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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Advisable To Fast While One Of The Kidney Is Scarred & Atrophic?

Hi,

My right kidney is scarred and is atrophic. according to doctor it is working less than 5%. i am a muslim , will be it be alright for me to fast for 30 days - i can't take water or anything else at all. i will be keeping fast 4 in the morning and breaking it at 8.30 pm in the evening. Can you please help. The left kidney is working fine and is of normal size but right kidney is less than 50mm

Thanks in advance
Mon, 16 Nov 2015
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Nephrologist 's  Response
Hi,
As you have solitary functioning lt kindey, which is normal as you mention. However you not mention the GFR and the cause of damage in the rt kidney, which sometime effect the opposite kidney also.
The fasting will unlikely to affect your kidney keeping that you should avoid exertion or any activity with lead to dehydration and avoid any medication which have renal impact. So a person with normal solitary functioning kidney are just like normal person with two kidney except they have less renal reserve.
Hope, I gave your answer
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Is It Advisable To Fast While One Of The Kidney Is Scarred & Atrophic?

Hi, As you have solitary functioning lt kindey, which is normal as you mention. However you not mention the GFR and the cause of damage in the rt kidney, which sometime effect the opposite kidney also. The fasting will unlikely to affect your kidney keeping that you should avoid exertion or any activity with lead to dehydration and avoid any medication which have renal impact. So a person with normal solitary functioning kidney are just like normal person with two kidney except they have less renal reserve. Hope, I gave your answer