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Discharge Instructions for Hyperphosphatemia (Pediatric)

Your child has been diagnosed with hyperphosphatemia. This means there is too much phosphorus in your child’s blood. Phosphorus is needed by the body to grow bones and teeth. It also helps control energy metabolism. But too much can be harmful. Below are instructions for how to care for your child at home. 

Diet Changes

  • Have your child drink 2-3 quarts of fluid every day.

  • Keep track of how much fluid your child drinks.

  • Do not give your child food or drink that contains phosphorus or phosphate additives. Read food labels. Consult a dietitian or ask your child’s doctor for a list of foods that are safe for your child.

  • Limit your child’s intake of dairy foods to 1-2 small servings each day. These foods include milk, cheese, cottage cheese, yogurt, and ice cream.

  • Limit your child’s intake of meat, fish, poultry, eggs, and nuts.


  • Tell the doctor about all medications your child takes. This includes over-the-counter medications, supplements and herbs.

  • Give your child all prescribed medications as directed.

  • If instructed, give your child phosphorus-binding antacids with meals. These stop the phosphorus in food from being absorbed.

  • Do not give your child any medications that contain phosphorus. These include laxatives, enemas, and supplements. Read labels. If you are unsure what is safe to give, ask the doctor first.


  • Make a follow-up appointment as advised by our staff.

  • Keep all appointments. Your child’s health will need to be watched closely, especially if he or she has kidney problems.

Call the doctor right away if your child has any of the following:

  • Nausea or vomiting

  • Diarrhea

  • Constipation that lasts longer than 2 days

  • Chest pain

  • Trouble breathing


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