Q&A: Fasting with a Respiratory Condition
Ramadan is a sacred month observed by practising Muslims in Western Australia and around the world. It is a time for fasting, reflection, spiritual growth and prayer.
Recently we received questions from our consumers about whether it’s safe to fast with a respiratory condition. To explore this important topic, we spoke to Respiratory Care WA Respiratory Scientist, Faiza Zafar Bsc Hons, to learn more. Here’s what we found out:
Q. Can a person fast if they have asthma or COPD?
Faiza: Fasting in Islam is generally intended for healthy individuals. Those with chronic conditions or who are pregnant should carefully assess whether fasting is appropriate for them. However, fasting is ultimately a personal decision. If asthma or COPD is well-controlled, fasting can still be possible.
Q: Will medicines break a fast?
Faiza: Ramadan fasting involves refraining from food and drink which also includes medications during daylight hours. We do strongly advise people with respiratory conditions however, to see their healthcare provider for advice around medication during Ramadan and whether adjusting the timing of their medications to before dawn or after sunset is an option.
Q. What are some considerations for individuals planning to fast this Ramadan?
Faiza: Dehydration is a significant concern while fasting, as it can make it more difficult for the body to clear mucus from the lungs, potentially worsening asthma/COPD symptoms. To maintain proper hydration, patients should focus on consuming water-rich foods during non-fasting periods and ensure they are drinking enough fluids.
Q: Should a person avoid exercising if they are fasting?
Faiza: Being active is important for asthma and COPD management, even during fasting. Light to moderate exercise such as walking, stretching, light cycling or practicing yoga is recommended, preferably in cool environments.
Q: How can someone safely break their fast?
Faiza: When breaking your fast, take things slowly and ease back into regular eating. Opt for healthy, easily digestible foods such as soups, fruits or yoghurt. Avoid processed foods as these often contain high levels of salt and preservatives which may lead to symptoms for some individuals. Monitor for any fatigue, asthma or COPD symptoms and prioritise rest and recovery.
Q: What if they start to feel unwell during their fast?
Faiza: If you start to feel unwell, stop fasting and follow your Asthma or COPD Action Plan. If you don’t have a personalised plan, follow Asthma First Aid. If you see no improvement, call an ambulance on 000.
Q: What can a patient do if they are unable to fast?
Faiza: If you are unable to fast due to health reasons, it is perfectly acceptable to make up the fasts when the days are shorter, such as during winter. Alternatively, if fasting is not possible at all, another option is to assist by feeding/ helping those in need and fulfilling your spiritual obligation in a different way.
