These questions were received following the GKTV Doctors Mic podcasts on heart diseases, featuring Prof. Khurshid Iqbal, Former HOD, Cardiology, SKIMS, and Prof. Muhammad Salim Khan, HOD, Department of Community Medicine, GMC Srinagar, as subject experts. 

Q: I feel extremely thirsty during fasting hours. What am I doing wrong?

A: Most people under-hydrate at sehri. Increase water between iftar and sehri, add soups or fruits, and reduce excess salt, pickles and caffeine.

Q: I get severe headaches during fast. Why does this happen?

A: During fasting, severe headaches are commonly due to dehydration, caffeine withdrawal, low blood sugar, or disturbed sleep. Ensure adequate fluids between iftar and sehri, do not skip sehri, limit tea/coffee and maintain proper sleep. If headaches are persistent or severe, consult your doctor.

Q: I feel very weak by afternoon while fasting. Is this normal?

A: Mild tiredness during fasting can occur, but if you feel marked weakness, easy exhaustion, or inability to carry out routine work, it may indicate inadequate calorie intake at sehri, poor meal quality, anaemia, dehydration, or uncontrolled diabetes. Ensure sehri includes good protein (eggs, milk, curd, pulses), complex carbohydrates (rice) and adequate fluids. Avoid taking only tea and simple carbs in sehri.

Q: I experience acidity and burning after iftar. How can I prevent it?

A: Avoid overeating, fried foods and very spicy meals at iftar. Break fast gently with dates, babribiyol treish and water and light food and eat slowly.

Q: I feel dizzy when I stand during fasting. Should I be concerned?

A: This may be due to dehydration, low blood pressure, or low blood sugar. Rise slowly, hydrate well, and seek medical advice if episodes repeat.

Q: I get constipation during Ramzan every year. What helps?

A: Low fibre and low fluid intake are common causes. Increase fruits, vegetables, oats and water between iftar and sehri; maintain light physical activity.

Q: My blood sugar fluctuates during fasting. What precautions should I take?

A: Never fast without medical advice if diabetic. Monitor sugars regularly, especially before sehri, at noon and before iftari. Avoid heavy sugary iftar meals and adjust medicines only under doctor supervision.

Q: I feel palpitations after iftar. Is it serious?

A: Heavy meals, dehydration, excess caffeine, or anxiety can trigger palpitations. Eat moderate portions and reduce stimulants; persistent symptoms need ECG.

Q: I develop leg cramps at night in Ramzan. Why?

A: Dehydration and electrolyte imbalance (low potassium or magnesium) are common. Increase fluids, bananas, dates in moderation and discuss supplements if needed.

Q: I feel unusually sleepy and unfocused while fasting. What can help?

A: Poor sleep cycle, heavy iftar, dehydration, or low-calorie intake at sehri may be responsible. Maintain sleep discipline and balanced meals.

Most fasting-related symptoms are linked to hydration, meal timing, sleep rhythm and portion control. Smart fasting is safe fasting.

NOTE: These responses are for general awareness, not a substitute for medical advice.

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