Ramadan 2024 and Dialysis : A Fast Possible but Under Strict Conditions

The sacred month of Ramadan began on March 12, 2024, in Cameroon. While fasting is a pillar of Islam, individuals undergoing dialysis must exercise caution and consult their doctor before engaging in this practice.

By Jean Besange Mangam

Dr. Oumarou Moussa, a nephrologist and head of the hemodialysis center at the Regional Hospital of Ngaoundere, emphasizes that fasting is a religious obligation for every healthy adult Muslim. However, he specifies that “dialysis patients suffering from chronic diseases such as diabetes or chronic kidney failure are an exception and must consult a doctor before fasting.”

Fasting alters the timing of medication intake, which can disrupt the therapeutic balance and expose patients to increased risks. Among the potential complications, Dr. Moussa mentions dehydration, hypoglycemia, fatigue, and even more serious complications.

Dr. Moussa also highlights the significant role of the season. “Fasting during the dry and hot season, as it is currently, is more challenging for dialysis patients than during a milder season,” he explains. “Other factors such as age, weight, and the severity of the disease can also influence a patient’s ability to fast safely.”

Medical monitoring is crucial for dialysis patients wishing to fast during Ramadan. “Before the start of Ramadan, we assess the health status of each patient and discuss the risks and benefits of fasting with them,” explains Dr. Moussa. “During Ramadan, we carefully monitor their health status and adjust treatments if necessary.”

Fasting during Ramadan is possible for dialysis patients, but only if their health condition permits and subject to strict conditions. Rigorous medical monitoring and close collaboration with the medical team are essential to prevent complications and ensure the patient’s safety.