For many people, Ramadān is a time of reflection, faith, and connection. When you’re living with cancer, this month can also bring questions, adjustments, and mixed emotions. You may be wondering how fasting fits alongside treatment, recovery, fatigue, or medication - or how to stay connected to Ramadān if fasting isn’t possible this year. This blog brings together practical guidance and shared understanding, shaped around the experiences of people in the Macmillan Online Community.
Ramadān is the ninth month of the Islamic calendar and is observed by Muslims worldwide through fasting, prayer, and reflection. Fasting from dawn to sunset is an important part of the month for many, but Ramadān is also about intention, compassion, and spiritual connection.
Living with cancer can change how Ramadān looks and feels. Treatment side effects, energy levels, emotional wellbeing, and medical advice may all affect whether fasting feels possible or safe. It’s common to find yourself weighing spiritual wishes against physical needs. Many people in the Community have shared that navigating this balance can feel personal and, at times, challenging - but also that there are many meaningful ways to observe Ramadān while prioritising health.
In Islam, people who are unwell are not required to fast if fasting could affect their health. This includes those living with cancer or going through treatment.
Specifically, the Qur’an states that those who are ill or travelling are exempt from fasting. Many people find reassurance in knowing that protecting your health is recognised within faith, and that missed fasts can be made up later if and when you’re able, or addressed in other ways depending on personal circumstances. Speaking with a trusted religious leader can help you feel clearer and more supported in your decision.
Generally, taking oral medication is considered to break the fast. This can be difficult if your medication needs to be taken at regular times or with food in order to be effective.
If you’re unsure what to do, talk to your healthcare team who can help you understand what’s safe and whether any adjustments are possible. It can also help to talk this through with a religious advisor so you’re not carrying this decision alone.
Many people find meaningful alternatives to fasting during Ramadān. These might include prayer, reflection, reading the Qur’an, giving to charity, or supporting others who are fasting.
Some people find that focussing on intention, kindness, and spiritual connection help them feel part of Ramadān, even when fasting isn’t right for them physically. Observing Ramadān in a way that supports your wellbeing is still valid and meaningful.
Everyone’s experience of Ramadān while living with cancer is different. What supports one person may not feel right for another. The Macmillan Online Community is here for you during Ramadān, whatever your circumstances.
Here, you can connect with others who understand what it’s like to balance faith, health, and cancer. Specifically, the Religion, Spirituality and Prayer Group Forum is a great place for sharing thoughts, prayers, and reflections related to faith, belief, or spiritual practice.
It can also help to talk openly with family members, religious leaders, and your healthcare team. Organisations such as Safeena, the first national Muslim cancer charity providing culturally and faith-informed support, and British Islamic Medical Association offer faith-informed medical guidance, while the Macmillan Support Line can provide information and emotional support tailored to living with cancer.
The Online Community is open 24/7. If you have any problems accessing the site or finding the right support for you, Macmillan’s Community team are available every day. You can talk to us by sending an email to community@macmillan.org.uk.
