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

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

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Abstract

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.

Item Type:	Article (Case Report)
Additional Information:	6934/81609
Uncontrolled Keywords:	Renal Function, Renal Ultrasonography, Ephrolithiasis.
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RT Nursing
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011)
Depositing User:	Dr Mohd Shaiful Ehsan Shalihin
Date Deposited:	20 Jul 2020 13:01
Last Modified:	13 Nov 2020 10:32
URI:	http://irep.iium.edu.my/id/eprint/81609

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