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During the holy month of Ramadan, millions of Muslims around the world observe fasting.

 

Generally, those suffering from gastritis and peptic ulcer disease (PUD) will have numerous questions about illness and religious obligations for Ramadan. Experience and existing literature indicate that fasting may lead to unwanted complications due to increased acid levels on an empty stomach. During the month of Ramadan, this can aggravate gastritis and PUD.

 

Hence, striking a balance between religious obligations and health is very important in this case.

Potential Health Complications and Remedies

Indigestion :

Fasting usually reduces the amount of acid, but the thought of food or its smell makes the stomach produce more acid. Thus heartburn could be a problem during the fast. Those who are on regular medication for indigestion such as antacids, antihistamines, or proton pump inhibitors are advised to continue taking them at Suhoor.

Heartburn or belching can be controlled by eating in moderation and avoiding oily, deep-fried or very spicy food. Reducing your caffeine intake and/or stopping smoking can also be of benefit, if relevant. Preparations such as peppermint oil may help reduce belching . Sleeping with your head raised on a few pillows and long-term weight loss may also help prevent heartburn.

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Tips to keep you healthy during Ramadan:

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Frequently Asked
Questions of RAMADAN

Can COVID 19 patient observe fasting?

No studies of fasting and risk of COVID-19 infection have been performed. Healthy people should be able to fast during this Ramadan as in previous years. COVID-19 patients should consult their doctors.

What should one eat during Ramadan?

Healthy diet, Proper nutrition and hydration are vital during the month of Ramadan. People should eat a variety of fresh and unprocessed foods every day and drink plenty of water.

Can I swim whilst fasting?

Yes, but avoid swallowing the water.

Can I have a blood test?

Yes, both finger prick and intravenous tests do not invalidate the fast.

Can I have a blood transfusion whilst fasting?

No, in this case you would be considered too unwell to fast.

Can I fast if I am on antibiotics?

If you are unwell and require antibiotics regularly throughout the day then you would be exempt from fasting, and should make up your fasts at a later date when well.

If the antibiotics are for e.g. acne you may fast and take your antibiotics either before Suhoor or after Iftar.

Do breastfeeding women have to fast?

No. Islamic law exempts women from fasting whilst breastfeeding and they can make up for it at a later date.

Can I take tablets, drops, injections or patches whilst fasting?

Tablets are not permitted during the fast. If you do take medications during the day, it is worth consulting with your doctor if your medication regime may be amended. Eye and ear drops are permissible.  Vaginal pessaries and any form of skin patches e.g. nicotine, are permissible, rectal suppositories and nasal sprays are not allowed. Injections (IV, IM, SC, epidural) are all permissible provided they are not for nutritional benefit.

Can I fast whilst undergoing dialysis?

Such patients are not advised to fast during Ramadan or at a later date. Islamic law states they must give to charity instead, and should consult an Islamic scholar for further advice.

Do nose bleeds invalidate a fast?

No, and if this happens patients do not have to make up for any fasts. The fast can only become invalid if such a large amount of bleeding occurs and the patient swallows it.

Can I use mouthwash/ gargle?

Yes provided nothing is swallowed, it is advisable to rinse the mouth with water following use of these, and to avoid if possible.

Can I take immunisations and vaccines?

Yes, childhood immunisations and vaccines for travel do not invalidate a fast.

Can I use creams and ointments?

Yes, anything where the medication is absorbed through the skin is permissible.

Can I take medications to control menstrual cycle during Ramadan?

Yes. However, this should be discussed with your doctor, as depending on which pill you may get some breakthrough pill. It is also important to remember that Islamic law states that women should not fast when menstruating, and can make up for the fasts at a later date.

Can I fast if I suffer from Diabetes or other medical conditions?

The answer to this will vary on the severity of your condition. The safest option is to discuss your condition and medicine regime with your doctor who will be able to advise accordingly.