The Ruling on Kidney Dialysis for the Fasting Person and the Prayer of the Patient During It
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The questioner:
A question regarding kidney dialysis for the fasting person, as kidney dialysis patients are tied to dialysis appointments, and the patient may be fasting. Please advise us, may Allah reward you?
The Shaykh:
No, kidney dialysis involves water entering the body cavity and involves medications. This breaks the fast of the fasting person. Fatwas have been issued by the Permanent Committee stating that dialysis breaks the fast because of the substances and water that enter the fasting person's body cavity and exit it.
The questioner:
Regarding the prayer and its ruling at this time when he is undergoing dialysis, and the time may be tight, such as the Maghrib prayer, what should he do? Does he combine the prayers or pray as he is, or how is the matter? Also, what is your guidance regarding ritual purity in this state?
The Shaykh:
If the time for the Maghrib prayer, for example, enters before he enters the dialysis, and he knows that the dialysis will be delayed, then he combines the two prayers, Maghrib and Isha, by combining them early (jam' taqdim), and then enters the dialysis. However, if the time enters while he is in the dialysis, such as the time for Maghrib or the time for Zuhr while he is in the dialysis, and the dialysis will continue until after the time for Zuhr, then he intends to combine them late (jam' ta'khir). When he exits the dialysis, he performs wudu and prays the two prayers as a late combination.
A question regarding kidney dialysis for the fasting person, as kidney dialysis patients are tied to dialysis appointments, and the patient may be fasting. Please advise us, may Allah reward you?
The Shaykh:
No, kidney dialysis involves water entering the body cavity and involves medications. This breaks the fast of the fasting person. Fatwas have been issued by the Permanent Committee stating that dialysis breaks the fast because of the substances and water that enter the fasting person's body cavity and exit it.
The questioner:
Regarding the prayer and its ruling at this time when he is undergoing dialysis, and the time may be tight, such as the Maghrib prayer, what should he do? Does he combine the prayers or pray as he is, or how is the matter? Also, what is your guidance regarding ritual purity in this state?
The Shaykh:
If the time for the Maghrib prayer, for example, enters before he enters the dialysis, and he knows that the dialysis will be delayed, then he combines the two prayers, Maghrib and Isha, by combining them early (jam' taqdim), and then enters the dialysis. However, if the time enters while he is in the dialysis, such as the time for Maghrib or the time for Zuhr while he is in the dialysis, and the dialysis will continue until after the time for Zuhr, then he intends to combine them late (jam' ta'khir). When he exits the dialysis, he performs wudu and prays the two prayers as a late combination.
Source
الفتاوى الفقهية في المسائل الطبية الرمضانية، الفتاوي الفقهية في المسائل الطبية الرمضانية — islamhouse.com (30:52)
The Arabic text is a machine transcription of the audio recording.