Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report

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 ob...

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Main Authors: Shalihin, Mohd Shaiful Ehsan, Mukhali, Hassan Basri
Format: Article
Language:English
Published: Asia Pacific Higher Learning Sdn Bhd., Lincoln University College, Malaysia 2020
Subjects:
Online Access:http://irep.iium.edu.my/81609/
http://irep.iium.edu.my/81609/1/81609_Acute%20kidney%20injury%20during%20fasting%20in%20Ramadhan_article.pdf
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author Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
author_facet Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
author_sort Shalihin, Mohd Shaiful Ehsan
building IIUM Repository
collection Online Access
description 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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institution International Islamic University Malaysia
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language English
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publishDate 2020
publisher Asia Pacific Higher Learning Sdn Bhd., Lincoln University College, Malaysia
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spelling iium-816092020-11-13T02:32:00Z http://irep.iium.edu.my/81609/ Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report Shalihin, Mohd Shaiful Ehsan Mukhali, Hassan Basri R Medicine (General) RA Public aspects of medicine RC Internal medicine RT Nursing 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. Asia Pacific Higher Learning Sdn Bhd., Lincoln University College, Malaysia 2020-07 Article PeerReviewed application/pdf en http://irep.iium.edu.my/81609/1/81609_Acute%20kidney%20injury%20during%20fasting%20in%20Ramadhan_article.pdf Shalihin, Mohd Shaiful Ehsan and Mukhali, Hassan Basri (2020) Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report. Malaysian Journal of Medical Research, 4 (3). pp. 11-14. ISSN 2550-1607 https://ejournal.lucp.net/index.php/mjmr/article/view/1134 10.31674/mjmr.2020.v04i03.003
spellingShingle R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
RT Nursing
Shalihin, Mohd Shaiful Ehsan
Mukhali, Hassan Basri
Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title_full Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title_fullStr Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title_full_unstemmed Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title_short Acute kidney injury during fasting in Ramadhan in a patient with nephrolithiasis – a case report
title_sort acute kidney injury during fasting in ramadhan in a patient with nephrolithiasis – a case report
topic R Medicine (General)
RA Public aspects of medicine
RC Internal medicine
RT Nursing
url http://irep.iium.edu.my/81609/
http://irep.iium.edu.my/81609/
http://irep.iium.edu.my/81609/
http://irep.iium.edu.my/81609/1/81609_Acute%20kidney%20injury%20during%20fasting%20in%20Ramadhan_article.pdf