Can Chronic Respiratory Patients Fast for Ramadan?

Ramadan in Dubai: Can Muslims with Chronic Respiratory Diseases Fast?
Ramadan is one of the holiest periods in the Muslim world, where faith and self-discipline play a central role. However, for those suffering from chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD) or asthma, fasting can pose challenges. Due to dehydration and breathing difficulties, many question whether it is possible to honor their faith without compromising their health. According to doctors, the answer is yes, but this requires personalized planning and medical assistance.
Asthma and Fasting: A Personal Story
A Dubai expat who battles asthma shared how she found balance between faith and health. "I've struggled with asthma since my teenage years, and fasting was a significant challenge for a long time. I needed more medication, including biologicals and steroids, and often experienced wheezing attacks during fasting. During the day, I avoided using a nebulizer or inhaler, which only worsened the situation." However, the introduction of a new 24-hour action inhaler dramatically improved the situation. "Now I can take it before fasting begins, helping manage symptoms all day. This brought life-saving change—I no longer fear severe attacks during fasting."
The Role of Diet and Medication
Another patient suffering from late-onset asthma emphasized paying close attention to her diet during Ramadan. "My asthma has many triggers, and food is one of the easiest controllable factors. During suhoor, I always try to drink enough water to stay hydrated. I usually break my fast with dates and water, avoiding oily and spicy foods as these can trigger my symptoms." Additionally, she follows a strict medication regimen: taking antihistamines in the morning and Montelukast at night to reduce mucus production. "If I have an attack, I use an inhaler, but I avoid the nebulizer as it's liquid-based and not allowed during fasting."
The Role of Medical Advice
Doctors working in the United Arab Emirates emphasize that those with chronic respiratory diseases can also fast safely with proper medical guidance. A pulmonologist from Aster Hospital Sharjah highlights: "Many fast successfully without significant trouble if they follow a well-planned approach. Key factors include assessing the severity of the disease, adjusting medication regimens, ensuring adequate hydration, and nutrition. Consulting healthcare professionals is crucial to create a personalized plan that ensures both spiritual fulfillment and health."
The lack of hydration can be especially risky for those with respiratory diseases. Dehydration can thicken airway secretions, making it harder to clear airways and exacerbating symptoms. Those with severe respiratory conditions experiencing frequent attacks or living with oxygen therapy should definitely consult their doctor before beginning the fast. Islam, after all, grants an exemption from fasting for health reasons.
Conclusion
Ramadan in Dubai can be a celebration of both faith and health. For those living with chronic respiratory diseases, fasting can be challenging, but with appropriate planning and medical support, it is possible to find a balance between faith and health. Personalized medication regimens, dietary focus, and proper hydration are essential to ensure that Ramadan can truly be a period of peace and renewal for everyone.