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Hypocalcemia In End Stage Renal Disease

hypocalcemia in End Stage Renal Disease

Hypocalcemia refers to low calcemia in blood, and it is a common complication of End Stage Renal Disease (ESRD). In cases of ESRD, uncontrolled hypocalcemia will further health issues, so it is necessary to learn about it in advance, so that we can know how to cope with it.

How is hypocalcemia linked with End Stage Renal Disease?

End Stage Renal Disease (ESRD) refers to the dysfunction of kidney, which can be caused by many conditions like years of uncontrolled Diabetes, persistent high blood pressure, severe dehydration and infection. With ESRD, we run high risk for hypocalcemia because:

1. Disturbance of calcium and phosphorus

Kidney is responsible for electrolyte balance. However, in ESRD, kidneys can not do this job any more, as a result, electrolyte disorder appears. Damaged kidneys can not remove excess phosphorus out of the body, which stop our body from getting necessary calcium. Consequently, hypocalcemia occurs.

2. Strict diet limitation

With End Stage Renal Disease, we need to stay far away from many foods, which may lead to low calcium intake. This increases risk for hypocalcemia.

3. Metabolism disorder of vitamin D

In cases of ESRD, the synthesis of 1.25(OH)2 D3 decreases. 1.25(OH)2 D3 can help our body absorb calcium, so when there is problem about the synthesis of 1.25(OH)2 D3, hypocalcemia appears easily.

What to do if hypocalcemia is caused by our kidney problem?

The normal serum calcium is 8.5 to 10.5 mg/dl or 2.2-2.6mmol/L. Hypocalcemia is diagnosed when calcium level in blood is lower than 2.2mmol/L. Mild hypocalcemia is not life-threatening at all, but if we leave it alone, it will become more and more severe and at that time, lots of health issues will be caused. Well, what to do if it is caused by ESRD?

1. Increase calcium intake: High calcium foods are recommended to supply calcium to blood.

2. Limit phosphorus intake: Hypocalcemia becomes more and more serious with the elevation of phosphorus level in blood. Therefore, foods rich in phosphorus should be avoided to limit phosphorus intake. If phosphorus level in blood can not be reduced with daily diet, oral medicines are needed.

3. Calcium supplement is also a way to alleviate hypocalcemia.

4. Restore of kidney function: In cases of ESRD, the root cause of hypocalcemia is impaired kidney function, so if we want to get this problem cured fundamentally and permanently, we need to firstly restore kidney function.

Hypocalcemia is not the only complication of End Stage Renal Disease. Besides it, there are some others like heart failure, hyperkalemia and renal anemia. If you are interested in learning more about them, please leave us message or consult online doctor directly.

Tag: ESRD Treatment ESRD Complications

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