You thought you had your fasting routine figured out, but your blood pressure seems to have a mind of its own. The dizziness, the pounding headaches, and the feeling of weakness throughout the day are all signs that your hypertension isn’t handling the fast as well as you’d hoped.
You’re not alone. Many people with high blood pressure struggle with maintaining stability during Ramadan, and without the right approach, fasting can become a challenge rather than a spiritual reset. If you Google the term ‘Neurologists in Dubai’ you would find opinion pieces shedding light on how the brain and nervous system respond to shifts in hydration, metabolism, and stress levels when you fast.
Why does fasting affect your blood pressure?
I’m sure this isn’t news to anyone. Everyone knows that when you fast, your body undergoes multiple changes that can impact blood pressure. The sudden shift from regular meals to long periods without food forces your body to rely on stored energy, and this can cause fluctuations in BP levels. For some, fasting may actually lower blood pressure, but for others, especially those already on hypertension medication, it can lead to dangerous spikes or drops.
Dehydration is one of the biggest culprits. During fasting hours, many people forget to drink enough water, leading to reduced blood volume and a subsequent drop in blood pressure. But then there’s the other extreme: breaking fast with salty, fried, or overly processed foods, which can cause an instant spike. The key to managing this delicate balance is understanding how your body reacts and making adjustments accordingly.
Hydrate smartly and make the right food choices.
Most people don’t drink enough water between Iftar and Suhoor. If you’re not properly hydrated, your blood pressure can drop significantly, causing dizziness or even fainting. Instead of chugging down a liter at Iftar, space out your water intake throughout the night. Herbal teas and electrolyte-infused drinks can also help maintain balance without causing bloating.
And when it comes to food, everyone knows that breaking your fast with dates and water is tradition, but what comes next matters even more. If your meal is loaded with high-sodium foods, you’re setting yourself up for trouble. Opt for potassium-rich foods like bananas, spinach, and avocados, which help counteract sodium’s effects. Whole grains, proteins, and healthy fats will also keep your blood pressure in check without causing unnecessary spikes.
Adjust medication if needed.
This is where things get tricky. If you’re on hypertension medication, fasting can interfere with your dosage schedule. Many people assume they can simply take their usual morning pill at Suhoor, but timing and type of medication play a huge role. Some medications have extended-release formulas that may need adjustments. Consulting an ENT in Dubai or a general physician before Ramadan can help you create a medication plan that works with your fasting routine rather than against it.
Sleeplessness and stress can make it worse – as we all know.
Sleep deprivation can raise blood pressure levels, and with altered Ramadan schedules, many people don’t get enough rest. Aim for at least seven hours of sleep per night, and if possible, take short naps to counteract fatigue. Stress management can also help, and you can opt for activities like meditation, deep breathing, and even light physical activity like walking after Iftar to help regulate your BP and keep it stable.
A practical Ramadan routine for hypertension patients:
- Suhoor: Start with hydrating foods like cucumbers and yogurt. Avoid processed meats and overly salty dishes. Whole grains and proteins will keep your energy stable throughout the day.
- During the fast: If you start feeling lightheaded, sit down and breathe deeply. Don’t rush through activities that require too much exertion.
- Iftar: Break your fast with water and dates, followed by a meal rich in vegetables, proteins, and healthy fats. Limit caffeine intake, as it can dehydrate you further.
- Post-Iftar: Drink water steadily until Suhoor. If possible, go for a light walk to aid digestion and circulation.
Seek professional help!
For those with severe hypertension or fluctuating blood pressure levels, a personalized plan is essential. Medical professionals can assess your condition and make necessary modifications to your diet, medication, and hydration strategies. A consultation with an endocrinologist can provide insights into whether your body’s hormonal balance is affecting your blood pressure regulation. In some cases, underlying issues like insulin resistance or adrenal dysfunction can make fasting more challenging, requiring a more tailored approach.
Your health should always come first, so take the necessary precautions, listen to your body, and don’t hesitate to reach out to a professional if you need guidance. After all, Ramadan is about more than just abstaining from food; it’s about nourishing your body and soul in a way that supports your well-being.