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﴿ فَاسْأَلُوا أَهْلَ الذِّكْرِ إِن كُنتُمْ لَا تَعْلَمُونَ ﴾

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A man who is holding in his urine or feces: if he relieves himself, he will miss the congregational prayer

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Question : Now, if someone were to say that he is holding in his urine or feces and fears that if he relieves himself, he will miss the congregational prayer, should he pray while holding it in to catch the congregation, or should he relieve himself even if he misses the congregation?

Answer : No, the second option: he should relieve himself and perform wudu, even if he misses the congregation, because this is an excuse. And if this happens to him during the prayer, he may leave the congregation.
Source قناة «فضيلة الشيخ محمد بن صالح العثيمين»، 1609رجل يدافع الأخبثين لو قضى حاجته تفوته صلاة الجماعة..📔 الشرح الممتع على زاد المستقنع - ابن عثيمين — youtube.com

The Arabic text is a machine transcription of the audio recording.

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