Which Diseases Should Be Careful About When Fasting?

Ramadan Month: Fasting and Medical Considerations

As we reach the month of Ramadan, many patients are requesting medical permission on whether it is appropriate for them to fast due to their existing illnesses. At this point, it is important to describe in which situations fasting is medically inappropriate.

As the first group, severe diabetic patients and individuals dependent on insulin can be considered. Fasting for these individuals should be evaluated as medically risky; because due to the medications used, there is a risk of encountering sudden shocks or problems such as hypoglycemia.

Secondly, fasting for patients who have undergone bariatric surgery due to obesity, and have had a large part of their stomach removed, can also be seen as medically risky. It is thought that eating suddenly after prolonged fasting could lead to serious problems.

The third risk group consists of gallbladder patients. In individuals with gallstones, strong meals consumed after prolonged fasting can cause gallbladder contractions and consequently acute gallbladder crises.

Furthermore, in patients undergoing severe ulcer treatment, the increase in stomach acid due to prolonged fasting can be associated with serious complications such as stomach bleeding or stomach perforation. In addition to these groups, individuals with cardiovascular diseases also need to be cautious.

Apart from the mentioned conditions and recent operations, if attention is paid to the recommended practices during iftar and sahur, there is no medical impediment for most people to fast. In cases such as moderate diabetes or hypertension, it is thought that fasting can be possible by adjusting medication schedules in consultation with a doctor. If attention is paid to behavior during iftar and sahur, the process can also provide health benefits.