Dehydration, late-night eating, fried, spicy foods triggering abdominal pain, diarrhea, UTIs
KARACHI:
A rise in cases of abdominal pain, diarrhea, and urinary tract infections (UTIs) is being observed at hospitals in the metropolis with the start of the holy month of Ramazan, as doctors warn that dehydration and excessive consumption of fried or spicy foods can trigger digestive and kidney problems.
Dr Imran Sarwar, In-Charge of the Emergency Department at Civil Hospital Karachi, told The Express Tribune that the emergency wing has seen a visible increase in patients with vomiting, diarrhea, and loose motions. “The number of gastroenterology patients began rising even two days before Ramazan,” he added.
While occasional consumption of samosas and pakoras is not prohibited, Dr Sarwar advised moderation. “Many patients consume six-hour-old foods or eat Iftar items late at night. Some recover after medication in four to six hours, while others require hospitalisation,” he added.
Dr Sarwar said that dehydration from vomiting and diarrhea can sometimes lead to acute renal failure, requiring careful rehydration and electrolyte management. Patients are advised to drink plenty of water during Suhoor and Iftar, and include hydrating foods like yogurt, lassi, watermelon, and cucumber, while avoiding excessively hot or spicy meals.
He cited a recent case where a patient developed acute renal failure after consuming hours-old biryani. “Rice prepared early in the afternoon and packed for Iftar distribution can adversely affect the stomach,” he warned.
Dr Anila, an emergency resident at JPMC, said that the number of patients with abdominal discomfort and gastroenteritis increases by 5-7% during Ramazan. Patients often report upper abdominal pain, burning below the chest or above the navel, known as epigastric discomfort. She attributed the surge to excessive fried food intake during Iftar, especially after the second day of fasting.
Dr Mehreen Urooj, a nephrologist at Sir Syed Hospital, reported a rise in urinary tract infections during Ramazan. Patients frequently complain of pain and burning while urinating, sometimes accompanied by kidney pain.
She said that dehydration and concentrated urine in people performing fieldwork increase the risk of bacterial growth. Diabetic patients, those with kidney problems, those with kidney stones, and the elderly are particularly vulnerable.
To prevent UTIs, Dr Mehreen advised drinking ample water during Suhoor and Iftar, using oral rehydration solution (ORS) in small amounts for field workers, and avoiding salty or highly spiced foods. She added that UTI cases generally increase by around 30% during Ramazan.
Medical practitioners urge citizens to take preventive measures, stay hydrated, and consume food in moderation to avoid hospital visits during the holy month.

