Serum Calcium, Phosphorus, and Magnesium Level During Prolong Hunger Strike

Shrestha SL* , Dahal P**,


INTRODUCTION: The conscious decision to refuse food or fluids to achieve a goal or set of demands. Fasting is a method of protesting injustice. From the medical view, in the first 3 days, the body is still using energy from glucose. Afer that, the liver starts processing body fat, in a process called ketosis. Afer 3 weeks the body enters a starvation mode”. At this point the body “mines” the muscles and vital organs for energy, and loss of bone marrow becomes life-threatening. This was the case of a hunger striker who was admitted in the Bir Hospital. This study was undertaken to see the pattern of changes in calcium, phosphorus and magnesium in prolonging hunger strike.

METHOD: The striker was on prolong fasting about 329 days.The study was carried out during the period of 2070/4/32 to 2071 6/6 until declared death. The level of calcium, phosphorus and magnesium were collected, evaluated, and analyzed by using SPSS 16. In between the hunger strike, after 45 days of fasting, TPN was continued twice weekly. Thereafter 15 days of continuing TPN, he agreed to oral food. He was then started on oral feeding after 60 days of fasting.

RESULT: The data were collected and mean value were calculated as 1 day,30days,90 days,130days,150days,190days 210 days,210days 270 days and 320 days. There was a slight decrease in calcium and phosphorus level without change in the level of Magnesium.

CONCLUSION: There was changes in Calcium, Phosphorus but there is no changes in Magnesium in the prolonged hunger strike but needs further evaluation and study

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