Fasting with Health Challenges: Islamic Scholars Clarify Rules for Constipation and Hemorrhoids

Saed News reports that fasting is a fundamental pillar of Islam. However, for some medical conditions like chronic constipation and hemorrhoids, questions arise about whether believers must fast. Islamic jurisprudence provides detailed rulings that weigh spiritual obligations against health concerns.

Constipation is often caused by poor diet, dehydration, lack of physical activity, or stress, while hemorrhoids result from swollen veins in the rectal area, frequently linked to chronic constipation, pregnancy, or genetic predisposition. Both conditions can cause pain, bleeding, and digestive difficulties, which may worsen under fasting conditions if food and water intake are restricted.

Islamic scholars emphasize three key considerations. First, if the illness is so severe that fasting becomes impossible, the believer is exempt and may later compensate or provide charitable offerings (fidya) to the poor. Second, if fasting is likely to aggravate the illness, exemption also applies, provided medical advice confirms the risk. Third, if the condition is manageable with proper diet and hydration during non-fasting hours, fasting remains permissible—so long as the individual safeguards their well-being.

Physicians recommend practical strategies: increasing dietary fiber through fruits, vegetables, and whole grains; drinking sufficient water after sunset; avoiding fatty or heavily processed foods; and incorporating light exercise. Stress management, through practices like meditation or gentle breathing techniques, can also reduce gastrointestinal strain.

In conclusion, while fasting is a deeply spiritual act, Islamic law prioritizes the protection of human health. For Muslims suffering from constipation or hemorrhoids, medical consultation and responsible dietary choices are critical. Ultimately, preserving life and health takes precedence, and exemptions exist to ensure that the spirit of Ramadan remains accessible to all.