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How should a person who suffers kidney failure fast?


 

The Standing Committee was asked:

Does kidney dialysis affect a person’s fast?

 

They replied:

We wrote to the Director of the King Faisal Specialist Hospital and the Director of the Armed Forces Hospital in Riyadh to find out more about what is involved in kidney dialysis and whether chemical substances are used, and whether it is regarded as a kind of nourishment.

 

They replied as follows: kidney dialysis involves taking the patient’s blood into a machine (an artificial kidney) which cleans it then returns it to the body. It also adds some chemical and nutrients such as sugars and salts etc. to the blood.

 

After studying the matter and discovering the nature of kidney dialysis with the help of some experts in the field, the Standing Committee issued a fatwa stating that kidney dialysis invalidates the fast. 

 

And Allaah is the Source of strength. May Allah send blessings and peace upon our Prophet Muhammad and his family and companions.

 

Shaykh Ibn ‘Uthaymeen (may Allah have mercy on him) was asked about a person who undergoes kidney dialysis – does having his blood removed during the procedure invalidate his wudoo’? How should he fast and pray whilst having dialysis done, if that coincides with the time of prayer?

 

He replied:

With regard to wudoo’, it does not invalidate wudoo’, because the correct scholarly view is that what comes out of the body does not invalidate wudoo’ unless it comes out of either the front or back passage. Whatever comes out of those two passages invalidates wudoo’, whether it is urine, stools or wind. Everything that comes out of the two passages invalidates wudoo’.

 

With regard to that which comes out of anywhere other than the two passages, such as a nosebleed that comes out of the nose, or blood that comes out of a wound, and so on, it does not invalidate wudoo’ whether in small or large quantities. Based on this, kidney dialysis does not invalidate wudoo’. 

 

With regard to prayer, the patient can join Zuhr and ‘Asr, and Maghrib and ‘Isha’. He can plan his schedule with his doctor, to make sure that the dialysis will not take more than half the day, so that he will not miss praying Zuhr and ‘Asr on time. He can say to him, for example: Schedule the dialysis in the early afternoon, giving me enough time to pray Zuhr and ‘Asr, or bring it forward so that I will be able to pray Zuhr and ‘Asr (afterwards), before the time for ‘Asr ends. What matters is that it is permissible to combine the prayers without delaying them. Based on this it is essential to plan one’s schedule with one’s doctor.

 

With regard to fasting, we are not sure about that. Sometimes I would say that it is not like cupping, because with cupping blood is taken and not returned to the body, and this invalidates the fast as it says in the hadeeth. In dialysis blood is taken from the body, cleaned and returned to the body. But I am concerned that dialysis involves some nutrients which take the place of food and drink. If that is the case then it does invalidate the fast. In that case if this is a lifelong condition with no hope of recovery, then he should feed one poor person for each day. But if it happens intermittently, then he should not fast when he is undergoing dialysis and make up that day later on.

But if the substances that are mixed with the blood do not include nutrients, rather they simply cleanse the blood, then this does not break the fast. In this case he may use dialysis even if he is fasting. He should refer to the doctors about this matter.

Majmoo’ Fataawa Ibn ‘Uthaymeen, 20/113.

In conclusion:

A person who is suffering from kidney failure should not fast on the days when he has dialysis, then if he can make up the fast he should do so. If he cannot make up the fasts because he is elderly and cannot fast, then he should not fast and should feed one poor person for each day.

Source: Islamqa.com

 

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Advice of Ibn al Jawzi [rahimahullah] for us on this Ramadan


Ibn al Jawzi (rahimahullah):

“… Where are those who fast and where are those who pray by night? Where are those who obey their Lord and where are those who work righteousness? Where are those who are foremost and where are are the humble ones? Where are those who remember (their Lord) and where are those devoted to Him Where are the truthful and where are the patient? Where are the charity givers? Where are those who enjoin good, who save the troubled ones and who forbid the wrong? Where are those who heed contemplation and who listen to good advice and life-lessons? By Allah, they have indeed gone with the Salihin (righteous), returned with the Mu’minin (believers), settled with the Anbiya’ (Prophets) and taken residence with the Siddiqin (truthful ones). But us, we remain behind with the ignorant, have settled with the wrong doers and have taken the heedless as our guides…

Fasting is the shield of nations, protecting from the Hellfire
And fasting is a fortress for whoever fears that fire
Fasting is a covering for all the people of goodness
Those who fear the burden of blame and sinfulness
And this month is the month of the Lord of the Throne
A Most Merciful Lord, Who conceals the heavy sins & burdens
So therein have fasted men who thus profited
Their reward lies with the Exalted and Forgiving One
And so they came to settle in Everlasting Gardens
Surrounded by maidens, and rivers and plantations…

So glad tidings to those who obey the Most Merciful King in this month of Mercy, this month of Ramadan. They bore patience over a few days, and thus long-lasting mercy and abundant blessings came after them and pursued them. Every time you do good in this month, you shall be rewarded for the rest of your life because righteousness is a habit and evilness is mere stubbornness.

Where are you O’ fasting one, who prays by night? Come forth to goodness and you shall triumph with everlasting happiness! Trade with your Lord and you shall profit, work with Him and you shall be successful, apologise and He shall accept your apology, seek His forgiveness and He shall forgive your sins, draw close to Him and He shall alleviate your suffering, ask Him from His Bounties and He shall expand your provisions, repent to Him and He shall increase your portion (in life).

O my dear brother, in this month all faults and mistakes are concealed, all souls and hearts are softened, sins and burdens are forgiven, and Allah `azza wa jall relieves every sad and troubled one. He says to His angels, O My Angels, look at those dry tongues, how they become moist with My Remembrance. Look at those hard eyes, how they soften and weep out of fear of Me, and look at those delicate feet planted firmly at the stations of prayer out of desire for Me!’ O my dear brother, whenever you give food to others in this month for the Sake of Allah the Lord of the heavens and the earth, you shall be raised to high ranks in the lofty grounds of Paradise, and you will be clothed with complete goodness and stripped of all sin…”

[Ibn al-Jawzi, ‘Bustan al-Wa’idhin wa Riyadh al-Sami’in’ (pg. 185-186)]

 

Taken from another blog

 

 

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