The conversation between human and AI assistant.
[|Human|] My dad is a diabetic since 20 yrs and a CKD patient since last 5 yrs. His Creatinine level is around 6.5 since last 3 yrs. He is not on dialysis . However recently he has severe problems with his limb movements and a swollen face with his phosphorous levels have gone high to 7. Can you recommend something.
[|AI|]  Welcome to Chat Doctor I am concerned about 2 things: 1. High phosphate levels.2. The limb movements which could be from neuropathy secondary to renal failure.  High phosphate levels can be corrected by Phosphate binders. They include calcium carbonate and calcium acetate. They will decrease the phosphate by binding to phosphate in the gut. Because they also increase your calcium levels, they should be guided by your MD after carefully looking at the serum calcium levels. If the weakness in limb is getting worse he might need dialysis. Fluid over load can be corrected with diuretics. If the load is not controlled with diuretic medicines, then he needs dialysis. 
