Kidney stones, its causes and prevention during month of Ramadan

Kidney stones, its causes and prevention during month of Ramadan

Numerous studies have been developed to study the changes resulting from fasting in our daily healthy life. During the month of Ramadan, there is a drastic change in the life of the fasting person, especially the change in diet and fluid intake Since the body in hot areas and during fasting is less active, and at the same time the evaporation rate of fluids increases, these changes affect the body and the kidneys at the same time, causing pathological changes and disturbances in the physiochemical balance in the kidney as well changes in the hydrodynamic of the urinary tract, these changes induce sedimentation and crystallization of the minerals in the calyxes of the kidneys and then the formation of stones in them, and this only happens if these balance disorders coincide with factors and causes that induce their formation, such as an excessive unbalanced diet, especially in the case of excessive consumption of red meat and dairy milk that contain animal proteins and high degree of Amino acids (tryptamine, phenylalanine, and tyrosine) and as a result of the metabolism of these proteins and phospholipids, phosphorous and sulfuric acid are formed in the urine, causing a rise in acidic hydrogen ions (H +) acidity and the urine reaction becomes acidic, and this helps the growth, sedimentation, accumulation, and formation of uric acid stones, as for plant proteins and their amino acids, the metabolism of the organic acids of these plant fibers it leads to alkaline urine reaction and this helps the growth, precipitation, accumulation, and formation of calcium-oxalate stones in the kidneys but the aforementioned must coincide with pathological reasons that lead to the formation of stones.

The general preventive measures are Fluid intake 2,5-3,0 L/day and neutral pH beverages, and balanced diet rich on vegetables and fiber with normal calcium content 1-1,2 g/day with limited animal protein content 0,8-1,8 g/kg per day and at least lifestyle advice to normalize general risk factors for example. BMI level less than 25, adequate physical activity and balancing of exercise Fluid less. 

Prof. Dr. Semir Al-Samarrai

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