A doctor for imprisoned Russian opposition leader Alexei Navalny, who is in the third week of a hunger strike, says his health is deteriorating rapidly and the Kremlin critic could be on the verge of death.

Physician Yaroslav Ashikhmin said that test results he received from the 44-year-old’s family show him with sharply elevated levels of potassium, which can bring on cardiac arrest, and heightened creatinine levels that indicate impaired kidneys.

“Our patient could die at any moment,” he said in a Facebook post.

Наш пациент может умереть в любой момент. Калий 7,1 ммоль/л (это очень много), рост креатинина более чем на 50 %,…

Posted by Yaroslav Ashikhmin on Saturday, April 17, 2021

Anastasia Vasilyeva, head of the Navalny-backed Alliance of Doctors union, said on Twitter that “action must be taken immediately”.

Mr Navalny is Russian President Vladimir Putin’s most visible and adamant opponent.

His personal physicians have not been allowed to see him in prison. He went on hunger strike to protest the refusal to let them visit when he began experiencing severe back pain and a loss of feeling in his legs.

Russia’s state penitentiary service has said that Mr Navalny is receiving all the medical help he needs.

Mr Navalny was arrested on January 17 when he returned to Russia from Germany, where had spent five months recovering from Soviet nerve-agent poisoning that he blames on the Kremlin.

Russian officials have denied any involvement and even questioned whether he was poisoned, which was confirmed by several European laboratories.

Asked about Mr Navalny’s worsening condition, US President Joe Biden told reporters: “It’s totally totally unfair and totally inappropriate. On the basis of having the poison and then on a hunger strike.”

Mr Navalny was ordered to serve two-ad-a-half years in prison on the grounds that his long recovery in Germany violated a suspended sentence he had been given for a fraud conviction in a case that he says was politically motivated.