Does fasting in Ramadan increase the risk of developing urinary stones?

Mahayni, Abdullah; Alkhateeb, Sultan; Abusaq, Ibrahim H.; Mufarrih, Abdullah A. Al; Jaafari, M.; Bawazir, Amen

doi:10.15537/smj.2018.5.22160

Cited by 17 publications

(18 citation statements)

References 5 publications

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“…On the other hand, there is controversy between studies about the risk of dehydration in Ramadan in developing renal stones (43). The results of 237 patients (retrospective cross-sectional study) showed that fasting in Ramadan does not increase the risk for developing urinary tract stones compared to non-fasting months (44). Ultimately, much remains to be learned about fasting of religious or intermittent; however, the positive findings to date serve to encourage promising our hypothesis in this paper.…”

Section: What Are the Undesirable Effects Of Fasting?mentioning

confidence: 83%

Fasting may be an alternative treatment method recommended by physicians

Armutçu

2019

Electron J Gen Med

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Objective: Fasting is a practice found in many cultures both ancient and modern. Although, fasting (religious or otherwise) causes many physiological, biochemical, metabolic and spiritual changes in the body, there is no clear scientific consensus on its beneficial effects on health. Also, despite the popularity and potential promise of therapeutic fasting as a preventive measure, little is known about the prevalence of therapeutic fasting use. This study was performed to discuss whether could fasting be part of wellness? Method: It is reviewed lately conducted studies in regarding the impact of fasting or Ramadan fasting on health. It was searched, MEDLINE/PubMed and Google Scholar databases by using 'Fasting', 'Ramadan fasting' and 'Intermittent fasting' as keyword (publications between 2005 and 2018). Discussion and Conclusion: Research-based molecular and clinical studies on Ramadan and other fasting methods agree that fasting has positive effects on human health. Fasting lead to better metabolic health by reducing inflammation and oxidative stress. Fasting therapy may contribute to the treatment and prevention of chronic diseases including cardiovascular diseases, cancer, diabetes, and neurological disorders. It can be said fasting would take place in physician recommendations as a complementary treatment method in the near future.

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Section: What Are the Undesirable Effects Of Fasting?mentioning

confidence: 83%

Fasting may be an alternative treatment method recommended by physicians

Armutçu

2019

Electron J Gen Med

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“…It is possible that the stones developed during Ramadan fasting as hypersaturation of serum uric acid could occur during fasting even among healthy individual. However, in one retrospective study involving 237 urinary tract stone patients, (Al Mahayni et al, 2018) did not find significant difference in the frequency of urinary stones between Ramadan and non-Ramadan month. However, fasting in Ramadan is associated with double risk to present with stone at the ureter compared to other location (Abdullah Al Mahayni, 2018).…”

Section: Case Reportmentioning

confidence: 90%

Acute Kidney Injury During Fasting in Ramadhan in a Patient With Ephrolithiasis – A Case Report

Basri¹,

Shalihin²

2020

MJMR

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Ramadhan fasting is a religious obligation for every Muslim since the era of Prophet Muhammad (peace upon him). Not only as a symbol of worship and obeying the command of the Creator, but it is also found to provide several health benefits. However, some patients might develop complications while observing Ramadan fasting, especially those with pre-existing medical condition or patient who is on certain medications. We would like to report a patient with gouty arthritis without a prior diagnosis of renal disease who was taking a urate-lowering agent and nonsteroidal anti-inflammatory drugs (NSAIDs) and presented to us with acute renal impairment during Ramadan fasting. Luckily, his renal function was improved with rehydration and cessation of NSAIDs. This case highlights the possible renal complication of Ramadan fasting among patient who takes regular NSAIDs and does not consume adequate fluid during sahur and breaking fast. Thus, identification and proper counselling of a patient with regular consumption of NSAIDs is vital before Ramadan begins.

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“…This observance is not very likely to negatively affect a healthy individual, however, there may possibly be adverse effects among individuals with a history of nephrolithiasis. Several studies have explored the effect of observing the fast during Ramadan on the number of emergency room (ER) admissions due to renal colic (RC) [4][5][6][7][8] .…”

Section: Ermentioning

confidence: 99%

A single day fasting may increase emergency room visits due to renal colic

Zilberman

Drori

Shvero

et al. 2021

Sci Rep

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We aimed to explore whether a single-day of fasting (SDF) increase emergency room (ER) visits due to renal colic (RC). We elected to concentrate on Yom-Kippur (i.e.: SDF), the holiest day in Judaism. Food and liquid consumption is prohibited during this day for 25 h, and an estimated 50–70% fasting rate is observed. SDF always takes place between mid-September and mid-October during which the temperature in the Middle-East ranges between 19 and 30 °C. ER visits for RC between 01/2012 and 11/2019 were reviewed, and the Gregorian days on which SDF occurred were retrieved. The number of ER visits for RC was compared between SDF and the surrounding days/months as well as to another single-day "standard" holiday (SDSH) that precedes SDF in 10 days and is not associated with fasting. Of 11,717 ER visits for RC, 8775 (74.9%) were males. Male:Female ratio was 3:1. The mean daily number of ER visits for RC during the 3 days following SDF was 6.66 ± 2.49, significantly higher compared with the mean annual daily visits (4.1 ± 2.27, p < 0.001), the mean daily visits during the week prior to SDF (5.27 ± 2.656, p = 0.032), and the mean daily visits during September (5.06 ± 2.659, p = 0.005), and October (4.78 ± 2.23, p < 0.001). The mean number of ER daily visits for RC during the 3 days following SDSH, 5.79 ± 2.84, did not differ compared with the mean daily visits during September and October (p = 0.207; p = 0.13, respectively). It was lower compared to SDF, however statistically insignificant (p = 0.285). A single-day fasting may increase ER visits for RC. The mechanism underlying this phenomenon is unknown.

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Does fasting in Ramadan increase the risk of developing urinary stones?

Cited by 17 publications

References 5 publications

Fasting may be an alternative treatment method recommended by physicians

Fasting may be an alternative treatment method recommended by physicians

Acute Kidney Injury During Fasting in Ramadhan in a Patient With Ephrolithiasis – A Case Report

A single day fasting may increase emergency room visits due to renal colic

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