Since it is impossible to avoid all of these foods, it is necessary for caregivers to work with a dietitian to find a healthy way to limit the phosphorus in the child's diet while maintaining a desirable intake of calories and other nutrients necessary to maintain growth and a healthy general condition. In addition to limiting phosphorus in the child's diet, the doctor may recommend a phosphate binder. This type of medicine keeps phosphorus in the bowel so that it does not stop calcium from getting to the child's bones. The phosphorus is then excreted with the child's bowel movements. The child should take the phosphate binder with meals and only according to the doctor's recommendations.
Doctors often recommend calcium supplements for children with kidney disease.
If the calcium supplement is to be used as a phosphate binder, it should be taken with meals. If the calcium supplement is intended to provide extra calcium, it should be taken at least an hour after meals so that it is not absorbed by the food. Another kind of necessary supplement in the management of children with chronic renal disease is the vitamin D hormone. There are different types of vitamin D, and these could be either DHT, calcitriol, or calcifediol. These supplements help the bones absorb calcium and therefore maintain a healthier structure and help somehow in the growth process.