­RAWALPINDI  -  Incarcerated former prime minister Nawaz Sharif has spurned an advice of two doctors to move to a hospital for treatment, sources said on Monday.

Rawalpindi Institute of Cardiology heart surgeon Maj-Gen (r) Azhar Mehmood Kiyani and Dr Hamid Sharif Khan, who had earlier examined Sharif in Adiala jail, recommended him to go to some hospital outside the jail for proper medical treatment. But the former premier refused to consider the suggestion.

According to the sources, Dr Kiyani and Dr Khan examined Nawaz Sharif after he reportedly suffered from heart and kidney problems.

Later in the day, a four-member medical board of the Pakistan Institute of Medical Sciences (PIMS) headed by Dr Ijaz Qadeer visited Adiala jail and examined Sharif.

Dr Shajee Siddiqui, Dr Naheem Malik and Dr Suhail Tanvir were the other board members.

The board, which had a mobile laboratory at its disposal, examined the PML-N leader in the jail hospital and after the check-up, recommended against shifting him to the hospital unless the test reports are available.

The sources said that Nawaz Sharif, who is imprisoned at Adiala Jail following his convection this month in a corruption case, was adamant to stay in the prison and use the available facilities there.

In a related development, President Mamnoon Hussain on Monday directed the government to provide best medical facilities to the former premier.

In a telephone call to Caretaker Prime Minister Nasirul Mulk on Monday, the president expressed concerns over the media reports regarding Nawaz Sharif's health. He advised him to ensure proper medical facilities to the former prime minister.

Also on Monday, unconfirmed reports said that Punjab Governor Rafique Ahmed Rajwana and Khyber-Pakhtunkhwa Governor Iqbal Zafar Jhagra held a secret meeting with Sharif in the jail.

They reportedly met with the ex-PM at the office of the jail superintendent and were also present during the medical check-up. They remained in the jail for two to three hours and discussed the political situation with their leader.

Adiala Jail Superintendent Saeed Ullah Gondal however refused to comment on the reported meeting.

Sharif’s medical issues

Earlier, talking to the media outside the jail, Maj-Gen (r) Azhar Mehmood Kiyani said that he has recommended to the jail authorities and the caretaker government to shift Nawaz Sharif to a proper hospital as his heartbeat was not normal and the presence of urea in the blood may affect his kidneys.

“He is also a diabetic patient and such patients need treatment in the hospital under the observation of doctors,” he said.

Dr Kiyani said that when the former prime minister was brought to the jail, his condition was better as per the reports of the medical check-up.

“I have also asked the jail administration and the caretaker government to make special arrangements as the humid and hot weather is not good for heart patients - especially for those who have undergone a bypass surgery,” he said.

Kiyani said the health condition of Sharif has deteriorated in the last 10 days due to dehydration and excessive sweating and less sleep. He said that after the health condition of the former premier worsened, the jail authorities installed an air conditioner in his cell.

Answering a question whether he has recommended shifting Sharif to the Armed Forces Institute of Cardiology or the Rawalpindi Institute of Cardiology, he said he only recommended shifting him to some hospital with adequate facilities where he could be kept under observation and given proper medicine to maintain the heartbeat and fluid balance. “It is up to the government where it sends the former prime minister,” he added.

“I have made the recommendations as a professional doctor after medical examination of the patient and duly informed the authorities about his (Sharif’s) actual health condition,” he said.

Afp adds: PML-N sources said on Monday that their leader is suffering from high blood pressure but has been refused permission to see his personal doctor.

Members of his Pakistan Muslim League-Nawaz (PML-N) have said the powerful military is trying to influence the vote against his party.

"Caretaker Prime Minister Nasirul Mulk and Caretaker Punjab Chief Minister Hasan Askari were approached with a request to provide access to Sharif's personal physician but all requests went down the drain," PML-N spokeswoman Marriyum Aurangzeb told AFP.

"Nawaz Sharif, who is a heart patient, has been quite unwell since Saturday after his blood pressure went up."

Marriyum, who is also a former information minister, said the former premier needed a special diet and air conditioning due to a heart condition, but was being denied both, adding his cell has "serious hygiene issues".

Fight of the fallen Sharif

Nawaz Sharif was convicted in absentia on corruption charges and arrested upon his return to Pakistan earlier this month, ahead of elections on Wednesday (tomorrow).

The former premier returned to face a 10-year prison sentence in what is widely believed to be a bid to rally his embattled party ahead of a close contest with its main rival - the Pakistan Tehreek-e-Insaf, led by cricket star-turned-politician Imran Khan.

Nawaz was ousted last year by the Supreme Court for alleged corruption. He became the 15th prime minister in Pakistan's 70-year history - roughly half of it under military rule - to be removed before completing a full term.

Since his dismissal, he has engaged in an open confrontation with the security establishment, accusing the military of curbing democratic development and fostering links with militants.

The military remains the most powerful institution in the country, and has faced allegations in recent months that it is pressuring the media and politicians in a bid to manipulate the polls against the PML-N.

It denies the accusations and says it has "no direct role" in the elections.