Most-asked question

Who is excused from fasting because of illness or old age?

45 fatawa in the archive answer questions on this, from 5 South African Darul Iftas (Ask Imaam, Mufti Online, Ibn Masood, MUBZ, Camperdown). Below, each Darul Ifta’s answer is quoted word for word from the opening of one of its fatawa.

Based on the fatawa linked below. Please read the sources and double-check with a Darul Ifta for your situation.

Consult a mufti for your situation. Fatawa SA is a read-only archive and issues no rulings of its own.

What the Darul Iftas say

“Fasting in Ramaḍān is a Divine and merciful obligation on every person who is able to do so. The principal ruling is, that if, a competent Muslim doctor advises one not to fast or if one genuinely fears, due to previous experience, that one will become sick by fasting or one’s sickness will be aggravated by fasting, then such a …”

MUBZ — CF-Related Diabetes and Fasting · 17 Jun 2026

“In principle, if a person is unable to fast due to a chronic illness, he will be excused from fasting. If the person is expected to recover from such an illness, then it will be necessary to perform Qadhaa for each missed fast. However, if there is no hope of recovery, then the Fidyah must be paid for every missed fast.”

Ibn Masood — Chronic Illness And Fasting · 18 Feb 2026

“In principle, if one fears that one will become sick by fasting or one’s sickness will be aggravated by fasting, then such a person is excused from fasting. However, such a person will be have to keep Qadha fast for each missed fast in the future when one is able to do so.”

Ask Imaam — Chronic medication and fasting · 3 Mar 2025

“If the pill (medication, etc) is taken orally, it will invalidate the fast.”

Mufti Online — Taking medication orally while fasting · 7 Aug 2014

Quotes are the opening words of each answer as published; the full answer, its conditions and references are on the fatwa page. Answers depend on the exact details of each question.

Read the fatawa

  1. CF-Related Diabetes and FastingMUBZ · 17 Jun 2026
  2. Fasting for a Chronically ill PersonCamperdown · 19 Feb 2026
  3. Chronic Illness And FastingIbn Masood · 18 Feb 2026
  4. Chronic medication and fastingAsk Imaam · 3 Mar 2025
  5. Being unable to give fidyah for not fasting due to illnessMufti Online · 30 Apr 2014
  6. Not Fasting in Ramaḍān Due to IllnessMUBZ · 17 Jun 2026
  7. Taking Sublingual Medication While FastingIbn Masood · 17 Jul 2024
  8. Elderly person intending to perform Sunnah I’tikaaf without fastingAsk Imaam · 15 Apr 2023
  9. Trying to fast in Ramadhaan despite one's ill-healthMufti Online · 22 Feb 2025
  10. Entering medication through the back passage whilst fastingIbn Masood · 4 Apr 2022
  11. My mother is unable to fast due to illness. Is there any way to compensate by giving some sadaqa or zakat?Ask Imaam · 3 Apr 2023
  12. Being unable to fast during Ramadhaan due to illnessMufti Online · 17 Jun 2019
  13. I broke my fast due to severe illness - How many Qadha do i keep?Ask Imaam · 1 May 2021
  14. Breaking one's fast due to illnessMufti Online · 17 Jul 2018
  15. Taking medication orally while fastingMufti Online · 7 Aug 2014

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