A woman suffering from diabetes and hypertension

Question: Suffering from diabetes, hypertension and cholesterolemia, I am duty-bound to make up for the missed days of fast of two months and ten days. Moreover, I gave birth to a child during Ramadan and doctors asked me not to fast. Is it permissible for me to pay expiation for the missed days of fast? If yes, how much should I pay? Is it permissible for my children to fast on my behalf while I am still alive?

Answer: You should make up for the Ramadaan fasts you missed during past years. If you cannot make up for missed days of fast because your illness is incurable, you should feed a poor person per each day half a Saa` (1 Saa` = 3 kg. Approx.) of the local staple food. Such Kaffaarah (expiation) may be given in total to one poor person and may be given all at once. However, it is impermissible for your children to fast on your behalf while you are living..read more here.

A person’s wife suffers from kidney failure and cannot observe Sawm

Question: All praise be to Allaah Alone, and peace and blessings be upon the Last of the Prophets, to proceed:

The Permanent Committee for Scholarly Research and Iftaa’ reviewed the question received by His Eminence the Grand Muftee from the Director of Da`wah and Guidance Center in Najran, referred to the Committee from the Secretariat General of the Council of Senior Scholars, no. 4313, dated 21 Sha`baan 1412 A.H., regarding a man’s wife suffering from kidney failure, stating the following:

His wife suffers from kidney failure and receives medical treatment at the Public Hospital in Najran. She cannot perform Sawm (Fast) as mentioned. We asked the husband to attach a medical report about the state of the patient from the hospital in which she receives treatment. We attach to Your Eminence the requested report received from Najran Hospital about the state of the patient. I hope you will give the man a legal opinionwhether his wife should perform Sawm or not. As stated in the attached medical report, the patient suffers from chronic kidney failure and undergoes dialysis treatments three times a week. The duration of each session is four hours.

Answer: Upon considering the Fatwaa request, the Committee answered that the patient is permitted to break her Sawm on the days which she receives dialysis treatments and the other days in which she is not on dialysis, if she cannot endure Sawm. She may make up for all of the days on which she broke her Sawm after Ramadaan, if she can… read more here.

Sawm of a diabetic kidney transplant patient

Question: Allaah (Glorified be He) willed that I have been suffering from diabetes since I was about 14 years old and in 17 Muharram, 1411 A.H., I had kidney failure; and in 16 Jumaada Al-Thaanee, 1412 A.H., I had a kidney transplant in the Arab Republic of Egypt, which cost me a large sum of money. When Ramadaan, 1412 A.H. started, the doctor ordered me not to fast, so I fed one Miskeen (needy) for each day. And, I have a follow-up in hospital every month and a half, so I asked the doctor about Sawm, and he told me to fast if I can, and not to fast if I am not able to, knowing that the doctor is a Muslim, and he is Sudanese.

Knowing, respected Shaykh, that the doctor told me that: If you fast, do not do a lot of work and do not sleep at night so as to make up for the liquids that you lost throughout the day. In addition, I take medicine for diabetes in the morning and in the evening, and another medicine between 9:00 am and 10:00 am, and between 9:00 pm and 10:00 pm. The doctor has also advised me to drink 4 or at least 3 bottles of mineral water a day. Knowing that I argued with the doctor about Sawm and he did not tell me whether to fast or not, I ask Allaah (Exalted be He), then Your Eminence, to answer my question and tell me whether I can fast or not. May Allaah reward you with the best.

Answer: You must fast if delaying the medicine till night will not cause you any harm, but if you find it difficult to fast or your illness worsens, or if taking the medicine is necessary during the day in which you have to fast, you do not have to fast and you must feed one Miskeen for each day. This should be one and a half kilos of the country’s staple food, if you are not likely to recover and are not able to compensate for the days that you missed… read more here.