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QUESTION 2️⃣2️⃣
What is the ruling on using injections for the veins and muscles of the fasting person? Likewise, does anesthesia, enemas and the likes invalidate the fast?
That which is correct regarding injections in the veins and muscles is that they do not break one’s fast. The things that break the fast are the injections for specific nutritional purposes. This is if it is used intentionally.
As those normal (non-nutritional) injections do not break one’s fast. That is because having injections in the veins is not from the same category as food and drink. This is more so the case for injection in the muscle parts.
However, for precautionary purposes, if he compensated the day he took these two injections, that would be better.
That which is safer, all together, is if he was able to take the injection, if possible, in the evening (after the fasting day). In this, he takes the side of caution in an issue like this where the scholars differed.
By doing this, he is following the statement of the Prophet (ﷺ):
“Leave that which is doubtful for that which is not doubtful”
(Musnad al-Imām Aḥmad, 1/200; at-Tirmidhī, 2581; an-Nasāī, 5711. Authenticated by al-Imām ad-Dhahabī and al-Imām al-Albānī. See Irwāa al-Ghalīl, 1/44)
This ḥadīth was reported by al-Ḥasan ibn ‘Alī (رضي الله عنه).
The above ruling applies to the one who has been given local anesthesia injections. These are normally given to patients when they are having their teeth surgically cleaned or having a filling or an extraction. They are excused.
However, the fasting person must try and refrain from swallowing any kind of medicine, fluid, or blood (during the operation).
These types of injections do not affect the validity of one’s fast. The reason for this is that these injections do not fall under the category of food and drink, so the origin is that the fast is valid.
This ruling also applies to the enema or medical fluids administered anally, urinarily, or through the sexual organs; like suppositories. There is no harm in this if the sick person requires it. This is the most correct position in the affair, the position held by Shaykh al-Islām ibn Taymiyyah.
Many scholars have come to an agreement that the aforementioned modes of medication do not equate to eating and drinking. Therefore, taking these forms of treatment does not break a fast.
See 30 Questions and Answers on Fasting in Ramadaan by ‘Allāmah Abdul-‘Azīz Ibn Bāz, translated by ‘Abi ‘Abdir-Raḥmān Uways Onwordi at-Taweel
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