By Kafayat Oyewo-Oyelere.
Fasting during Ramadan is a time for spiritual reflection, self-discipline, and devotion. However, for those suffering from stomach ulcers, fasting may present challenges that need careful attention. Stomach ulcers occur when the protective lining of the stomach or the upper part of the small intestine is eroded by digestive acids, leading to open sores. While fasting has been shown to have health benefits when approached mindfully, ulcer patients must follow specific guidelines to ensure their health and safety during this holy month.
Understanding Stomach Ulcers
Stomach ulcers, also known as peptic ulcers, are primarily caused by damage to the mucous lining of the stomach or duodenum. This damage often results from:
- Infection with Helicobacter pylori bacteria.
- Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs).
- Excess acid production due to stress, diet, or genetics.
Types of Peptic Ulcers:
- Gastric Ulcers: Located in the stomach lining.
- Duodenal Ulcers: Found in the duodenum, the first part of the small intestine.
Symptoms of Ulcers
- Burning pain in the stomach or chest.
- Bloating and indigestion.
- Nausea and vomiting (seek immediate medical attention if vomiting blood occurs).
- Acid reflux and heartburn.
- Excessive gas and discomfort.
Challenges of Fasting with an Ulcer
When fasting, prolonged periods without food or water may lead to increased acidity in the stomach. For ulcer patients, this acidity can aggravate existing wounds, causing pain and discomfort. Severe cases may lead to complications such as intestinal rupture or internal bleeding. Despite these challenges, with proper care and planning, fasting can still be a safe and fulfilling experience.
Healthy Eating Habits for Ulcer Patients During Ramadan
1. Breaking the Fast (Iftar):
- Begin with dates, as they are gentle on the stomach, provide natural sugars for energy, and are a Sunnah of the Prophet Muhammad (SAW).
- Follow with a small portion of water or milk to hydrate and soothe the stomach.
- Consider starting with light foods like a fruit parfait, which combines bananas, apples, and unsweetened yogurt. This is nourishing and easy on the digestive system.
- Avoid rushing into a heavy meal. Allow time for prayer before consuming a balanced, moderate meal.
2. Pre-dawn Meal (Sahur):
- Include foods that are high in fiber and low in acid, such as oatmeal, bananas, and whole grains.
- Add a serving of plain yogurt, which contains probiotics to promote gut health and reduce the growth of harmful bacteria like H. pylori.
- Stay hydrated by drinking water or herbal teas, but avoid caffeinated and carbonated beverages.
Foods to Avoid
Certain foods can trigger acid reflux and worsen ulcer symptoms. During Ramadan, it is best to steer clear of:
- Spicy foods, including chili and hot peppers.
- Caffeinated drinks such as coffee and tea.
- Carbonated beverages.
- Citrus fruits (e.g., oranges, lemons) and their juices.
- Highly processed or fried foods.
- Foods high in refined sugars and carbohydrates.
Beneficial Foods and Remedies
1. Honey: The Qur’an describes honey as a source of healing. With its natural antibacterial and anti-inflammatory properties, honey can help soothe the stomach and support ulcer healing.
2. Olive Oil: Mentioned in the Qur’an, olive oil is known for its health benefits. Incorporating it into meals can reduce acidity and promote digestion.
3. Black Seed: The Prophet Muhammad (SAW) stated, “Black Seed cures every disease except death.” It has been shown to have protective effects on the gastrointestinal tract.
4. Bananas: Bananas are rich in potassium and magnesium, making them easy to digest and beneficial for ulcer patients.
Prophetic Guidance and Exemptions
Islam recognizes the difficulties faced by those with health conditions. The Qur’an allows exemptions from fasting for the sick, with the provision to feed the needy as compensation. Those with severe ulcer symptoms are encouraged to consult a doctor before attempting to fast. If fasting is deemed unsafe, they can take solace in the fact that Islam prioritizes health and well-being.
