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RAMADAN
C o m p i l e d b y m e d i c a l e x p e r t s , I s l a m i c s c h o l a r s & r e s e a r c h e r s
HEALTHCARE
CONSIDERATIONS IN
www.discover-islam.org.uk
WHAT’S THE PLAN?
1  What is Ramadan Meaning, purpose & importance
2  Rules of fasting Who can fast, Do’s and don’ts
3  Health issues in Ramadan Medical conditions
THOUGHTS
your
{	
 }	
‫رﻣﻀﺎن‬
{	
 }	
‫رﻣﻀﺎن‬
=scorching heat
How does this
meaning make
sense?
The best
things
are
heated
products
Purification
MOON MONTHS12	
  
1.	
  Muharram	
  
2.	
  Safar	
  
3.	
  Rabi’	
  	
  
al-­‐awwal	
  
4.	
  Rabi’	
  
al-­‐thani	
  	
  
5.	
  Jumada	
  
al-­‐awwal	
  	
  
6.	
  Jumada	
  
al-­‐thani	
  
7.	
  Rajab	
  
8.	
  Sha'ban	
   9.	
  Ramadan	
   10.	
  
Shawwal	
  	
  
11.	
  Dhu	
  al-­‐
Qi'dah	
  	
  
12.	
  Dhu	
  
al-­‐Hijjah	
  
“
“
1.5 BILLION MUSLIMS IN THE

WORLD FASTING IN RAMADAN ="
But why?"
{	
 }	
Who keeps this
globe
spinning?
{	
 }	
Who gives us a night to
rest every day?
So whats"
our guide"
in life?"
Night of Power

Lailatul Qadr"
Taurah"
Muhammad"David" Jesus"Moses"
Zaboor" Injeel" Qur’an"
Messengers of God

Received guidance"
We will be
judged"
{	
 }	
Heaven"
or "
Hell"
Witnessing there	
is only One God	
Praying 5	
times a day	
Fasting in the month	
of Ramadan	
Giving charity to	
the needy	
Making pilgrimage	
to the Ka’bah	
built by Abraham
{	
 }	
So "
why"
fast?"
{	
 }	
“O you who believe!
Fasting is written for
you as it was written
for those before you,
so that you may
become conscious
of God and better”
[Quran 2:183]
Give in charity
and help the poor
Making lots of
supplication
Increasing in prayer
and worship
Spending more time
at the mosque
Reading & learning
the Qur’an
•  Contemplation
•  Compassion
•  Charity
•  Community
“Whoever does
not give up false
speech and
acting upon it
and offensive
speech and
behaviour, Allah
has no need of
his giving up his
food and drink.”
No eating, drinking
or intimate relations
Avoiding time
wasters
No arguing or fighting
and avoiding sins
No swearing, lying
and backbiting
IN
LUTON
Ramadan
Dietary	
  recommendaIons	
  
Complex	
  carbohdrates	
  
Grains	
  and	
  seeds,	
  like	
  barley,	
  wheat,	
  
oats,	
  millets,	
  beans,	
  lenIls,	
  wholemeal,	
  
flour,	
  chickpeas,	
  basmaI	
  rice	
  
Fibre-­‐rich	
  foods	
  
Bran,	
  cereals,	
  whole	
  wheat,	
  grains	
  
and	
  seeds,	
  potatoes	
  +	
  skin,	
  vegetables	
  
and	
  fruit	
  including	
  apricots	
  &	
  figs	
  
Milk	
  based	
  dishes	
  
Rice	
  pudding,	
  Rasmalai,	
  Barfee	
  
Baked/boiled/Grilled	
  dishes	
  
Heavily-­‐processed	
  foods	
  
Sugar,	
  white	
  flour	
  etc.	
  
FaZy	
  foods	
  
Cakes,	
  biscuits,	
  chocolates,	
  sweets	
  
High	
  caffeine	
  drinks	
  
Tea,	
  coffee,	
  cola	
  (cause	
  faster	
  water	
  
loss	
  through	
  urinaIon)	
  
Deep	
  fried	
  foods	
  
Pakoras,	
  Samosas	
  
Sunrise	
  
2.50am	
  
Sunset	
  
9.24pm	
  
How	
  
long?	
  
PotenIal	
  Health	
  ComplicaIons	
  
and	
  Possible	
  Remedies	
  
“So	
  whoever	
  among	
  you	
  is	
  ill	
  or	
  on	
  a	
  journey	
  -­‐	
  then	
  an	
  equal	
  number	
  of	
  days	
  
[are	
  to	
  be	
  made	
  up].	
  And	
  upon	
  those	
  who	
  face	
  difficulty	
  fasHng,	
  they	
  must	
  
subsHtute	
  this	
  by	
  feeding	
  a	
  poor	
  person”	
  	
  
Surah	
  Al-­‐Baqarah:	
  184	
  
1.	
  SYMPTOMS	
  
2.	
  MANAGEMENT	
  
3.	
  PREVENTATIVE	
  MEASURES	
  
APPROACH	
  
FasIng	
  usually	
  reduces	
  the	
  amount	
  of	
  acid	
  produced,	
  although	
  
thinking	
  about	
  food	
  can	
  cause	
  the	
  body	
  to	
  produce	
  more	
  acid.	
  
Hence	
  if	
  there	
  is	
  a	
  net	
  increase	
  in	
  acid,	
  heartburn	
  may	
  occur.	
  
Those	
  on	
  regular	
  medicaIon	
  e.g.	
  Antacids	
  (Gaviscon),	
  
anIhistamines	
  (Zantac)	
  or	
  proton	
  pump	
  inhibitors	
  (Losec,	
  
Nexium)	
  should	
  take	
  them	
  at	
  the	
  predawn	
  meal	
  
Eat	
  in	
  moderaIon	
  -­‐	
  avoid	
  oily,	
  deep	
  fried	
  or	
  very	
  spicy	
  food.	
  
Reduce	
  caffeine	
  intake.	
  Peppermint	
  oil	
  may	
  help	
  reduce	
  colic.	
  
Heartburn	
  
Regular	
  self-­‐monitoring	
  is	
  very	
  important.	
  Low	
  blood	
  sugar	
  levels	
  (Hypo)	
  is	
  
dangerous,	
  and	
  if	
  untreated	
  may	
  lead	
  to	
  faint	
  or	
  fits.	
  	
  Symptoms	
  include	
  
feeling	
  dizzy,	
  sweaty	
  and	
  disorientated.	
  	
  If	
  suspected,	
  you	
  should	
  have	
  a	
  sugary	
  
drink,	
  or	
  place	
  sugar	
  or	
  a	
  sugar-­‐rich	
  sweet	
  below	
  the	
  tongue.	
  
Those	
  with	
  medicated	
  diabetes	
  control	
  should	
  see	
  a	
  GP	
  before	
  Ramadan	
  to	
  
discuss	
  any	
  changes	
  in	
  medicaIon.	
  This	
  is	
  very	
  important	
  for	
  those	
  with	
  other	
  
further	
  complicaIons	
  e.g.	
  angina,	
  eye	
  disease	
  
Eat	
  balanced	
  meals	
  and	
  take	
  medicaIon	
  pre-­‐dawn.	
  Monitor	
  closely.	
  
Poor	
  control	
  of	
  diabetes	
  
	
  Those	
  injecIng	
  insulin	
  are	
  advised	
  not	
  to	
  fast,	
  as	
  the	
  potenIal	
  risk	
  to	
  health,	
  both	
  in	
  
the	
  short	
  and	
  long	
  term,	
  of	
  not	
  taking	
  insulin	
  is	
  too	
  great.	
  
Commonly	
  due	
  to	
  dehydraIon	
  or	
  hunger,	
  inadequate	
  rest,	
  or	
  due	
  to	
  the	
  absence	
  of	
  
addicIve	
  substances	
  such	
  as	
  caffeine	
  or	
  nicoIne.	
  
Those	
  with	
  a	
  history	
  of	
  frequent	
  and/or	
  disabling	
  migraines	
  should	
  aim	
  to	
  gain	
  
adequate	
  control	
  with	
  lifestyle	
  and/or	
  medical	
  treatment	
  if	
  required,	
  prior	
  to	
  
starIng	
  a	
  fast.	
  
Moderate	
  and	
  balanced	
  diet	
  especially	
  not	
  missing	
  the	
  pre-­‐dawn	
  meal,	
  consuming	
  
adequate	
  quanIIes	
  of	
  fluid	
  and	
  if	
  necessary	
  taking	
  a	
  dose	
  of	
  painkillers	
  such	
  
as	
  paracetamol.	
  Keep	
  out	
  of	
  the	
  sun.	
  
Migraines	
  /	
  Headache	
  
This	
  risk	
  is	
  higher	
  in	
  the	
  elderly,	
  and	
  in	
  those	
  taking	
  tablets	
  such	
  as	
  diureIcs.	
  
Depending	
  on	
  the	
  severity	
  of	
  the	
  dehydraIon,	
  you	
  may	
  experience	
  a	
  general	
  
feeling	
  of	
  being	
  unwell,	
  lethargy,	
  muscle	
  cramps,	
  dizziness,	
  disorientaIon	
  and	
  
even	
  collapse	
  or	
  faint.	
  
If	
  you	
  are	
  unable	
  to	
  stand-­‐up	
  due	
  to	
  dizziness,	
  or	
  disorientated,	
  you	
  should	
  
urgently	
  re-­‐hydrate	
  with	
  regular	
  moderate	
  quanIIes	
  of	
  water,	
  ideally	
  with	
  
sugar	
  and	
  salt,	
  such	
  as	
  Dioralyte	
  or	
  Lucozade.	
  
Drink	
  as	
  much	
  water	
  as	
  possible	
  prior	
  to	
  and	
  aner	
  the	
  fast.	
  Try	
  to	
  cut	
  down	
  on	
  
caffeine	
  in	
  teas,	
  coffees	
  and	
  fizzy	
  drinks.	
  
DehydraHon	
  
Other	
  maRers	
  
High	
  blood	
  pressure	
  and	
  
asthma	
  are	
  controlled	
  using	
  
medicaIons	
  that	
  need	
  to	
  be	
  
taken	
  regularly	
  every	
  day	
  of	
  
the	
  year.	
  
	
  
Consult	
  with	
  your	
  doctor	
  
should	
  to	
  discuss	
  potenIal	
  
opIons	
  of	
  compleIng	
  a	
  fast	
  
safely,	
  whilst	
  conInuing	
  to	
  
control	
  your	
  disease.	
  
ConsIpaIon	
  could	
  be	
  a	
  very	
  
irritaIng	
  problem	
  for	
  the	
  
person	
  undertaking	
  a	
  fast.	
  
Maintain	
  good	
  hydraIon	
  
outside	
  the	
  fast	
  eaIng	
  
healthily,	
  with	
  lots	
  of	
  fruit	
  
and	
  vegetables	
  in	
  your	
  diet	
  
to	
  increase	
  fibre	
  and	
  remain	
  
acIve	
  to	
  help	
  your	
  bowel	
  
moIons.	
  
If	
  the	
  problem	
  persists,	
  a	
  
short	
  course	
  of	
  bulk	
  laxaIves	
  
may	
  help.	
  
Lack	
  of	
  food	
  and	
  water,	
  
changes	
  of	
  rouIne	
  and	
  
shorter	
  periods	
  of	
  sleep	
  can	
  
all	
  collude	
  to	
  increase	
  stress	
  
levels.	
  
Don’t	
  take	
  on	
  more	
  than	
  you	
  
can	
  reasonably	
  handle.	
  
Avoid	
  playing	
  sports	
  in	
  the	
  
hot	
  sun,	
  controlling	
  your	
  
anger	
  in	
  advance	
  and	
  
abstaining	
  from	
  smoking.	
  
Pregnancy	
  &	
  children	
  
It	
  is	
  not	
  compulsory	
  to	
  fast	
  
while	
  pregnant,	
  but	
  the	
  fasts	
  
should	
  be	
  made	
  up	
  later.	
  
	
  
If	
  a	
  pregnant	
  woman	
  feels	
  
strong	
  and	
  healthy	
  enough	
  
to	
  fast,	
  especially	
  during	
  the	
  
early	
  part	
  of	
  the	
  pregnancy,	
  
she	
  may	
  do	
  so.	
  
Breasoeeding	
  
	
  
Islamic	
  law	
  exempts	
  a	
  
breasoeeding	
  mother	
  from	
  
fasIng.	
  Missed	
  fasts	
  will	
  
need	
  to	
  be	
  compensated	
  for	
  
by	
  fasIng	
  if	
  possible	
  once	
  
breasoeeding	
  has	
  ceased.	
  
Children	
  are	
  required	
  to	
  fast	
  
from	
  the	
  age	
  of	
  puberty,	
  and	
  
this	
  not	
  harmful.	
  FasIng	
  
prior	
  to	
  this	
  age	
  is	
  tolerated	
  
differently	
  depending	
  on	
  the	
  
children’s	
  general	
  health,	
  
nutriIon	
  and	
  aptude.	
  	
  
FasIng	
  prior	
  to	
  the	
  age	
  of	
  7	
  
or	
  8	
  years	
  is	
  not	
  advisable,	
  
although	
  it	
  is	
  a	
  good	
  idea	
  to	
  
make	
  young	
  children	
  aware	
  
of	
  the	
  pracIce	
  of	
  fasIng	
  in	
  
the	
  community	
  around	
  them	
  
and	
  perhaps	
  do	
  mini-­‐fasts.	
  
THANK YOU
www.discover-islam.org.uk

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Healthcare considerations in Ramadan

  • 1. RAMADAN C o m p i l e d b y m e d i c a l e x p e r t s , I s l a m i c s c h o l a r s & r e s e a r c h e r s HEALTHCARE CONSIDERATIONS IN www.discover-islam.org.uk
  • 2. WHAT’S THE PLAN? 1  What is Ramadan Meaning, purpose & importance 2  Rules of fasting Who can fast, Do’s and don’ts 3  Health issues in Ramadan Medical conditions
  • 6. How does this meaning make sense?
  • 8. MOON MONTHS12   1.  Muharram   2.  Safar   3.  Rabi’     al-­‐awwal   4.  Rabi’   al-­‐thani     5.  Jumada   al-­‐awwal     6.  Jumada   al-­‐thani   7.  Rajab   8.  Sha'ban   9.  Ramadan   10.   Shawwal     11.  Dhu  al-­‐ Qi'dah     12.  Dhu   al-­‐Hijjah  
  • 9. “ “ 1.5 BILLION MUSLIMS IN THE
 WORLD FASTING IN RAMADAN ="
  • 11. { } Who keeps this globe spinning?
  • 12. { } Who gives us a night to rest every day?
  • 14. Night of Power
 Lailatul Qadr" Taurah" Muhammad"David" Jesus"Moses" Zaboor" Injeel" Qur’an" Messengers of God
 Received guidance"
  • 17. Witnessing there is only One God Praying 5 times a day Fasting in the month of Ramadan Giving charity to the needy Making pilgrimage to the Ka’bah built by Abraham
  • 19. { } “O you who believe! Fasting is written for you as it was written for those before you, so that you may become conscious of God and better” [Quran 2:183]
  • 20. Give in charity and help the poor Making lots of supplication Increasing in prayer and worship Spending more time at the mosque Reading & learning the Qur’an •  Contemplation •  Compassion •  Charity •  Community
  • 21. “Whoever does not give up false speech and acting upon it and offensive speech and behaviour, Allah has no need of his giving up his food and drink.” No eating, drinking or intimate relations Avoiding time wasters No arguing or fighting and avoiding sins No swearing, lying and backbiting
  • 23.
  • 24. Dietary  recommendaIons   Complex  carbohdrates   Grains  and  seeds,  like  barley,  wheat,   oats,  millets,  beans,  lenIls,  wholemeal,   flour,  chickpeas,  basmaI  rice   Fibre-­‐rich  foods   Bran,  cereals,  whole  wheat,  grains   and  seeds,  potatoes  +  skin,  vegetables   and  fruit  including  apricots  &  figs   Milk  based  dishes   Rice  pudding,  Rasmalai,  Barfee   Baked/boiled/Grilled  dishes   Heavily-­‐processed  foods   Sugar,  white  flour  etc.   FaZy  foods   Cakes,  biscuits,  chocolates,  sweets   High  caffeine  drinks   Tea,  coffee,  cola  (cause  faster  water   loss  through  urinaIon)   Deep  fried  foods   Pakoras,  Samosas  
  • 25. Sunrise   2.50am   Sunset   9.24pm   How   long?  
  • 26.
  • 27. PotenIal  Health  ComplicaIons   and  Possible  Remedies  
  • 28. “So  whoever  among  you  is  ill  or  on  a  journey  -­‐  then  an  equal  number  of  days   [are  to  be  made  up].  And  upon  those  who  face  difficulty  fasHng,  they  must   subsHtute  this  by  feeding  a  poor  person”     Surah  Al-­‐Baqarah:  184  
  • 29. 1.  SYMPTOMS   2.  MANAGEMENT   3.  PREVENTATIVE  MEASURES   APPROACH  
  • 30. FasIng  usually  reduces  the  amount  of  acid  produced,  although   thinking  about  food  can  cause  the  body  to  produce  more  acid.   Hence  if  there  is  a  net  increase  in  acid,  heartburn  may  occur.   Those  on  regular  medicaIon  e.g.  Antacids  (Gaviscon),   anIhistamines  (Zantac)  or  proton  pump  inhibitors  (Losec,   Nexium)  should  take  them  at  the  predawn  meal   Eat  in  moderaIon  -­‐  avoid  oily,  deep  fried  or  very  spicy  food.   Reduce  caffeine  intake.  Peppermint  oil  may  help  reduce  colic.   Heartburn  
  • 31. Regular  self-­‐monitoring  is  very  important.  Low  blood  sugar  levels  (Hypo)  is   dangerous,  and  if  untreated  may  lead  to  faint  or  fits.    Symptoms  include   feeling  dizzy,  sweaty  and  disorientated.    If  suspected,  you  should  have  a  sugary   drink,  or  place  sugar  or  a  sugar-­‐rich  sweet  below  the  tongue.   Those  with  medicated  diabetes  control  should  see  a  GP  before  Ramadan  to   discuss  any  changes  in  medicaIon.  This  is  very  important  for  those  with  other   further  complicaIons  e.g.  angina,  eye  disease   Eat  balanced  meals  and  take  medicaIon  pre-­‐dawn.  Monitor  closely.   Poor  control  of  diabetes    Those  injecIng  insulin  are  advised  not  to  fast,  as  the  potenIal  risk  to  health,  both  in   the  short  and  long  term,  of  not  taking  insulin  is  too  great.  
  • 32. Commonly  due  to  dehydraIon  or  hunger,  inadequate  rest,  or  due  to  the  absence  of   addicIve  substances  such  as  caffeine  or  nicoIne.   Those  with  a  history  of  frequent  and/or  disabling  migraines  should  aim  to  gain   adequate  control  with  lifestyle  and/or  medical  treatment  if  required,  prior  to   starIng  a  fast.   Moderate  and  balanced  diet  especially  not  missing  the  pre-­‐dawn  meal,  consuming   adequate  quanIIes  of  fluid  and  if  necessary  taking  a  dose  of  painkillers  such   as  paracetamol.  Keep  out  of  the  sun.   Migraines  /  Headache  
  • 33. This  risk  is  higher  in  the  elderly,  and  in  those  taking  tablets  such  as  diureIcs.   Depending  on  the  severity  of  the  dehydraIon,  you  may  experience  a  general   feeling  of  being  unwell,  lethargy,  muscle  cramps,  dizziness,  disorientaIon  and   even  collapse  or  faint.   If  you  are  unable  to  stand-­‐up  due  to  dizziness,  or  disorientated,  you  should   urgently  re-­‐hydrate  with  regular  moderate  quanIIes  of  water,  ideally  with   sugar  and  salt,  such  as  Dioralyte  or  Lucozade.   Drink  as  much  water  as  possible  prior  to  and  aner  the  fast.  Try  to  cut  down  on   caffeine  in  teas,  coffees  and  fizzy  drinks.   DehydraHon  
  • 34. Other  maRers   High  blood  pressure  and   asthma  are  controlled  using   medicaIons  that  need  to  be   taken  regularly  every  day  of   the  year.     Consult  with  your  doctor   should  to  discuss  potenIal   opIons  of  compleIng  a  fast   safely,  whilst  conInuing  to   control  your  disease.   ConsIpaIon  could  be  a  very   irritaIng  problem  for  the   person  undertaking  a  fast.   Maintain  good  hydraIon   outside  the  fast  eaIng   healthily,  with  lots  of  fruit   and  vegetables  in  your  diet   to  increase  fibre  and  remain   acIve  to  help  your  bowel   moIons.   If  the  problem  persists,  a   short  course  of  bulk  laxaIves   may  help.   Lack  of  food  and  water,   changes  of  rouIne  and   shorter  periods  of  sleep  can   all  collude  to  increase  stress   levels.   Don’t  take  on  more  than  you   can  reasonably  handle.   Avoid  playing  sports  in  the   hot  sun,  controlling  your   anger  in  advance  and   abstaining  from  smoking.  
  • 35. Pregnancy  &  children   It  is  not  compulsory  to  fast   while  pregnant,  but  the  fasts   should  be  made  up  later.     If  a  pregnant  woman  feels   strong  and  healthy  enough   to  fast,  especially  during  the   early  part  of  the  pregnancy,   she  may  do  so.   Breasoeeding     Islamic  law  exempts  a   breasoeeding  mother  from   fasIng.  Missed  fasts  will   need  to  be  compensated  for   by  fasIng  if  possible  once   breasoeeding  has  ceased.   Children  are  required  to  fast   from  the  age  of  puberty,  and   this  not  harmful.  FasIng   prior  to  this  age  is  tolerated   differently  depending  on  the   children’s  general  health,   nutriIon  and  aptude.     FasIng  prior  to  the  age  of  7   or  8  years  is  not  advisable,   although  it  is  a  good  idea  to   make  young  children  aware   of  the  pracIce  of  fasIng  in   the  community  around  them   and  perhaps  do  mini-­‐fasts.