INCREASE IN THE INCIDENCE OF RELAPSE OF URETHRAL SYNDROME IN WOMEN IMMEDIATELY AFTER RAMZAN
Hon. Visiting Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
Sometime back, I wrote in this journal an article on the effect of fasting during Ramzan on different diseases. 
As discussed in the previous issue of this journal  one of the main causes of recurrence or exacerbation of urethral syndrome is "diminished fluid intake". In the last few years, I have been noticing that immediately after Ramzan the incidence of relapses of urethral syndrome rises very much. Also the timing for observance of Ramzan changes. It comes earlier every year. This year when it was in April, which is one of the hottest months, the excessive sweating also became an additional contributory factor. With the result, I saw the highest number of Muslim women presenting with symptoms of urethral syndrome this year.
What advice can be given to them in future ?
May be they should be told to drink a litre of water early in the morning before they start fasting and in the evening when they break their fast and continue drinking a large quantity of water throughout the night. Also affording patients would be told to spend their day in an air-conditioned room where there is less sweating.
1. Kapoor OP. Modification in drug dosage schedule in the holy month of Ramzan, Bombay Hospital Journal. 1988; 30: 15.
2. Kapoor OP. Urethral syndrome in India. Bombay Hospital Journal. 1990; 32 (1): 115.
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