Can kidney diseases patients fast without affecting their health?
Not every holistic patient is forbidden to fast, and not every holistic patient is permitted to fast the whole of Ramadan
A lot of questions are asked from patients regarding fasting, as for an example some patients are allowed to fast if taking necessary precautions while other patients are not allowed to fast because fasting in their condition may cause harm to their kidney functions
Other patients are recommended day by day, kidney disease patient in the early stages, which is conservative in taking medications and committed and I as a physician understand his condition and will guide him or her with instructions as a doctor.
I will allow him to fast, but with continuous follow-up.
It is recommended that the patient must visit the doctor before Ramadan, which is the period of preparation in which the patient performs the necessary analysis to determine the stage of kidney disease and we organize and re-arrange the medications according to the time of breaking the fast and suhoor and we press the medication schedule during this period and exclude the medications that can harm the kidney In the period of fasting.
And of course, in the presence of the Corona virus and curfew.
We start giving advice that applies to every kidney disease patient
- Try to drink enough water between the time of breaking the fast and suhoor
- Keeping Iftar once it is allowed and don’t delay
- Delaying suhoor until the last time
- If the body does not store enough water, it is possible to dispense diuretics
or reduce the amount of intake. And if it’s not allowed to dispense diuretics, it must be taken at the time of breaking the fast, not at the time for suhoor, in order not to lose a large amount of fluids during fasting, because this may lead to dehydration.
- A diabetic patient must follow his medication instructions, the dosage and time of the medication must be adjusted by the specialist doctor because the sugar blood level affects very much the kidney functions.
- On the other hand, another diabetic patient who suffers from diabetic nephropathy because of diabetes, it is very important to measure the blood sugar level daily and if the blood sugar level is less than 70 or more than 300, he will have to break his fast immediately in order to take his medications.
- At certain stages of nephropathy or chronic kidney disease that are the late stages which are unresponsive to treatment or intake conservative treatment.
We advise him NOT to fast because at this stage it will cause dehydration and at breaking the fast, the patient will eat Ramadan foods full of potassium, phosphorous and sodium, and this can be lead to kidney function impairment.
It is known that, during the dialysis period of 3 to 4 hours, and the patient knows very well that he is taking half a liter of solution or more. Thus, solutions are included under breaking the fast.
If his condition allows fasting, he can fast days when he does not have dialysis
As for kidney transplant patients, we advise them not to fast and to take medication regularly.
Because fasting can cause dehydration, which will negatively affect kidney function.
It is necessary to take into account the determination of the stage of the patient with renal impairment because each stage has its requirements during fasting.
Finally, we wish you a blessed month of Ramadan.