Isnin, 18 Ogos 2008

Siri 3 : "Doktor, Batal Tak Puasa Saya Kalau..."

Assalamualaikum.

Apakata hari ni kita bincang masalah berkaitan suntikan atau injection di bulan Ramadhan? Pengalaman ummi, ramai pesakit yang refuse atau tak setuju disuntik di siang hari bulan Ramadhan kerana bimbang puasanya terbatal. Kalau setakat injection yang boleh ditangguhkan ke malam, oklah juga tapi macamana pulak kalau injection tu, injection 'wajib'...contohnya macam suntikan insulin untuk rawatan kencing manis...

Maka sayugialah kiranya kita memetik ilmu daripada orang yang lebih tahu...Ok, di bawah ni ummi copy & paste fatwa-fatwa yang dikeluarkan untuk permasalahan tadi..selamat menuntut ilmu!

Fasting person having an injection

What is the ruling on taking medication by injection during the day in Ramadan, whether it is for nourishment or for medical purposes?

Praise be to Allaah.

It is permissible for a fasting person to take medicine by injection, whether intramuscular or intravenous, during the day in Ramadaan, but it is not permissible for the fasting person to be given an injection for nourishment purposes during the day in Ramadaan, because that comes under the ruling on eating and drinking; having this injection is regarded as a trick aimed at breaking one's fast in Ramadaan. If the intramuscular or intravenous injection can be given at night, that is better.

And Allaah is the Source of strength. May Allaah send blessings and peace upon our Prophet Muhammad and his family and companions.

Standing Committee for Academic Research and Issuing Fatwas, 10/252

He needs to have an injection into a vein – will that affect his fast?

One of my friends has been stricken with the onset of cancer and has to take a course of treatment in Ramadaan, consisting of a number of medicines dissolved in liquids which are to be administered intravenously. Is his fasting valid?

Praise be to Allaah.

Two scenarios may apply to having injections during the day in Ramadaan:

1 – Where the injection provides nourishment that takes the place of food and drink; this kind of injection invalidates the fast because it is like eating and drinking.
2 – Where what is injected is not a kind of nourishment; this does not break the fast or affect it. In this case it makes no difference whether the injection is into a vein or a muscle.

But if it is possible to have these injections at night, that is better and more on the safe side with regard to the fast.

Shaykh Ibn Baaz (15/257) was asked about the ruling on a person who had intravenous and intramuscular injections during the day in Ramadaan when he was fasting and completed his fast – was his fast invalidated and does he have to make it up, or not?

He replied:

His fast is valid, because an injection into a vein is not like eating or drinking; this applies more so in the case on an intramuscular injection. But if he makes it up in order to be on the safe side, that is better. If it can be delayed until nighttime, if he needs to have it, that is better too, so as to avoid an area of scholarly dispute.

Shaykh Ibn ‘Uthaymeen was asked in Fataawa al-Siyaam (p. 220) about the ruling on having injections into a vein, muscle or the buttock.

He replied:

There is nothing wrong with having injections into a vein, muscle or buttock, and that does not break the fast, because this is not one of the things that break the fast; it is not food or drink, and it is not like eating or drinking. We have already explained that this does not have any effect on the fast. What does affect the fast is when a sick person is given an injection of something that takes the place of food and drink.

The Standing Committee (10/252) was asked about the ruling on administering medicine via injection during the day in Ramadaan, whether that is nourishment or medication.

They replied:

It is permissible to administer medicine by needle into a muscle or vein to a fasting person during the day in Ramadaan, but it is not permissible for the fasting person to be given a nourishing injection during the day in Ramadaan, because that comes under the ruling on eating or drinking, so that injection is regarded as a means of breaking the fast in Ramadaan. If the injection can be given into a muscle or vein at night, that is better.

He was told that having an injection breaks the fast so he broke his fast and made it up later on. What should he do?

Fate dictated that I should get pulmonary tuberculosis, and the treatment involved having a needle every day for a year, as well as other medications three times each day. The treatment coincided with the beginning of Ramadaan, but despite that I began to fast the holy month. After 15 days of fasting, I went to take the injection as usual at the health centre, and there the nurse asked me if I was fasting, and I said yes. His response what that I should stop fasting from that day onwards, so following his instructions I stopped fasting for the rest of Ramadan, and after that I made up the days that I did not fast. After I found out that injections do not invalidate the fast, I regretted it and felt that I had committed a great sin, even though my intention was clearly to fast the whole month despite my sickness. I blame that nurse who told me not to fast for the rest of the month. I hope that you can advise me about the Islamic ruling concerning this.

Praise be to Allaah.

Firstly:

Injections that are given to sick people are of two types:
1- Those which contain nourishment. These cause the fast to be invalidated if one uses them deliberately.
2- Those which do not contain nourishment. These do not affect the fast, whether they are given via a vein (intravenous) or a muscle (intramuscular), according to the more correct of the two scholarly opinions, because they are neither food not drink, nor do they take the place of food or drink.

See question no. 49706 and 65632. in which we quote some of the fatwas of the scholars concerning this issue.

Perhaps this nurse was following the view of those who say that injections break the fast if they reach the stomach. Whatever the case, the fact that you broke the fast based on his instructions, then made up the fasts that you missed, means that you have done what was required of you, and you do not have to do anything else.

Shaykh Ibn ‘Uthaymeen (may Allaah have mercy on him) was asked about a woman who dyed her hair then her sister told her that that invalidates the fast, so she broke her fast then made it up. He replied: The answer to this question involves two things, the first of which is this woman who issued a fatwa without knowledge, because if a woman who is fasting dyes her hair, it does not invalidate the fast. The second issue has to do with this woman who received information that was not based on proper knowledge and broke her fast then made it up based on that fatwa. She does not have to do anything now, because she has done what was required of her. End quote from Majmoo’ Fataawa al-Shaykh Ibn ‘Uthaymeen (19/226).

Secondly:

In your question you say: “Fate dictated that…” This is a common mistake, because fate has no will. The correct thing to say is: Allaah willed, or Allaah decreed.

Shaykh Ibn ‘Uthaymeen (may Allaah have mercy on him) was asked about saying “Circumstances dictated that such and such should happen” or “fate willed that such and such should happen.”

He replied: Saying “fate decreed” or “circumstances decreed” is wrong, because circumstances refers to time, and time has no will. Similarly fate has no will either. Rather the One Who decrees is Allaah, may He be glorified and exalted. If a person says “The will of Allaah dictated that such and such should happen,” there is nothing wrong with that, because will cannot be attributed to fate. End quote from Majmoo’ Fataawa Ibn ‘Uthaymeen (3/113).

We ask Allaah to heal you and give you good health, and to increase you in understanding and knowledge.

And Allaah knows best.

Does having an anaesthetic via injection during Ramadaan break the fast?

I am going to have two non-invasive medical procedures during the month of Ramadaan, and I am going to take a drug via injection during these two procedures. Will my fast be invalidated by that?

Praise be to Allaah.

Being given medicine via injection does not break the fast, whether it is intramuscular or intravenous, so long as the injected substance does not provide nutrition, because in that case it is like food and drink which are forbidden to the one who is fasting.

It says in Fataawa al-Lajnah al-Daa’imah (10/252):

It is permissible to be given medicine via injection into the muscles or veins when fasting during the day in Ramadaan. But it is not permissible for the fasting person to be given nutrients during the day in Ramadaan, because that comes under the same rulings as consuming food and drink, and this injection is regarded as a means of breaking the fast in Ramadaan. If it is possible to give the injection into a muscle or vein during the night, that is preferable. End quote.

Shaykh Ibn ‘Uthaymeen (may Allaah have mercy on him) was asked about the spread of anaesthesia through the body – does that break the fast? And what about the flow of blood when a tooth is extracted?

He replied:

Neither of these breaks the fast, but the blood that flows after removal of a tooth should not be swallowed. End quote.

Fataawa Ramadaan, p. 525

It makes no difference whether it is a local or general anaesthetic. Many of the fuqaha’ have stated that if a person who is unconscious is awake for even a moment of the day, his fast is valid, so long as he formed the intention to fast from the night before.

Imaam al-Shaafa’i said in al-Umm (8/153):

If a man loses consciousness for a day or two days during the month of Ramadaan, and he did not eat or drink anything, then he has to make up those days. But if he was awake for part of the day, then he is regarded as having fasted on that day. End quote.

Ibn Qudaamah said in al-Mughni (4/343):

If he was unconscious for the whole day and did not wake up at all, then his fast is not valid, according to the view of our imam (i.e., Imam Ahmad) and al-Shaafa’i…
If the person who was unconscious woke up for a part of the day, his fast is valid, whether that was at the beginning or the end of the day. End quote.

Vaccinations against meningitis do not invalidate the fast

Does a vaccination against meningitis invalidate the fast?

Vaccinations against meningitis do not invalidate the fast. There is nothing wrong with that, but if it is possible to give the injection at night, that is more on the safe side. And Allaah is the Source of strength. May Allaah send blessings and peace upon our Prophet Muhammad and upon his family and companions.

Standing Committee for Academic Research and Issuing Fatwas, 10/251

Ruling on having an inoculation for hepatitis during the day in Ramadaan

What is the ruling on having an inoculation for hepatitis in the right shoulder during the day in Ramadaan?

Praise be to Allaah.

That does not do any harm or affect the fast, because this inoculation is not like giving nourishment.

And Allah knows best.

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