Why You Should Reduce Licorice and Sodium Intake

Licorice drink (commonly known as Erk Sous) is extremely popular during Ramadan in many Middle Eastern countries. While it may seem like a natural herbal drink, it contains a compound called glycyrrhizin, which can:

• Increase sodium retention

• Lower potassium levels

• Cause water retention

• Elevate blood pressure

For people with hypertension, regular licorice consumption can lead to:

• Sudden blood pressure spikes

• Swelling in legs

• Headaches

• Irregular heart rhythms

Even small amounts can significantly affect sensitive individuals.

Doctors often recommend that hypertensive patients either avoid licorice completely or consume it in very limited quantities under medical supervision.

Why Ramadan Makes Blood Pressure More Sensitive

Several factors during Ramadan increase sensitivity to sodium and licorice:

1. Dehydration

Fasting for long hours reduces fluid intake. When sodium is consumed at Iftar or Suhoor:

• The body retains more water

• Blood vessels constrict

• Pressure rises

2. Larger Meals

People often consume large meals at Iftar, which may contain:

• Fried foods

• Heavy seasoning

• Salty appetizers

Sudden high sodium intake after long fasting hours can shock the system.

3. Sleep Pattern Changes

Late nights and disrupted sleep can also negatively affect blood pressure regulation.

Smart Dietary Alternatives for Hypertensive Patients

Instead of high-sodium foods and licorice, consider healthier alternatives.

Hydration Alternatives:

• Water (spread gradually between Iftar and Suhoor)

• Fresh fruit-infused water

• Low-fat milk

• Natural fresh juices without added sugar

Low-Sodium Food Options:

• Fresh vegetables

• Grilled lean proteins

• Unsalted nuts

• Brown rice

• Oats

• Plain yogurt

These foods help regulate blood pressure and provide sustained energy.

How to Build a Blood Pressure-Friendly Suhoor

A balanced Suhoor for someone with high blood pressure should include:

• Protein (eggs, yogurt, legumes)

• Whole grains (oats, whole wheat bread)

• Potassium-rich fruits (bananas)

• Plenty of water

• Minimal salt

Avoid:

• Processed cheese

• Pickles

• Salted butter

• Instant soups

Keeping sodium intake low at Suhoor reduces thirst and prevents blood pressure fluctuations during the day.

Medication Considerations During Ramadan

Patients taking blood pressure medication should:

• Consult their doctor before Ramadan

• Adjust medication timing if necessary

• Monitor blood pressure regularly

• Avoid skipping doses

Never stop medication without medical advice.

Warning Signs to Watch For

If you experience the following during fasting, you should break your fast and seek medical advice:

• Severe headache

• Blurred vision

• Chest pain

• Shortness of breath

• Dizziness

• Severe swelling

Health always comes first in Islam, and exemptions exist for medical conditions.

Practical Daily Plan for Hypertensive Fasters

At Iftar:

• Start with water

• Avoid salty appetizers

• Choose grilled over fried

• Control portion size

Between Iftar and Suhoor:

• Drink water steadily

• Avoid licorice drink

• Avoid excessive caffeine

At Suhoor:

• Low-sodium meal

• Include potassium-rich foods

• Avoid processed items

Consistency is key.

Can Fasting Benefit Blood Pressure?

Interestingly, when done properly, Ramadan fasting can improve:

• Weight control

• Insulin sensitivity

• Cholesterol levels

• Cardiovascular health

However, these benefits only occur when nutrition is balanced and sodium intake is controlled.

Final Thoughts

Managing high blood pressure during Ramadan is completely possible with smart choices and discipline. Reducing sodium intake and avoiding licorice are two of the most important steps hypertensive patients can take to protect their health.

Ramadan is about self-control — and that includes mindful eating.

By prioritizing hydration, choosing fresh whole foods, and monitoring blood pressure regularly, patients with hypertension can fast safely and comfortably.

Your health is an amanah (trust). Protect it wisely.

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