01/03/2025
RAMADHAN AND KIDNEY STONES.
There is limited evidence to suggest that fasting increases the risk of kidney stone formation. Still, fasting patients should monitor water consumption to avoid dehydration. According to current guidelines, patients should attempt to produce 2.5 L of urine output per day, particularly if they have risk factors related for renal stone formation.
While fasting may limit the timing of water consumption, efforts can still be made to ensure adequate intake.
Stay Hydrated: Encourage hydration adequately during non-fasting hours, especially during Suhoor (pre-dawn meal) and Iftar (meal to break the fast)
Balanced Diet: Aim should be to maintain a balanced diet during Suhoor and Iftar, focusing on incorporating a variety of fruits, vegetables, whole grains, and lean proteins. Limit the consumption of foods high in oxalates, such as spinach, nuts, and chocolate, which can contribute to certain types of kidney stones. Additionally, avoid excessive intake of salt and animal proteins, as they can increase urinary calcium and oxalate excretion, potentially promoting stone formation.
Avoid consuming sugary or caffeinated beverages, as they can contribute to dehydration and alter urinary pH, potentially increasing the risk of stone formation.
Dietary Supplements: Add dietary supplements, such as citrate or potassium citrate, to help alkalinize the urine and prevent the formation of certain types of kidney stones, particularly those composed of calcium oxalate or uric acid.
Regular Monitoring: monitoring of urinary symptoms and overall well-being during Ramadan fasting. Seek medical attention promptly if you experience any signs of urinary tract obstruction, such as severe pain, blood in the urine, or difficulty urinating.
