Mini-Symposium: Ramadan Fasting and The Medical Patient: An Overview for Clinicians

摘要: The day time fasting of Ramadan is observed annually by millions adult Moslems all over the world. Some may have mild, moderate or severe medical conditions. They seek advice on feasibility and safety and/or their management. Physicians ought to a working knowledge about religious rules fast implications. In this article we present concise summary proceedings series symposia. Their objectives were review effects health Moslem patients with various chronic conditions propose practical management strategies. An initial introductory Islamic perspective sets scene for following presentations. rulings excluding acute from highlighted. roles professional in guiding best ways make informed decisions feast safely stressed. Available evidence published literature clinical practice was reviewed guidance covering major body systems given. Generally speaking, possible most stable chronically ill under supervision. effect issues should be explained well ahead starting holy month. Counselling use medications as suitability undertake step care patients. observations cover spectrum affecting systems. These include renal, hematological cardiac, neurological, rheumatologic, gastroenterological, endocrine drug therapy during Ramadan. Changes parameters functions healthy people non renal minimal, insignificant remained within normal range. Patients hemodialysis could dialysis days. Stable transplant recipients do not seem sustain any risk after first year. No increased stones colic found consistent rise cardiac events Hypertension needs special treatment manipulations. Headache seizures are two neurological relevance fasting. can managed simple measures. Peptic acid disease complications increase long fasting, however peptic reduces risks. Hematological influenced dehydration such sickle better adequate hydration particularly stressful circumstances. Rheumatological usual therapies Diabetes received attention profession obvious reasons. Several expert statements published. Where hypoglycemia hyperglycemia many would advise against controlled regimens low able safely. medication aim at adjusting amount timing administration match calorie intake thus preventing sunset. conclusion, represents challenge alike. Taking an opportunity test cultural-competence services.