphorus, and GFR are essential to making this diagnosis.   To help your doctors achieve the best possible outcome for you and your family, it is important to follow a low phosphorus diet and take your binders as prescribed.  We aim to achieve a blood Phosphorus concentration of less than 4.5, Vitamin D level of > 30, and a Parathyroid Hormone level to a goal based on your stage of Chronic Kidney Disease. We treat this disorder in attempt to further decrease your risk of developing a heart attack and other complications of Renal Osteodystrophy such as broken bones.  If you have Chronic Kidney Disease and have not been screened for Renal Osteodystrophy, please schedule an appointment with the Kidney and Hypertension Institute of Utah.