ألم شديد في البطن بعد الفطار في رمضان: الصيام ولا طريقة الفطار؟ | Severe Abdominal Pain After Iftar: Is It Fasting or How You Break Your Fast?
المرارة والقرحة في رمضان | Gallbladder and Ulcers in Ramadan
ألم البطن الشديد بعد الفطار في رمضان غالبًا مش سببه الصيام نفسه، لكن الجفاف والفطار التقيل مرة واحدة. د. محمد حسام زيدان بيشرح إن الجفاف والدهون ممكن يزوّدوا نوبات مغص المرارة عند اللي عندهم حصوات (Gallstones)، وممكن تتطور لالتهاب شديد في المرارة أو القنوات المرارية، وده لوحظ إنه بيزيد في رمضان. ولو الألم بيتكرر بعد الأكل، رمضان فرصة لتقييم الحالة وقرار استئصال المرارة بالمنظار بدل ما تتحول لطوارئ. وبيحذّر إن الألم الشديد المستمر مع القيء ممكن يكون قرحة منفجرة، ودي حالة طارئة فورًا. | Severe abdominal pain after iftar is usually caused not by fasting itself but by dehydration and a heavy meal all at once. Dr. Mohamed H. Zidan explains that in people with gallstones, dehydration and fatty food can trigger attacks of biliary colic that may progress to severe inflammation of the gallbladder or bile ducts, something studies have noted increases during Ramadan. If pain keeps coming back after meals, Ramadan is a good time to assess the gallbladder and plan laparoscopic removal before it becomes an emergency. He warns that severe, persistent pain with ongoing vomiting may be a perforated ulcer, which needs emergency care immediately.
Key Takeaways
Full Transcript
Wishing you all a blessed Ramadan. The problem was never fasting itself; the problem is always dehydration or a heavy iftar all at once. If you have gallstones, dehydration and fatty food can increase attacks of colic, and unfortunately this can progress to severe inflammation of the bile ducts or the gallbladder, something many studies have noted increases during Ramadan. So that your condition doesn't turn into an emergency, if the pain keeps coming back after meals, Ramadan is a very good opportunity to assess your case and decide whether it's best to remove the gallbladder laparoscopically, rather than wait for the inflammation to land us in the emergency room. Most importantly, if you have severe abdominal pain that won't go away, especially with ongoing vomiting, it may unfortunately be a perforated ulcer, which is an emergency in its own right. Perforated ulcers increase during Ramadan because of poor nutrition and not drinking enough fluids. But don't worry: if for any reason you feel these symptoms, call our emergency number. Ramadan has begun.