A man suffering from kidney failure who performs dialysis three times a week, and in Ramadan
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Fatwa number ( 21552 )
Q1: I am a man suffering from kidney failure, and I perform dialysis three times a week, that is, every other day. In Ramadan, some of us are able to fast and some are not. The first question: Does the one who is able to fast have to fast, and is anything required of him? Knowing that some people said: It is not valid; because solutions enter the body with the blood. If the fast is not valid, what is required of him; does he make it up, or feed the poor, or both make it up and feed the poor? And what should he do about the years he fasted while on the dialysis machine?
The second question: Is it permissible to pray on the dialysis machine without performing wudu'? If it is not permissible, the time for Zuhr and 'Asr comes while we are on the dialysis machine, and sometimes we are exhausted from the dialysis, so we sit and rest a little until the time for Maghrib prayer comes, and then we pray them all together. Is that valid?
A: If it is not possible to postpone kidney dialysis during fasting to the night, and the patient is compelled to undergo dialysis while fasting, then his fast is invalid; because it results in the extraction of blood from the body and its re-introduction into the body, along with the addition of certain chemical and nutritional substances, such as sugars and salts, as mentioned by the specialized doctors. These things invalidate the fast, and the patient is obligated to abstain for the remainder of the day on which he underwent dialysis, unless necessity calls for him to break his fast for the remainder of the day due to his illness. In that case, it is permissible for him to break his fast for the remainder of the day. If his recovery is expected, he must make up the fast after he recovers. If his recovery is not expected, he must feed one poor person for every day on which dialysis took place during the daytime of Ramadan, with a quantity of one and a half kilograms of wheat, rice, or the like of what the people of the country eat as their staple food. As for prayer, it is obligatory for the patient to perform the prayer in its time, either before undergoing dialysis or after it, if he is able to do so, for it is not permissible to delay the prayer beyond its time, nor to perform it before its time enters. If the dialysis takes up the remainder of the prayer time such that if he delayed it until after the dialysis, its time would end,
then he should pray it at the beginning of its time if possible, and combine with it whatever can be combined if it is not possible for him to pray the second prayer in its time, or if it is difficult for him to perform it after the dialysis. He should combine Zuhr with 'Asr by advancing them to the time of Zuhr, and likewise combine Maghrib with 'Isha' by advancing them. However, if the dialysis is before the entry of the prayer time or at its very beginning, and he is unable to perform the prayer during it, then he should delay it until after the dialysis and pray it with the prayer that follows it, if it can be combined with it. He should pray Zuhr with 'Asr by delaying them, and pray Maghrib with 'Isha' by delaying them; because he is in the ruling of a sick person. If necessity calls for undergoing dialysis before being able to perform the prayer in its time, and the dialysis does not end until after its time has passed, and it is not one of the prayers that can be combined with the one following it—such as one who undergoes dialysis after the entry of the time of 'Asr, or before the entry of the time of Fajr—then it is permissible for him to delay it and make it up after the dialysis, even after its time has passed, due to necessity. This is based on the saying of Allah the Exalted:[At-Taghabun 64:16], and His saying: [Al-Baqarah 2:286], and because the Prophet (peace and blessings be upon him), when he was occupied on the Day of the Trench with fighting the disbelievers and thus missed the 'Asr prayer, delayed it until after Maghrib, and then prayed Maghrib after it.
And success is from Allah, and may Allah send prayers and blessings upon our Prophet Muhammad, his family, and his Companions.
Q1: I am a man suffering from kidney failure, and I perform dialysis three times a week, that is, every other day. In Ramadan, some of us are able to fast and some are not. The first question: Does the one who is able to fast have to fast, and is anything required of him? Knowing that some people said: It is not valid; because solutions enter the body with the blood. If the fast is not valid, what is required of him; does he make it up, or feed the poor, or both make it up and feed the poor? And what should he do about the years he fasted while on the dialysis machine?
The second question: Is it permissible to pray on the dialysis machine without performing wudu'? If it is not permissible, the time for Zuhr and 'Asr comes while we are on the dialysis machine, and sometimes we are exhausted from the dialysis, so we sit and rest a little until the time for Maghrib prayer comes, and then we pray them all together. Is that valid?
A: If it is not possible to postpone kidney dialysis during fasting to the night, and the patient is compelled to undergo dialysis while fasting, then his fast is invalid; because it results in the extraction of blood from the body and its re-introduction into the body, along with the addition of certain chemical and nutritional substances, such as sugars and salts, as mentioned by the specialized doctors. These things invalidate the fast, and the patient is obligated to abstain for the remainder of the day on which he underwent dialysis, unless necessity calls for him to break his fast for the remainder of the day due to his illness. In that case, it is permissible for him to break his fast for the remainder of the day. If his recovery is expected, he must make up the fast after he recovers. If his recovery is not expected, he must feed one poor person for every day on which dialysis took place during the daytime of Ramadan, with a quantity of one and a half kilograms of wheat, rice, or the like of what the people of the country eat as their staple food. As for prayer, it is obligatory for the patient to perform the prayer in its time, either before undergoing dialysis or after it, if he is able to do so, for it is not permissible to delay the prayer beyond its time, nor to perform it before its time enters. If the dialysis takes up the remainder of the prayer time such that if he delayed it until after the dialysis, its time would end,
then he should pray it at the beginning of its time if possible, and combine with it whatever can be combined if it is not possible for him to pray the second prayer in its time, or if it is difficult for him to perform it after the dialysis. He should combine Zuhr with 'Asr by advancing them to the time of Zuhr, and likewise combine Maghrib with 'Isha' by advancing them. However, if the dialysis is before the entry of the prayer time or at its very beginning, and he is unable to perform the prayer during it, then he should delay it until after the dialysis and pray it with the prayer that follows it, if it can be combined with it. He should pray Zuhr with 'Asr by delaying them, and pray Maghrib with 'Isha' by delaying them; because he is in the ruling of a sick person. If necessity calls for undergoing dialysis before being able to perform the prayer in its time, and the dialysis does not end until after its time has passed, and it is not one of the prayers that can be combined with the one following it—such as one who undergoes dialysis after the entry of the time of 'Asr, or before the entry of the time of Fajr—then it is permissible for him to delay it and make it up after the dialysis, even after its time has passed, due to necessity. This is based on the saying of Allah the Exalted:
So fear Allah as much as you are able
فَاتَّقُوا اللَّهَ مَا اسْتَطَعْتُمْAllah does not charge a soul except [with that within] its capacity
لاَ يُكَلِّفُ اللَّهُ نَفْسًا إِلا وُسْعَهَاAnd success is from Allah, and may Allah send prayers and blessings upon our Prophet Muhammad, his family, and his Companions.
Source
www.alifta.gov.sa
The Arabic text is copied verbatim from the original source, without any edits.