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Medical Conditions & Ramadan

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Tahir Wyatt

Channel: Tahir Wyatt

Episode Notes

In this interactive session Dr Tahir Wyatt hosts two medical professionals as they discuss common medical conditions relating to fasting in Ramadan.

Episode Transcript

© No part of this transcript may be copied or referenced or transmitted in any way whatsoever. Transcripts are auto-generated and thus will be be inaccurate. We are working on a system to allow volunteers to edit transcripts in a controlled system.


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When I

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say Dr. Marina de la ilaha illa

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Allah had a shadow

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or shadow under Mohammed and after

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a while, he was shocked. He was telling them it's a Stephen Covey along the biomethane maberry, Solomonic library.

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So far introduce our guest physicians that are with us today. When I asked the brothers to please come forward the Prophet alayhi salatu salam, when he saw some of his companions, some of them sitting here, some of them sitting there, and he was addressing them, he said, Mandy,

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is he and he was a family thing. Why is it that you always all spread apart?

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Bring it in, does that involve halen

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tonight, allotment, Allah has

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blessed us with a great opportunity to

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benefit from two local Muslim physicians. From the left to my right is Dr. Annie,

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who's anesthesiologist at Jefferson northeast.

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And let me just say this,

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even though every doctor specializes in what they, you know, whatever specialty they may choose, that doesn't mean that their knowledge of medicine is limited to that field. So Alhamdulillah, we're going to be able to benefit quite a bit. I listened to the two of them talk with each other and it's

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it's amazing the benefits that we can get, you know, just medically as we prepare for the month of Ramadan. To my left is Dr. Su aromatic who is a GI gastrointestinal

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physician at Temple University Hospital.

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And

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both of them will be sharing with us

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medical benefits, or maybe I should say, helping us work through how to deal with certain medical issues that many of us face in the month of Ramadan. Ultra data, as all of you know, has prescribed for us fasting, he says, Yeah, he'll Idina kuchibhotla comm cm Can I put you by the lineitem and publikum dialogue

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Are you believe fasting has been prescribed for you as it was prescribed for those before you so that you attained tougher and tough one, as we'll discuss more tomorrow and shout out to the essence of it is that you are putting a barrier between yourself and the displeasure of Allah Subhana Allah data such that you don't do anything that subject yourself to his punishment. And so when you're fasting you're a lot more conscious about what you're doing you're a lot more conscious about what you're saying. And you are exercising self discipline which is one of the main components of a tumbler so fasting is a type of anybody that helps lead towards stuff

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and allows you to either then goes on to say I

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am imagine that from an academy committee one Oh Allah suffering for the two men a Yemen

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that Ramadan has been for this fast has been prescribed a Yemen my than that, I need a limited number of days, which we know is 29 or 30 days each year.

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And then a lawsuit.

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But whoever among you is traveling or sick. But if the tubing am in the let him make up those days, meaning he was traveling, so he broke his fax, when he was sick, so he broke his fence, then let him make up the fax and other time at another time or other days. So in other words, what we understand from this is that a person who is sick, the type of sickness that does not allow him to fulfill his obligation of defense, then that is a officer or a license or a concession for him. Not too fast.

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Does that mean

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that every thing that we call an illness including a headache, or a toothache allows you to break your fast and that goes to some of the things that we will talk about tonight and show all the time but we will also want to get down to your questions, your personal questions, you may have something that you're dealing with medicines that you have to take on a daily basis.

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You may be dealing with a chronic illness, any of those types of things we're going to be talking about tonight.

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shallow data and the question in the floor will be open for questions. So I've already got some questions. And there are certain common issues that just about

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everybody is dealing with or know somebody that's dealing with. So we're going to start with some of those questions that we'll pose. And then if you have any of your own questions and shallow data, we'll open up the floor for that. All right. So the first thing that we're going to talk about, and this is because of its prevalence,

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especially in our community, is diabetes and managing diabetes during the month of Ramadan, just by show of hands.

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Does anybody here either have diabetes or have somebody in that household that is dealing with diabetes?

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Okay, so that's a significant number. All right. And we can't see the sisters, obviously, but I'm sure that there's on the other side as well. So we're going to start with that issue. Um, diabetes, as you know, people who are who have diabetes often have to do what?

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take insulin, okay?

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Okay, perfect. So, so you kind of familiar with what's happening. And then, obviously, can have an effect on a person's ability to fashion mode. And for many people it does. So I'll start off, I don't care who begins. But if you could just talk to us a bit about what is diabetes, and how a person can best manage that in the month of Ramadan?

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Firstly, I want to say, I'm honored to be here

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and humbled to be able to try to help you guys answer your questions.

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You guys hear all the time, like the best of speeches a speech of a lot. So that's what I'm going to start with, I'm going to tell you something, that I'm going to be concise, and it'll cover a lot of the questions.

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It's a story I came across

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one of the doctors of hospital number, she was one of the

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one of the leaders in the ambassador period, he had many doctors, as people who are kings do. And you have many physicians, and one of those physicians was a Christian physician. And he also had scholars around him, other than being a learned person himself. And so this Christian doctor asked one of the scholars there, you have your holy book, and in the whole book, there's nothing about medicine at all. Not a single verse in the Quran about Vedic medicine. And the scholars who said no, rather a lot covered all of medicine and half of the verse,

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all of medicine and half of the verse and he said, it is what blue ocean wanted to see three, four.

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Eat and drink. But don't go to access, don't go to a slot in life in normal life,

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doesn't love the people that go to access? If you look at all the diseases that were plagued with in a developed society, they're tied to born to access and eating, drinking, and other affairs. So I think it'd be focused on that a lot of your questions will be answered. And specifically as it relates to diabetes, we have to know that diabetes is mainly of two types, people that are insulin dependent, and people that are not insulin dependent. So the two are different. And it makes a difference in terms of the recommendations that we give. I'm an anesthesiologist, anybody here have surgery performed. electively, you have to schedule something and you have to go to the hospital

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have surgery? Well, what do they tell you? If somebody calls you overnight? What do they tell you?

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Don't Don't eat or drink anything after midnight? So that's why faster and faster. So I get this question all the time, what medicine should I take? What medicines Should I not take? So in regards to diabetes, if you're on insulin, I would say the easiest answer that I can give you is that you should not fast with little hesitation unless you have a very special case. I think for me, it's very simple. We do it on a medical basis when people need it for necessity, but they come in immediately we check their sugar and we can deal with any issues meaning I can give somebody who comes in their sugar is 50 and they're feeling sweaty, I can give start an IV and give them

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something and by doing that, in my opinion, they're fast breaks.

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And for people that their sugar is way high, they're not gonna they're not going to suffer acutely unless it's super high. Document 400 500 600. If you've had that problem before we can take your question but most people their sugar is

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With a normal ish range, even though it's high, your doctor may not be happy that it's 250, you're not going to get any immediate harm from your sugar being 250 or 300.

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So if you are the insulin dependent group, I would say, you should probably abstain from fasting unless you can convince, convince a few doctors that I can do it safely. Because there are two medicines that kill people in the hospital with mistakes and with people giving the wrong dosage more than any to drugs. And the number one drug that doesn't is insulin. So I would say it's not a light thing. And I know everybody wants to pass and everybody wants to have the opportunity to do that and move on. But

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you know, it's very easy if somebody doesn't eat, and they kind of take their symptoms lightly, that they pass out somewhere, and nobody's there to see them. And that's it, they passed away.

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Older English speaking brothers may remember Dr. Solomon, Asana, anybody know that name? Yeah, he passed away from hypoglycemia, Allahu Allah. So he was diabetic. So it's not something that you should take

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people that are non insulin dependent, you're on pills like Metformin.

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Other pills, you can fast safely, but it depends on what you're paying, and you should adjust your medicine. So there are different types of medications, some pills will not lower your blood sugar, they work differently, some pills, they sensitize or increase the sensitivity and sensitivity in your body to take up more insulin. But your sugar can never go below or won't go below a normal level. Those are okay to take. But there's some other drugs like glipizide other drugs that make your pancreas secrete more insulin, those things, they can drop your blood sugar. So both of those can be dangerous if you're fasting. So it really depends what you're taking. And I would say if

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you're unsure, ask, you know, ask your doctor about is it safe to be fasting on a daily basis? I'm sure they'll be happy to answer your question and we can answer your question for the restaurant God if we know it, and if we don't, we'll refer you to somebody. So just add a few points to that inshallah slightly different view on some of that, but you can discuss further inshallah. But so one of the things that is our club therapist amount in the lab set up this Ramadan awesome love a lot.

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for allowing us to be here in Charlotte, it is a blessing for us to be able to discuss with everybody in sha Allah and to benefit before Ramadan starts. So one of the things with fasting is, particularly with people on insulin, there's two different types of people on insulin. There's type one diabetics, those who were either born with it or develop it at an early age, it's more of an autoimmune disease where your body is fighting itself. And then there's type two diabetes that comes with age, weight, eating habits, things like that, too much sugar intake, and they are managed slightly differently as well. Even if people aren't insulin for both of those type one diabetics, I

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would tend to agree with Dr. Lee is that those people are very brittle most of the time, and they can't tolerate those changes as much as somebody with type two diabetes. And there's a few studies out there looking at people who have diabetes and fasting, so unless you're super well controlled,

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it's harder to fast. Now there is some some people I don't know if anybody here is on an insulin pump, meaning they have a little needle stuck inside them. Insulin is continually given based on your blood sugars, and it can be adjusted very easily. Sometimes that's actually been shown to be the safest way to pass, because it's a very short acting insulin. And some of the sensors respond and change to your body sugar, and you can monitor your sugars. One of the things that I read

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from many of the scholars is that people who do fast need to be very accurate with their their blood sugar monitor. And so you need to be able to check your blood sugar throughout the day, if you're not willing to check your blood sugar throughout the day, then fasting isn't for you, because you don't know where you're gonna go with blood sugar to is that there's some people that feel when their blood sugars are low. And there's others that don't, if you are a person that can't feel when your blood sugar is low, you don't feel anything, and then all of a sudden you're out, you don't know anything. There's other people that when it starts getting a little low, they get sweaty, they

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feel something's wrong, and they know what's going to happen. So for those that don't feel it, maybe for them, it's better not to fast, because they're not going to know when they get to that point, whereas those that do feel it may have a little bit of a buffer zone in there to try and protect themselves. If they start feeling something, check your sugar right away and if it starts getting low, break your backs.

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So that's some of the things that I saw about it again,

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With with medications by mouth, there's typically you know, you just adjust the doses a little bit and adjust the timings. But that's usually a little bit easier to tolerate with insulin, particularly if you use like a long acting insulin at night, sometimes to decrease the dose. The one thing I personally would recommend, and I haven't necessarily read this anywhere, but these are some of the things you don't want to try out on Ramadan, day one, you want to try this one to two months before you start fasting.

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Take have your blood glucometer with you check your blood sugar every hour, if you're going to be one of those people that's going to try and fast in consultation with your doctor. Because everybody's different how their sugars are managed, how low or high their sugars go, you have to be able to talk to your doctor about this. If you're you know, you try it out, you give yourself a half day first to see what your sugar is going to do and then break your fat and then build up to the point where, okay, I'm doing this on a few days in a row without issues. Maybe I can pass Ramadan, or I can't even get to the end of one day. I'm not going to try this Ramadan, maybe I'll try for

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next year or something like that. So those are things that you should look at as well when it comes to diabetes.

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I think somebody asked about the proof for the courts. And so the law

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says proof don't eat and drink.

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So do you have any Adam and wooziness upon which all you brothers do more than any other machine, I would say? Take your adornment when you come to the machine, Whirlpool washer, washer will eat and drink 1234 and don't go to excess and the other pole if you're interested about the story about our murshid suspension by

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humble installer.

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Okay,

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I'm just gonna take the liberty to hijack the question.

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So bear with me.

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Because since we talked about diabetes, in general, what advice do you have for managing kidney health so that we avoid chronic kidney disease, which is very common? In some communities, I just think that it's

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I think it's important for all of us to kind of just be a bit more aware of these things. A lot of people don't start thinking about this, you know, until they're already in it, you know, to they're already close to having kidney disease or something like that. So what what are some of the things that we can do, and how is anything

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that Ramadan might promote, I mean, just the different eating pattern, for example, that may promote better kidney health,

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I would say depends on the stage of kidney disease,

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or kidney disease, disease, unfortunately, the best thing for kidney health is drink a lot of water. So that will not help you in Ramadan. So I don't know of any particular benefit to fasting in terms of kidney health, but maybe doctors aware does but in terms of kidney health, if you've got kidney stones, or you have just medical kidney disease, they'll recommend that you drink a lot of water. So obviously, that's something you know, in the period that you're able to eat or drink that you make up. And you make sure you stay hydrated in the period that you're allowed to, you know, eat and drink.

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I would say that but in terms of the benefit of fasting itself on the kidney, I don't know.

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So my understanding of that is agree with Dr. Holly, water is the best thing for your kidney, particularly if you don't have kidney disease yet, if you have diabetes, controlling your sugars are very important, not letting them get out of control. Keeping a low salt diet, low sugar, those things can also affect your kidneys. in Ramadan, I mean, we're gonna naturally keep our sugar's low most of the day.

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One of the things that we need to try and do all of us not just those with health disease, but those with issues with diabetes or

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any other health problems if watch your meals, when you do break your fast when it's permissible to eat at a bar, or in the night through while you're eating. Don't eat large excessive amounts, eat small, moderate amount, stick with the healthy foods, a lot of us in Ramadan, go to the fried foods right away, we go to the unhealthy stuff right away. We eat all through the night.

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And we don't monitor what we're doing. So sometimes that can actually push us the other way. That's why there's so many reports of people gaining weight during Ramadan is because their unhealthy habits are so much greater through the night and they're less active during the day when they're fasting because they don't want to do as much so it's important for us to try and

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Try and watch our diets, keep the sugars to a minimum, eat the healthier foods. And those things can promote kidney health, or any other help improve your diabetes improve high blood pressure and the likes of those things. As long as you're staying with the proper diet.

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You have a question directly related? Yes, yes.

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If you're doing q&a afterwards, no, no, no.

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My question is,

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my question is,

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let's see.

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My question is in light of the fact that, in Islam in the Muslim community, we have a variety of cultural diets. For example, you mentioned, like the types of foods that we eat when we do break our fats.

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As far as like a lot of the starchy foods and mentioning fried foods, can you give some advice to the brothers and sisters, as far as what type of nutrient dense foods are more appropriate for us, in our systems, you know, when we do break our paths?

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So So to sum up the question for those who did who are not able to hear the question, the questioner is asking, or basically stating that you mentioned some of the foods that we should avoid,

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while we're fasting, our fasting, but as we break going off,

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but but when we break our fast and how, you know, certain habits that we may carry over with this throughout the night, and eating all the time, and so forth.

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But Can Can you recommend any alternatives, things that are, you know, rich in nutrients, and that will help to sustain

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you know, to sustain our health throughout the day, once we, once we, you know, for support, for example, or when we break our fans so that we can have some clear ideas of the alternatives.

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So, there's

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a number of things you can do so, obviously, look to the sun, but I will tell you, many things that perhaps, as I mentioned, are being explored now that can help with sugar control that can help with, you know, a lot of things that we're learning about now that Muslim told us about, for example, cinnamon, you may have heard something that cinnamon helps you link your, your blood sugar, but you may want to look into those things. I don't have all those answers. I'm not an endocrinologist. But a lot of those things you can find, you know, and something like this, this book is available, it's in English, it's published, it's very old book, I'm sure many of you have read it. So I'll return

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back to that. But in general, you know, everything in moderation will be my answer to this Do you have something fried, don't beat yourself up, you know, just have one thing and have something else that's healthy. So as long as you're having a little bit of everything, and not too much of one thing, and you're not filling up your stomach. I mean, most of us know the Hadith that

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said, something to the effect of the worst thing that the son of Adam fills up is his stomach. And it's sufficient for him, that he fills it up a third one food, a third with water. And the last third to leave for, for air just need some empty space down. So I think most of us all that, you know, getting into what particular food, you know,

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I think the door is wide open. As long as you do everything in moderation. Given there are certain things that can help as well. You know, things that are high fiber foods, particularly like vegetables, salads, fruits and vegetables, those can help things that digest slowly complex carbohydrates that are called, they can help fulfill you, like what it's like what has complex, like oatmeals, and wholegrain cereals.

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Or any of these in the evening as well. These can hold you over for a longer period of time.

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You know, you do want some fat in your diet, you do want some protein in your diet. lean proteins are obviously better. Big fishes or lean chicken, things like that are better than the red meats. Avoid the fried foods as much as possible. That's not to say you shouldn't have any but keep it in moderation.

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I think a lot of fruits and vegetables and lean meats and then some you know you can get some pastas or all meals in there.

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kind of go a little bit longer, or like weeds and lentils.

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for that. Let me just

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just just a follow up on something that that guy he said that the headings are the primary aside from CNN, where he says meta, no addenda we add in some one button. There is no vessel that the son of Adam fills that is worse than his stomach. It's sufficient for him. Luke a met with him not solvable and he that he has a few bites that allow his back to stay straight. Another word

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You know that you that you eat enough fat that keeps you going.

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And then the problem is, like Sam said, and this is this is interesting. And then the Prophet alayhi salatu. Salam said, but if you must, meaning you want more than just that, which keeps you go, if you must, then a third of your food, a third for drink, and a third for air, right. And to be honest with you, I mean, we all know ourselves and I shouldn't even be, you know, saying these, but

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it's a reminder for myself before anybody else, that if we follow the prophetic advice palette, so many of the diseases that exists here that we suffer from are based on diet, they're diet based, it's based on how you're eating and what you're eating, and how much so and another thing to kind of love is that the scholars of the past that I don't know, right now,

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but most of my time knows best, but I'm allowed to also also quotes this, then there are four things that make the heart heart. And in other words, it keeps your heart from being soft and attached to a loss of habitat falu khademi will first look timing in any war fabu, Estee Lauder at the end.

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So basically, overeating,

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over drinking,

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over sleeping,

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over talking, talking too much overeating, over sleeping and over socializing. These four things kill your heart, they make it hard. And so

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keeping that in mind, when we talk about eating Ramadan is a

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even though maybe not specifically to, you know,

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to your kidney or to your heart or to get but Ramadan is a time when you can actually scale it back. Because the reality is, is that your stomach is going to shrink. And as long as you're not filling it all the way up again, you don't you won't even feel the need to eat as much as you used to eat to feel satisfied.

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And so portion control becomes a lot easier Ramadan, like you can actually use that time of the year to begin that that intentional portion control, it'd be a lot easier than any other time. Any other time of year.

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There was a question that came about diabetes. So we'll, we'll go to that. And then we'll come back to

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the questioner asks if a person is hyperglycaemic that means your sugar is high.

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If you fast without taking medicine until the blood sugar regulates for the

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for the day, is this permissible IE a blood sugar normally is 300 Plus, can fasting actually help regulate blood sugar? Again, I'm not an endocrinologist, but sometimes when you naturally fast at night when you sleep. endocrinology is talking about two effects. One is called the Moji effect. And the other is called a domino effect. And quite the opposite your sugar even though you're not eating can actually go up overnight. So when you wake up, you'll have a higher blood sugar even though you haven't eaten anything all night. So it really depends on your circumstance and your situation. That's a question for an endocrinologist who knows your pattern depends on what measure on but in

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general, can it Yes, it can.

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Along those

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two part question,

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What are the symptoms of diabetes in exercising regularly help keep

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exercising definitely helps keep away diabetes, healthy diet and exercise investing some of the symptoms, symptoms of diabetes are a little bit hard. You have to

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recognize some things but one of them is excessive urination, excessive thirst.

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You know, despite drinking a lot of water still feeling thirsty all the time.

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Sometimes you can get headaches or

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if it gets way too high that you're talking about sometimes being confused or kind of losing thoughts but usually it's more in that having to urinate a lot having to drink a lot and and maybe starting to feel some like headaches or things.

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I would say more often than not, you know medicine changes as time goes on. Sometimes the doctors will come together and decide to move the goalposts. Most people when they get

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diagnosed with regular diabetes, they're asymptomatic, they have no symptoms. But they do a blood test and they do something called hemoglobin a one C. And that hemoglobin a one c gives you a three month picture of how well your sugar has been or high and how high, it's been over that three month period. Most people that are just non insulin dependent diabetes type two people, they get died diagnosed that way. They go for blood work with their doctor and they say your sugar is high, I'm going to send an hemoglobin a one C. And it used to be that the cutoff was higher. And now the cutoff

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is lower, but actually was lower before so they kind of had someone in the middle right now. So I think right now it's seven.

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They keep changing the goalposts. So most of the time, you're asymptomatic. But you should get tested, if you have a family history, if you're getting to a point where you're having to go to the bathroom a lot, very thirsty all the time. And that's a worrisome sign that you should see somebody sooner rather than later.

00:31:07--> 00:31:30

Okay, so we have another question that came from the sister site for female had brain surgery years ago and suffers from migraines, seizures, partial blindness, fatigue, and so on, but chooses not to take her medicines daily, because she just doesn't. Does this mean she has to bat? And is it okay for the sick person to fast on the days they feel they can?

00:31:31--> 00:31:36

So, I mean, this is something discussed with Shekhar before.

00:31:38--> 00:32:20

Just because you can't fast one day doesn't mean you don't have to fast all the days. And so if there are certain days you're feeling okay, and certain days, you're not feeling okay, then the days you feel okay, fast. And the days you don't, don't fast, I think the more important thing in that question is not taking your medicines, just because you don't feel like a lot of these medicines, I mean, not taking them can have ill effects on your body and make things worse, and make things harder for you. Now, you're required to be on certain medicines during the day. And each condition varies. So it's not a blanket statement that you should or should not fast based on what medicines

00:32:20--> 00:32:45

you're on, you have to discuss with your doctor and maybe find a Muslim doctor that you know, or trust, as well as someone of any amount more of a religious scholar that can help with this and have a discussion amongst them up. This is my condition, these are the medicines I take, can I adjust the times of the medicine? Can I do it before and after? Or is this something that if I don't take during the day, I could cause myself bodily harm.

00:32:46--> 00:33:27

And I think it's important to try and get on those medicines, or find alternatives that work better for you with your doctor that can help manage your condition. Some of those things, and I don't know the specific details of why they happen or what not. But you know, they're important to manage, because they can get much much worse without management now. And some of these things, if you don't manage early, when you develop worsening condition, you're never going to get back to more of a healthy style. But if you manage it now you can prevent complications and stay healthier. So I think that's the more important part of that question. But in terms of fasting on, you know, certain days

00:33:27--> 00:33:28

and not

00:33:29--> 00:34:11

and then discussing with shaker before, there are certain people that are allowed to not fast, but they can fast maybe every other day or every third day based on their status, it's okay for them to do that. And then make up some of those paths that they miss afternoon, or those that have a hard time in the middle of summer, but can make it up in winter when the days are shorter. It's also permissible to do that based on you know, again, each case is individual and this should be discussed with both doctors and people have knowledge not just one or the other and make that decision based on your individual circumstances. Let me just as a as a general rule,

00:34:13--> 00:34:14

in advance thing.

00:34:15--> 00:34:30

In the day of Ramadan is going to cause your illness so worsen to the point that it is causing you bodily harm. It is hard to fast. It's it's not permissible to fast

00:34:31--> 00:34:36

because you're not supposed to bring harm to yourself, especially the type of harm that could lead to

00:34:38--> 00:34:43

you know, death or something close to it. All right, and some people fast

00:34:44--> 00:34:59

simply because of their affinity for the month of Ramadan and is beautiful. I mean that just that love that Muslims have for the month of Ramadan. It is a beautiful thing.

00:35:01--> 00:35:06

It's not something that people who haven't experienced that can understand.

00:35:07--> 00:35:27

And they almost try to figure out how to why why did the Muslims get all excited about Ramadan. And like what is there to get excited about you fat you're not able to eat when you want to eat, can't drink, when you want to drink, you guys got long Phase II out there working and what does they have been excited about, because they never experienced.

00:35:28--> 00:35:44

And until you experience the beauty of fasting what it what it can do for you, if you go into the month of Ramadan with the proper bowls, right then that is my goal is not to get through the day

00:35:46--> 00:35:54

as as my agent to get through the day. But my goal is to grow spiritually, that through that

00:35:55--> 00:36:01

starve starvation of you know, my flesh and blood, I'm able to feed my soul.

00:36:03--> 00:36:06

And you actually taste the sweetness of fasting.

00:36:08--> 00:36:56

No pun intended, but you taste something when you fast handler that we get excited. And so what happens is, for a person that's done that for 30 years, 40 years, and then you tell them this rather than you can't fast, it's like nah, I'll die faster, whatever, it's I just want to know, I want to die. But, but that's, that's not the right thing to do. And this is why the scholars mentioned that if that fast is going to lead to to bodily injury, then it is actually gone too fast. And then a person can make that up. And the different times that were mentioned, there's some people that can't fast 16 hours in hot weather, but they can fast for 12 hours.

00:36:58--> 00:37:11

And so let's make that has given us that concession for those who cannot fast for those long days. But, but can make up that fast and other days that we have plenty of winter in Philadelphia,

00:37:12--> 00:37:57

you know, plenty of days where you can fast, you know, by going Mondays and Thursdays for for, you know, 10 weeks, that'll be 20 days, right there, you know, for 10 weeks, and we're talking about, you know, November to January, you're talking about 11 and a half hour days. And it's it's cool, like you're not gonna worry about, you know, feeling dehydrated, and so forth. So, you know, that was just to kind of further elaborate on that last part of the question which is, which was about the permissibility of the sick person best. So a sick person can fast, if that fast is not going to is not going to harm them. But they can also leave off the fast effects at another time, depending

00:37:57--> 00:37:58

on illness.

00:38:00--> 00:38:02

Let's start with this

00:38:03--> 00:38:04

common question.

00:38:10--> 00:38:12

What about first question is

00:38:13--> 00:38:13

retired

00:38:19--> 00:38:20

2016

00:38:23--> 00:38:23

especially

00:38:25--> 00:38:25

when

00:38:27--> 00:38:33

he was trying to tie it over bread and cheese, and to another shade got that got

00:38:37--> 00:38:40

it in every one that little bit the second portrait was

00:38:43--> 00:38:44

at a certain date

00:38:46--> 00:38:47

with a certain age.

00:38:55--> 00:39:21

Again, in terms of what to eat, it really depends on a different person. If you are diabetic, if you have issues with your cholesterol, it would it would really depend. But again, the safest thing is everything in moderation and use things like superfoods like that they come up as other than sugar, carbohydrates is potassium in there. There's other things that you can benefit from it as soon as to take an odd number of days. So I would recommend that

00:39:22--> 00:39:25

what was the second part of your question? age old age.

00:39:27--> 00:39:28

I was gonna say

00:39:29--> 00:39:32

your second question about age and

00:39:33--> 00:39:42

finding difficulty the level of difficulty is different person to person. And a lot of elite says that when he says Well, I don't know the

00:39:44--> 00:39:55

video to find the scheme and those people that can but with difficulties, they fast. The solution for them is they give food

00:39:56--> 00:39:59

to a poor person for each day that they didn't fast. A lot didn't say

00:40:00--> 00:40:08

You can't fast. Absolutely, he says, you can do it. But with difficulties. So it's it's, and that's the wisdom

00:40:09--> 00:40:48

of the word MC electro is the best of words. He didn't say people that are X, Y or Z, he left a pretty, you know, open, each person can apply their own situation to, to that. So for you a 65 year old, you can do it with little difficulty, somebody else might be able to do with a little bit more difficulty. But somebody who's your same age, but has a lot of other disease, you know, and a liver transplant, yeah, they have liver transplant, they have some other things going on, the level of difficulty for them may be significant, even though if they do it, they could worsen their health or they could, you know, they could be comatose if their sugar is too low, or they could end up dying.

00:40:49--> 00:40:59

So it really depends on terms of the level of your difficulty. And I'm sure we'll get to breastfeeding. But the same thing applies, you know, it's the woman.

00:41:02--> 00:41:22

Basilan, each person knows about themselves, their best more than even your doctor knows that you, you tell your doctor your symptoms, and they give you some feedback based on what you tell them. So keep if you feel like you could do it. You're the you're the most knowledgeable person in that regard in terms of your ability to deal with strength. That's what I would say.

00:41:24--> 00:41:39

Yes, I mean, but everybody's different. You know, one woman, let's say if she breastfeeds, she feels like she can do it. She's different than another one who, you know, feels she can't do it because she is afraid for herself or for her resco. So it's

00:41:41--> 00:41:45

I would say it depends on the situation and on you on what you think your ability is.

00:41:46--> 00:42:28

Yeah, there's, there's no particular age, it's just, you know, health circumstances at those age, there's 85 year olds that walk around with no medical problems, and they have no problem fasting. And then there's 35 year olds with several medical problems. And it's as if they're old and can't handle it. So it's really each person's condition more than the age and then, you know, in terms of working in extreme heat and cold, I read something about, you know, if you're gonna end up in the hospital from working in extreme heat or cold, that's one thing but as long as you're not that difficulty, you just have to try and train your body really hydrate at night spend, you know, take

00:42:28--> 00:42:52

in foods that will sustain you through the day deeds, honey is also good honey have slow release sugar that relate releases throughout the day, rather than like just a spoonful of sugar. That gives you energy now but goes away later. So things like that will will help you out if you work in those difficult conditions, which Allah rewards you for the hardship that us go through during the day after

00:42:53--> 00:42:54

one second.

00:42:55--> 00:43:19

I do want to address this the issue since Dr. Addy brought up the issue of breastfeeding. Just Just some advice from a doctor who happens to also be a midwife. pregnancy and breastfeeding the muscle is too fast, meaning that whether a person was breastfeeding, or pregnant, a woman who was breastfeeding

00:43:21--> 00:43:24

or person, I don't know a lot 2019

00:43:27--> 00:43:30

chest feeding now not breastfeed them.

00:43:32--> 00:43:51

So that they should fast they're not diseases but but vulnerable states. Most women can fare safely during pregnancy if they hydrate well, and you keep hearing this issue of hydration. That being said, honestly, and this is this is something that can help tremendously.

00:43:52--> 00:44:06

If we can wean ourselves off of sugary drinks, it will help you tremendously because you'll get addicted to water. And this is what you need to hydrate those sugary drinks a problem they're problematic.

00:44:09--> 00:44:26

And if you can also get used to the taste like even if you drink coffee and unique coffee, some of us do. If you can start getting used to the taste without without sugar, you actually enjoy it more but that's that's my own personal experience. These guys disagree.

00:44:28--> 00:44:32

But I'm telling you it has a better taste without the sugar. So anyway

00:44:33--> 00:44:59

to be successful, so most women can fat safely during pregnancy if they hydrate well to be successful. They need to focus on diet and rest. Okay, so it's not just and that's why it's going to be very different from Woman to Woman. If this is a pregnant woman who was also working outside of the home and her job is causing her stress and she's, you know her, her fast is gonna be different than, you know systems that don't align with

00:45:00--> 00:45:15

falls in the summer, more women will find fashion too difficult, they can try alternate things. At the end of the day, they need to listen to their own body and not compare themselves to other women. And this is what he was saying, When quoted that I said

00:45:17--> 00:45:20

that every person is more aware of their, their own selves.

00:45:22--> 00:45:38

In my experience, more women err by pushing themselves too hard. And by not trying hard enough. Many women have difficulty because they are so busy cooking and cleaning for the husband and children that they get very little sleep, men need to pick up the slack and reduce the expectations, can we edit that part out.

00:45:41--> 00:46:22

In addition, living needs to keep cool and reduced activity in the daytime. So that's also very another very important part, especially for you know, sisters that are that are breastfeeding the pregnant, there's ways that you can manage it so that they can that they can fence medical complicated pregnancy should be evaluated individually to the end of it fast during breastfeeding is associated with reduced milk supply. Hydration is key again, many women will be forced to supplement the formula to prevent infant malnourishment. My opinion, the baby has a right to be to the best milk, which is breast milk, therefore, all our fixes. Therefore, all of our fixes, including

00:46:22--> 00:46:34

intermittent fasting do not result in a sufficient milk supply when the time of the baby is exclusively breastfeeding for six months, then she should make it up later. The point here, and we could go on and on. But the point is that,

00:46:35--> 00:47:19

for some reason, it became common in certain communities that women who are breastfeeding or pregnant do not fast, and they don't make up the fast. And that is a very, you know, minority opinion amongst the scholars, it does not seem to be closest to the evidence, the evidence seems to suggest that they would be treated similarly to the person who was fasting, or who was ill, excuse me to the person that is traveling, or that is that if they want to, and they can't decide what to arm them with the challenge that they face. And if they want to make it up later, then so be it. But not that they're totally exempt of the fence. I lost most of us

00:47:23--> 00:47:40

reading that. I have a question for youngsters. I've been waiting here for a long time. What was the first battle that the prophet SAW swamplot against the pagans from Africa, which was the first battle that we fought against them. You know, you can raise your hand in the face the first major battle

00:47:47--> 00:47:48

altena Yo, yo, yo, sir. Yeah.

00:47:52--> 00:47:55

Well, why why did I bring that up? Brother, what month was brother.

00:47:57--> 00:48:07

So to your point about working in the heat, and things of that nature, you know, where we live in a relatively temperate environment, you have a special situation, but

00:48:09--> 00:48:13

in general, even if it's in the summer, it's not 120 degrees, like it is. And

00:48:16--> 00:48:31

so, you know, and sometimes we don't live in a culture where things shut down, and I'm alone, but that definitely is the culture and other places people start working eight to one eight to two, you know, I mean, it's just like a four hour day or six hour day and the rest of the day they're just sleeping.

00:48:32--> 00:48:39

That's not something that's good for your body. And it's not something that you know, that is recommended, obviously.

00:48:42--> 00:48:44

Oh, sorry. Yeah, go ahead. Go ahead and

00:48:47--> 00:48:51

search Strauss egpa ga

00:48:57--> 00:48:58

I find that

00:48:59--> 00:49:01

I feel better when I don't eat

00:49:04--> 00:49:07

a lot of food allergies. So when I'm not eating enough

00:49:09--> 00:49:21

normally about a day what when I have to eat a happy so I can start a day and I'll fast but did it four or five o'clock?

00:49:23--> 00:49:30

You understand what I'm saying? And normally, you know if I'm not eating, I feel great. That's that's what I feel best.

00:49:33--> 00:49:35

The brothers that got shirt Strauss.

00:49:36--> 00:49:46

vasculitis? Yes. Okay. That question will be for somebody who's a rheumatologist or, you know, specialized. But again, what you mentioned is at the end, he said, you know what I mean?

00:49:47--> 00:49:49

I agree, but I don't know what you mean.

00:49:53--> 00:50:00

I don't know what you mean. Honestly, I'm not trying to be funny. I don't know what you mean. And if the difficulty is that it hurts or

00:50:00--> 00:50:02

I don't know, it really depends. So

00:50:05--> 00:50:13

I mean with some of these vascular, vascular lytic diseases, you know, I guess blood flow becomes an issue.

00:50:15--> 00:50:29

And sometimes lack of hydration or hydration wherever maybe affects how blood flows. I think part of that can affect whether you when you feel hunger, I don't know if you feel like pain, or is it is it different than pain,

00:50:30--> 00:50:38

pain, but I can just feel that I need to eat. Yeah, and if you don't eat for a while, does it cause you any trouble or it's just, you feel like you need to

00:50:41--> 00:51:22

pain, pain comes right. So the pain is related to the vasculitis, they're probably related to get it starting to get a little dehydrated, less blood flow causes issues, that can be a serious issue. So either the thing and you know, when you're you start feeling it, so you can either try and fast. And as soon as you start feeling if you start feeling that, because you know, you're going to get to that pain, greater fast, when you feel that it would be better for you to wait till the winter, then wait till the winter, you're not gonna get dehydrated with the key days are shorter. So that I mean, you're gonna, you're gonna have to figure that part of it out with your doctor, obviously making

00:51:22--> 00:51:30

sure that they feel that's okay. Because that pain can be a serious issue. If the pain comes. So do what it takes to avoid pain, oh,

00:51:32--> 00:51:34

let me just qualify that.

00:51:38--> 00:51:41

You should start everything fast.

00:51:42--> 00:52:18

Alright, so if you get to that point, as the doctor mentioned, where it's going to become problematic, if that's what happens during that day, then then at that point, you break your fast, you're saying so so in other words, you're going to intend to start your day fasting. And then, you know, like you said, You don't know you, you do know that when it's time to eat. But that time may not actually be until, let's say 10 minutes before mother, and then you can hold out for that 10 minutes and you know, you'll have

00:52:21--> 00:52:38

a break when I made that day, yes, when the day that you break, even if you fasted more than half the day you're gonna have to make that day up. And so so you wait till the wintertime inshallah, if that is something that is possible, if it's if it's to the point that even in the winter, you know, it doesn't work for you,

00:52:40--> 00:52:48

then that would be the type of chronic illness where you would wind up feeding a poor person for each day, and you'll you will avoid the fast toll.

00:52:49--> 00:52:57

Let me let me just say this to On another note. For those who that was indiscriminate.

00:52:58--> 00:53:03

For those who are not fasting during the month of Ramadan,

00:53:04--> 00:53:34

don't feel bad. I mean, meaning that you were trying to one offense which you can, there's still so much else that you can do. Besides defense, you can number one, you can lower your food intake, not because you're fasting, but just because you want to be healthier, you don't want to be as satisfied. Because, again, you don't want to get to that point where you're overeating. We all know that if we overeat what comes next

00:53:37--> 00:53:39

says The doctor said

00:53:40--> 00:53:56

so, it's real and then you just get lazy and you want to, you know, you eat a whole lot. This is one of the you know, also some of the Hickman that you have to look at, you know, when you break the effects not eating too much because it makes you lazy for each and total when

00:53:57--> 00:54:08

you know that think about the days when you just one of those days when when somebody invited you over and they just had the whole spread out he just couldn't resist. How do you stand in a chat and

00:54:09--> 00:54:10

it's not the same

00:54:12--> 00:54:34

energy. So during the month of Ramadan, even if you're not fasting, but you but you lower your intake of food. And number two, read the Quran more, just do what do what is encouraged to do because the month itself is blessed even if you're not even if you're not fast. So you're increasing your reading of the prime increasing.

00:54:36--> 00:54:53

And if Allah blesses you with wealth, feed the Muslims because every Muslim that you feed for info, you'll get the reward of the effects even though you weren't fasting. And so last week, I will bless you with that with the reward of 100 people that you've met. Otherwise

00:54:56--> 00:54:57

we've

00:54:58--> 00:54:59

reached our limit

00:55:00--> 00:55:00

What do we do?

00:55:05--> 00:55:06

Okay.

00:55:09--> 00:55:10

We were still going around.

00:55:17--> 00:55:20

Oh, yeah, we do have we had a lot of questions for assistance.

00:55:22--> 00:55:23

Ladies first

00:55:25--> 00:55:33

and in general, come back to your question again and also other people that fast with difficulty they may feel bad like

00:55:35--> 00:55:35

you know,

00:55:36--> 00:55:42

I've said that a while loves that you take his office, his concessions just like he loves that you

00:55:48--> 00:55:49

will come a

00:55:55--> 00:55:55

time

00:56:01--> 00:56:39

so long likes loves that you take his concession if I gave you a concession and you're not sure is it difficult you have some difficulty consult with your doctor because some things like a vasculitis or somebody who's had a blood clot. When you get dehydrated, your blood piscotty goes off. And there are certain things that can precipitate having a thrombosis or a blood clot. One of those three main things is being dehydrated, your viscosity. So if you're dehydrated, your blood viscosity goes up, you're putting yourself at risk. How high is that risk? Or what is the elevation risk? A lot while but is it elevated? Yes, for sure. Things like

00:56:40--> 00:56:45

shirts, routes, things like lupus is people that have those type of things and get

00:56:47--> 00:56:53

thrombosis like they can get a cavernous sinus thrombosis, they can get thrombosis inside one of their veins inside their belly

00:56:54--> 00:57:11

splenic vein thrombosis, so those types of things, even though you've never had it, you need to talk to your doctor and say, How likely is it? Or how possible is it that I could have this if I don't drink anything for 14 hours? I think what 12 1314, something like that. But

00:57:12--> 00:57:28

you know, you want to do what you want to do. But also, part of being healthy is preventative health. Even though you've never had those things before, you want to ask and see how possible is it that I could have a serious complication? And sometimes those things are closer than you think? You know?

00:57:29--> 00:57:44

I'll do the first question here about the stress test because I do a lot of cardiac procedures. If the brother or sister said I have to get a stress test done and they have and they have to use a water based isotope. Does this break the facts?

00:57:45--> 00:57:50

They say if you're unable to faster and Ramadan for medical reasons due to the length of

00:57:51--> 00:57:54

due to the length of time going without food, this isn't the same question.

00:57:57--> 00:58:36

Okay, so for a stress test, usually people are ordered a stress test because either they have symptoms or having chest pain, or they have an abnormal EKG and they have no symptoms. So it really depends on why you're having a stress test. But usually you're having it because your doctor is worried significantly that they think that you may be susceptible to having a heart attack. Or you may have blockages that are silent. So the dehydrated and stressing yourself out. By fasting by doing something strenuous by exercising can precipitate that type of symptom or you get chest pain. So I would say if you're ordered a stress test, you need to talk to your doctor and ask them, is it

00:58:36--> 00:58:45

something that I can, you know, do earlier before I move on? Or can I do it after about meaning is waiting 30 days a significant risk to my health. If they say

00:58:47--> 00:58:54

I need you to have this next week or this week, or I don't need you to wait, you need to have this done, then I would say you need to make up the date and

00:58:55--> 00:59:03

the amount of IV fluid you get with the isotope may vary. But at the end of the day, if you're getting an injection, in my opinion,

00:59:04--> 00:59:13

there's a lot of discussion about whether it's nourishing or not nourishing. But there is a minimum component there that's water. So you're getting some amount of water

00:59:14--> 00:59:14

was so

00:59:15--> 00:59:26

silly. It's it's I mean there's water there. So some part of it is nourishing. And if you're unclear how best to stay away from things that are unclear, you can make it up as honest as it may be easy for us.

00:59:32--> 00:59:42

I have a child with cystic fibrosis he has seven and a half mutation is in like the average CF patient every year he wants to fast. What advice can you give?

00:59:44--> 00:59:54

You know, I think this is a little bit more difficult cystic fibrosis can vary in severity. So each case needs to be taken.

00:59:55--> 00:59:59

How severe is the case? I mean, some people with cystic fibrosis live relatively low.

01:00:00--> 01:00:37

lives and others can make it out of childhood and everything in between. So it really matters how severe it is how much that dehydration affects them, because there's a lot of mucus that happens in cystic fibrosis, and that can get worse with dehydration. So it's important to talk to the doctor, but you know, at seven and a half, maybe doesn't even need to fast at this point. So maybe you can encourage them to do short damages, or have some kind of minimal, you know, minimal fast for them a few hours and give something special to them anyway. But that's what I would say for that, for

01:00:39--> 01:00:41

what our scholars have told us,

01:00:42--> 01:00:45

in terms of fasting for children,

01:00:46--> 01:01:28

is that we follow the same pattern of them follow with the salon. So just as we encourage them to pray, when they are seven, we encourage them to fast when they are seven, but our encouragement for prayer at seven is not like when they tend the encouragement at seven doesn't mean that when fundraise at four o'clock in the morning, you go start sprinkling water in your face and tell them this, you know, get up at seven years old. It's it's the idea of beginning to pray, come on, let's pray together. So they're awake, and they pray with you. And yes, maybe if they're not going to school that day, it's a weekend, you know, but it's, it's you're easing into the situation so that

01:01:28--> 01:02:04

by the time they attend, right, prayer is their thing, they do it without you asking them without you probing because it's become a part of who they are. So the fast is similar in that regard, in the summertime, and like these days coming up, which are 15 and a half 16 hours, that we're looking at fasting, this Ramadan, and the child is seven years old, even encouraging them to fast the entire day, may not be the wisest thing to do, especially if we're talking about a child with a with a medical condition.

01:02:06--> 01:02:47

What you can do, as Dr. Bear mentioned, is, you know, have them fast for a certain portion of the day so that they they catch the last part of the day. So they may fast from four o'clock until Monday. And so they feel special, they feel like they're part of the family when everybody's around breaking fast. They felt like they did something. And they did. And they did Mashallah. And even as what I'm saying is that even our scholars used to tell us that that's how their mothers and fathers used to do them, you know, 7080 years ago that they would take them in that same way, gradually introducing the faster them so that by the time, they are actually responsible for fasting, it's not

01:02:47--> 01:03:32

a shock. And that's what happens to some parents, a brother came to me yesterday, and said, you know, his daughter's 10 years old, she's mentoring, she's pubescent. And well, you know, we never really talked about fast. And now what are we supposed to do? Well, now we got a lot of cleanup. Because she's responsible. Angels are right. You know, we have to, you know, and I've mentioned this on several occasions, but we have to stop following. You know, another system that was a, you know, basically imposed on us to tell us well, they're adults at 18. And they can, you know, do haram stuff at 21. And, you know, no, our children from the time they hit puberty, they are responsible in

01:03:32--> 01:03:45

front of a loss of hair without any magical number out. And so we have the, you know, our numbers set, this is when we start, you know, encouraging them to, you know, best last.

01:03:47--> 01:03:47

Sure.

01:03:49--> 01:03:49

So

01:03:52--> 01:03:55

about the as far as the iPad, say,

01:04:00--> 01:04:03

No, so how does one draw a line?

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For example, a patient who has sickle cell,

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sickle cell anemia with sickle cell,

01:04:10--> 01:04:44

but they're worried and they were just, they were just hospitalized, they had suspected their pulmonary embolism. And they didn't find animalism. But you were mentioning about the hydration. And you also mentioned about, or they were also discussing the the blood. So in light of that, and that is, should they do the video? Or do you think that they should consider or look into the possibility of making it up in winter, but at the same time, even in winter, the days are shorter, they're still concerned for the

01:04:45--> 01:04:51

hydration of the blood and other matters that you know, the patient is right around 40 to 42 years old,

01:04:52--> 01:04:59

was sick associated. with sickle cell C, you'll get less crisis. He's like a chest crisis or a picnic.

01:05:00--> 01:05:39

acute pain crisis, not to say that it can't happen, it can still happen. So it really depends if you've never had a crisis before. It had acute chest syndrome. If you if the person's had acute chest syndrome, then I would say, No, you should not do it, even in the winter. However, if you think you've done it before, in the past, you proving me wrong, you can try it. But again, I would say there's a risk there. Each time the risks may be multiplied. So it really depends, you know, some people, they just have sickle cell trait. And they don't have the disease, and they've never had any problems. They've just been told by their family. It runs in our family, but they personally

01:05:39--> 01:05:43

just have sickle cell trait. for them. I would say, yes, you can try it.

01:05:44--> 01:06:28

But it really depends on the person, though, especially if you adjust prices before the person has had some type of severe reaction, you know, I would say no, should not. Yeah, any type of sickle cell crisis in the past, you're at higher risk to develop another crisis in the future. I mean, I think part of it is, you know, anybody with sickle cell should be working with technologists, if they're not they should be. But your hematologist is going to know your case events. And I think it's important to discuss exactly what fasting you're doing at this time or in the winter with your hematologist. Because that's their specialty, they know how much it's affected you how what your

01:06:28--> 01:06:30

risk of being affected is again.

01:06:31--> 01:07:03

So that's definitely an individual thing. But in general, if you've had a crisis at any point, whether it's cute abdomen or chest or whatever else sickle cell crisis you may have had, or thrombosis from it, which is a blood clot, then I would my my intuition will be saying, Don't fast, particularly in the summer, because hydration is the biggest part. For sickle cell. Maybe in the winter, when it's colder, and you're you're gonna keep it but you'd have to talk to a human technologist and get that one clear.

01:07:06--> 01:07:15

Or the last part was the one who does the video in that situation? Are they recorded? Likewise, the person like the person who's asked

01:07:19--> 01:07:21

like, Do they still get the reward?

01:07:24--> 01:07:25

So

01:07:26--> 01:07:45

to answer that question, which kind of ties in some of the other questions that have been asked? is a is a person who makes videos? Do they get the same reward as the person who fast that the video is a substitute? For the fence? When we say video, we're talking about?

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expiation. It's a it's a model, it's basically a monetary, you know, expiation in this sense.

01:07:57--> 01:08:27

For not for not being able to fast, right? And so, here, the answer is the lucky lesson that he lost. His bowtie and his grace is expensive, we can't put a you know, we're not gonna put any limits on that. And how allows him with data rewards a person is based on the intention, a person may fast, a person may fast the entire day. And their reward is not the same as

01:08:29--> 01:08:42

sending the heavy blitzing. When talking about fasting in the sown the interval knee when it is up, now all of the that part of the heavy, but all of the eats that person does

01:08:43--> 01:08:58

are multiplied 10 to 700 times the reward for multiply 10 times 700 times except for fancy. It's for me what z be. It's for me and I, I reward for it.

01:08:59--> 01:09:09

In other words, that it may be well over 700 times, but a person may during the fast do things that absolutely destroy the reward of the effects like line,

01:09:10--> 01:09:40

which totally destroys the reward of one smash doesn't mean the fastest and valid, but it means that they don't get the reward. So will the person you know who makes video if the same reward as a person who fast allows Masada knows best what that reward will be for any of them. But the but the truth of the matter remains that all actions are based on the intention. So the person's intention was the best but they just really just didn't have the ability and then go for the next

01:09:41--> 01:09:42

one for that.

01:09:43--> 01:09:53

So the other question, though, that is, it's it's broad, it says if you're unable to fast or Ramadan for medical reasons, due to the length of time

01:09:55--> 01:10:00

going without food, however you can fast during the winter months does this person have to still

01:10:00--> 01:10:48

making extra meaning feeding people? And the answer is absolutely not. So if a person cannot fast right now, because they're sick, for whatever reason, it may not just be because of the length of time, it may just be whatever it is. And they make those things up later. As long as that is before the next Ramadan, then only thing that they have to do it fast. That's it, all they have to do is make up the facts. There's no expiation, and facts. But for those people who have chronic illnesses, and they're never going to be able to fast, then for those people, they are to expiate for each day that they miss, by feeding a poor person by feeding a poor person, and that is their way of making

01:10:48--> 01:10:50

up for the fact that they were not able to fix.

01:10:51--> 01:10:53

This is going to be the last question.

01:10:57--> 01:10:59

The room came alive.

01:11:03--> 01:11:04

Okay.

01:11:06--> 01:11:32

Okay, so maybe we'll we'll go. Okay. So for the sake of the everybody, what we'll do is, we'll try to just take one more of the sisters questions. Okay. And then, and then we'll print. And then after the salon, the doctors will sit on the side and try to take as many questions that you have before we leave the show. All right. Take the sisters questions because they will

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allow us

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to continue the previous session that we had on

01:11:47--> 01:12:14

medical issues related to the month of Ramadan, we have with us, Dr. Malik, who is a GI gastrointestinal physician at Temple University Hospital. And as we mentioned yesterday, it's a blessing from the last paradigm and that we get the opportunity to have physicians in our community that will address the issues directly related to the month of fasting, this particular question that we have in front of us.

01:12:17--> 01:12:24

This question says if a person has vertigo, is it okay for them too fast?

01:12:25--> 01:12:36

Can you tell us what vertigo is? before you answer that question? This one also says the person is suffering from vertigo, and then became dizzy. What advice do you have as far as continuing the fast which is ecolo him.

01:12:42--> 01:13:15

So vertigo is a condition that affects usually through the inner ear leads to a lot of dizziness, but for some people it can be very disabling. they're unable to function, they can't walk straight, they can do anything other than than lay down. So part of it is definition of vertigo, what what is causing it for you. Most people have something called benign positional vertigo, it's related to an inner ear canal issue. And there's essentially just some stones that form in the inner ear canal that can lead to dizziness.

01:13:17--> 01:13:30

But for others it can be through viruses. Some people think passing out is the same as vertigo that's that's a whole different ballgame. So make sure that your diagnosis is actually heard about if you do have vertigo.

01:13:32--> 01:14:15

Again, it depends how serious your condition is. Some people when they develop vertigo, they're completely disabled and they literally can't do anything suddenly down and close their eyes. And for others, it's just that they feel a little dizzy but they can carry on with their day. It's just uncomfortable for them. So you have to kind of judge how severe your issues is. A lot of vertigo again is related to the hydration and that's something we've touched upon yesterday. So keep yourself well hydrated. I think for most people with vertigo that comes on once in a while. It's okay to fast if you do start having dizziness. It depends on how much how dizzy you get how

01:14:15--> 01:14:24

disabling it is for you before you decide whether or not to stop but if it is getting to that point then then stop I mean the best thing I can tell you is

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keep yourself hydrated through through the time when you are eating and

01:14:31--> 01:14:39

seek advice if you are if you're on medications continue your medications. How does one stay hydrated so so for example

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let's just say for like right now fudger is 440 if I wake up at 430 and I drink a gallon of water is that the same as if I wake up an hour before and I drink the leader and then another leader like I space it out is it is better

01:15:00--> 01:15:13

As she mentioned, to space it out to try and drink throughout the night. So from the time of bar until support as much as you can continue to drink, try and avoid one drink water is the best thing for you.

01:15:14--> 01:15:25

You know, some people will say like low calorie, Gatorade would be helpful for electrolytes, but if you're eating Okay, you don't necessarily need those electrolytes, but that can be helpful as well. sugary drinks are things to avoid

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sodas, juices that are high in sugar, you want to avoid those things. Anything caffeinated is actually can be bad for you. Because it can dehydrate you, it can lead to increase urination, which can dehydrate you so you want to try and avoid those things, and drink through the night. One of the things that's important with all anybody that's fasting, but particularly those medical conditions is to prepare yourself as we mentioned yesterday as well. So if you haven't already started your preparation for Oban start now, you're not going to be able to drink a gallon of water in Ramadan if you're only drinking one tiny bottle of it right now. So you need to start pushing how much water

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you drink, start cutting back on your sugary drinks now so that when Ramadan comes, it's not so difficult for you.

01:16:13--> 01:16:19

Is there a religious opinion on taking appetite suppressants during the month of Ramadan.

01:16:21--> 01:16:34

So I did look into that as well. So there are certain medications that can reduce the appetite. Most of them that we know of are kind of like these herbal supplements.

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But regardless of what they are, is from the opinions that I've read that as long as you take it when you're permitted to eat, there's no harm or there's not nothing harm about taking those appetite suppressants a lot, a lot.

01:16:51--> 01:16:54

That's true. And the

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scholars, even from before Now, think it's like a North thing over here a llama was at they use a commoner Ramadan 20 years ago, or even more than that. It's basically as backwards were mentioned several herbs or vitamins B 12, and so forth.

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That helped to repress, you know, those feelings of hunger. And so it's no different than

01:17:24--> 01:18:12

choosing to eat, right, so you eat certain fibers that just takes your body a longer time to break down. It's gonna leave you feeling more satisfied and full for a long period of time as opposed to eat some french fries for support, you know, 20 minutes later, you know, you felt like you didn't need anything. Right. Okay. I didn't get any more questions with assistance from the brothers. There is a recurring question that was not dealt with yesterday. And that is the issue of high blood pressure. So if first, you could just talk about some of the things that maybe are common reasons why we get high blood pressure. And second of all, how to manage them in Ramadan. So high blood

01:18:12--> 01:18:20

pressure can come from a lot of things. A lot of it has to do with diet related things. So a high salt diet is not good for you.

01:18:21--> 01:18:38

gaining a lot of excessive weight can lead to high blood pressure. Not controlling diabetes can lead to high blood pressure, even kidney disease, things like that can lead to high blood pressure. Some people just have high blood pressure without any of these causes.

01:18:39--> 01:18:50

Genetically, genetically, yeah, genetically, you can have high blood pressure and you don't have any of those things. The best thing to do to control it is one, low salt diet.

01:18:51--> 01:19:09

Keep fluids in but you got to keep the salt very low. Low fat diets are very important as well. In terms of medications for high blood pressure, there's different types of medications. Some of them you take once a day, some twice a day, some three Some even four times a day.

01:19:11--> 01:19:31

And it depends what medication regimen you're on. If you're on medications that are once a day, then there's no problem with maintaining your fast, even the medicines that are twice a day, although it's not exactly 12 hours. Most of them are some doctors will say that it's okay for you to take it 16 hours and then eight hours apart rather than 12 and 12.

01:19:32--> 01:19:59

You know, so that that that I think is one of the things here in particular, if you have certain conditions where if you're on medications two or three times a day, seek counsel from your physician, but if they're not a Muslim physician and don't understand Islam, try and find a Muslim physician that can help guide you through that process, because there are some medications that you can absolutely not veer from 12 hours apart. And there are certain medications you can veer from

01:20:00--> 01:20:07

hours apart were the most most of the other ones you can you can change it to in a few hours off is no problem.

01:20:08--> 01:20:17

So, for the most part high blood pressure medicine, you just need to continue through through Ramadan and adjusted slightly for for timing.

01:20:19--> 01:20:35

Okay, we have a minute and 16 seconds left and I'm sticking to that. Here. It says can you repeat what you stated about migraines and also about the sister with cancer that's taking meds apparently assisted in beat cancer.

01:20:36--> 01:20:40

And she's taking medication, the live feed cut off last night.

01:20:41--> 01:21:07

So in terms of migraines, there's different levels of migraines whether how you feel them, so some of some people are have severe headache, and they can't function. But what they do to get rid of their migraine is to go lay down in a dark room, turn off all the lights, close their eyes, and just lay there. If that's the case, you don't necessarily have to break your fast laws, other people, they need to take medications immediately

01:21:08--> 01:21:30

to try and break that cycle of migraine. So if your migraine is something that's disabling, do you mean he can't function? I mean, that's from my understanding, shaking you can correct me that's that's one of the things that can be considered a reason to break your fast. So go ahead and break your fast in that case, unless your treatment on it is something that doesn't require you to break your fast.

01:21:31--> 01:21:32

In terms of cancer.

01:21:34--> 01:22:04

We mentioned cancer. This was the sister that beat cancer that wasn't taking medications. She wasn't this one was taking was taking it she was she had it in September and then died. Oh, yeah. Just taking Medicaid just taking medication. So you mentioned the frequency. Yeah. So it depends on the frequency of the medications and what that medication is, if it's a medication that you take once a day, no problem, take it at a ticket and support

01:22:05--> 01:22:08

or a bar or whatever timing works for you.

01:22:09--> 01:22:10

Also, you can

01:22:12--> 01:22:37

if it's a twice a day medicine, again, some of them, it's okay to adjust the timings a little. So they're not exactly 12 hours apart. There's certain medications though, that if you don't take 12 hours apart, your levels of that medication start changing, and it can affect your body. So you need to figure out exactly what medicine is, is it something that you can adjust the timing score a little bit or not? And then continue based on that.

01:22:42--> 01:22:44

Let me just say, as a reminder,

01:22:45--> 01:22:48

as the doctor is saying you can break the offense,

01:22:49--> 01:23:39

and then do what made the day of later not just that you break your fast and there's no repercussions to them and no consequences, the consequences that you make it up later. Those are for illnesses that are not chronically disabling that not chronic the prevention prevents it. As for people who have illnesses that chronically prevent them from fasting, then those people are excused from fasting. And they are to expiate, by feeding the poor person for each day of the fast that they miss some 29 or 30 days, depending on that year. You know, depending on how long Ramadan is, and, again, we want to thank Dr Sinclair for for coming and addressing these questions. This in fact, at

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least based on the feedback that we got from yesterday, is quite unique

01:23:46--> 01:24:02

in our communities to have these issues addressed by a medical professional, and pray the loss of Thailand, blesses all of those who make this event a reality. And we also remind you that tomorrow

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is starting in two o'clock

01:24:06--> 01:24:12

starting at two o'clock and up until Asad there will be three more lectures and Shalom.

01:24:14--> 01:24:15

Pre Rahman dime

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lectures made last month coming out pieces of knowledge