Administering IV fluids and nutritional support critical for Wangchuk’s health, says senior doctor

Senior Consultant Dr Suranjit Chatterjee at Indraprastha Apollo Hospital has emphasised the importance of administering intravenous (IV) fluids and initiating nutritional support for activist Sonam Wangchuk’s health, warning that the situation could become critical beyond a certain point. Wangchuk was admitted to Safdarjung Hospital on Saturday amid his ongoing hunger strike. He was brought to the hospital from Jantar Mantar by Delhi Police in a carefully coordinated operation following the Delhi High Court’s orders to ensure essential medical care. Doctors have stated that Wangchuk remains conscious and clinically stable but is showing signs of dehydration. He continues to refuse oral and IV fluid therapy despite repeated counselling. Dr Chatterjee explained that the issued report indicates “compensated metabolic acidosis,” meaning dehydration is affecting the body. He said: “Dehydration leads to increased lactic acid production and acidosis, which can impact kidney function. However, the use of the term ‘compensated’ implies that the body is still fighting the condition. Compensation occurs only when the body is actively trying to restore the imbalance. If the condition progresses to a ‘decompensated’ state, it could become extremely harmful.” He added: “Once decompensation sets in, complications such as electrolyte imbalances, loss of consciousness (which could potentially lead to a coma), and injury or dysfunction of the liver and kidneys may occur. Therefore, it is crucial to address issues such as electrolyte imbalances, particularly involving potassium and other substances vital for organ function at this stage. If left untreated, the damage could become irreversible and seriously detrimental. At present, we are at a stage where the body is still fighting the condition. Therefore, administering IV fluids and initiating nutritional support are essential. Beyond a certain point, the situation could become critical for the patient.” Wangchuk was admitted to the hospital at around 7:30 am on Saturday. The Ministry of Health and Family Welfare issued a statement noting that Wangchuk’s family had not yet consented to the recommended medical intervention despite repeated counselling by the treating team and an independent AIIMS expert. The Ministry said Wangchuk remains under close medical observation while efforts continue to persuade him and his family to accept the recommended treatment promptly. Leaders from several opposition parties visiting Wangchuk at the protest site expressed support for his demands but urged him to end his hunger strike.