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Bone & Mineral Problems

Kingwood Kidney Associates

Board Certified Internal Medicine & Nephrology located in Humble, TX

Your kidneys perform many vital functions, from removing waste and excess fluid from your body to making red blood cells. Your kidneys also help maintain the right mineral levels in your blood. When your kidneys aren’t functioning as they should, you may develop bone and mineral problems. The board-certified Nephrologists, Sowmya Puthalapattu, MD, and Chinonye Ogbonnaya-Odor, MD, at Kingwood Kidney Associates in Humble, Texas, specialize in the diagnosis and treatment of kidney-related bone and mineral problems. To schedule an appointment, call the office or book online today.

Bone & Mineral Problems Q & A

What are bone and mineral problems?

With chronic kidney disease, your kidneys aren’t functioning as they should, which places you at risk of developing bone and mineral problems due to an imbalance in the levels of calcium and phosphorus in your blood. 

Your kidneys are responsible for removing excess phosphorus from your blood. When your kidneys aren’t functioning properly, phosphorus levels buildup. 

In addition to removing phosphorus, healthy kidneys also help make the active form of vitamin D. Too much phosphorus and not enough vitamin D triggers your body to increase the production of parathyroid hormone (PTH), which is the hormone that moves calcium from your bones to your blood. 

Over time, the excess production of PTH causes your bones to lose too much calcium, making them weak and more susceptible to fractures. 

What are the symptoms of bone and mineral problems?

If you have chronic kidney disease, you may not experience any bone and mineral problem symptoms until your bones have been significantly affected. 

Symptoms that may indicate bone and mineral problems include:

  • Bone and joint pain
  • Itchy skin
  • Nerve problems
  • Difficulty recovering from a cold or other infections


In addition to your bone health, bone and mineral problems may also cause heart problems or anemia

How are bone and mineral problems diagnosed?

The experienced team at Kingwood Kidney Associates takes a patient-centered approach to care and conducts comprehensive evaluations to diagnose kidney-related conditions like bone and mineral problems. 

During an exam, your provider asks detailed questions about your symptoms, medical history, diet, and lifestyle. To confirm a diagnosis, they run various tests, including bloodwork, X-rays, or a bone biopsy. 

How are bone and mineral problems treated?

Treatment for bone and mineral problems focuses on preventing further damage to your bones by controlling PTH production. Your treatment plan may include:

  • Diet modification
  • Nutrition supplements
  • Medication to decrease blood phosphorus levels
  • Exercise program


The team may refer you to the on-staff nutritionist to design a personalized nutrition plan to help you avoid high phosphorus foods. 

If needed, the team may recommend dialysis to help clear the excess phosphorus from your blood. In some cases, they may also suggest surgery to remove the parathyroid gland. 

Chronic kidney disease increases your risk of bone and mineral problems that may lead to other health complications. For expert care, contact Kingwood Kidney Associates by phone or book an appointment online today.