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Illness is an excuse that makes it permissible not to fast during Ramadan. If it is determined medically and by experience that a person will get ill or their illness will get worse if they fast, they do not have to fast. The following is stated in the Qur’an: “ If any of you is so ill that he cannot fast, or on a journey, he must fast the same number of other days”. (the Qur’an, al-Baqarah, 2:184)

People who have chronic illness should pay penance instead of fasting. Poor people and people in need do not have to pay penance because, nobody has been held responsible for deeds they cannot manage to do.