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Fasting with migraines can be managed with proper planning, and the risk can be dramatically cut with proper methods
Moon Sighting Ramadan 2025 Live Updates: People sit down in the courtyard of Jama Masjid in New Delhi for ‘Iftar’. (File photo)
Fasting in Ramzaan is a highly spiritual and enriching experience, but for those who have migraines, it has a special set of challenges. Migraine attacks are usually brought on by hunger over prolonged periods, dehydration, withdrawal from caffeine, and disturbances in sleep—all of which occur during fasting. But with preparation and careful attention to habits, it is possible to keep the fast without experiencing debilitating headaches. Dr Lomesh Bhirud Neurologist and Neuro-Interventionalist, Ruby Hall Clinic shares all you need to know:
One of the most important preconditions against migraines during fasting is staying hydrated. Dehydration is a known migraine cause, and as fasting includes extended periods without water, the importance of having enough fluids at Suhoor (pre-dawn meal) and Iftar (meal during the day to break the fast) increases. Consuming small volumes of water regularly between Suhoor and Iftar instead of large volumes at a time aids the body in absorbing water better. Hydrating foods like watermelon, cucumber, oranges, yogurt, and soups need to be consumed along with meals to assist in sustenance of hydration levels.
Caffeinated beverages like tea and coffee need to be cut down on, as they are diuretic in nature and contribute to dehydration, resulting in withdrawal headaches. Foods with sugar and carbonation should also be excluded, as they lead to fluctuations in blood sugar levels and thereby enhance the risk of migraine.
The diet eaten at Suhoor is essential to keep the energy levels constant and avoid migraines caused by hunger. Complex carbohydrates like whole grains, oats, brown rice, and whole wheat bread must be a part of a healthy Suhoor, as they give slow-releasing energy throughout the day. Adding a good source of protein, like eggs, nuts, lentils, or yogurt, assists in maintaining fullness and avoiding sudden decreases in blood sugar, which cause headaches. Healthy fats from avocados, almonds, and olive oil also provide longer-lasting fullness. Avoid highly processed, salty, or fried foods at Suhoor, as they cause dehydration and make fasting challenging.
Sleep deprivation is also a major cause that can lead to migraine attacks. As Ramzaan is characterized by irregular sleep patterns due to Suhoor and late-night prayers, effective management of rest becomes necessary. A regular sleep pattern with brief daytime naps, if feasible, can reduce the effects of disturbed sleep. Staying away from screens at night, relaxation exercises, and maintaining a dark, silent sleeping place can enhance the quality of sleep. Poor sleep hygiene can lower the body’s migraine threshold, making attacks more likely.
Caffeine withdrawal is another common issue during Ramzaan, especially for those who regularly consume tea or coffee. A sudden drop in caffeine intake can trigger withdrawal headaches, which often resemble migraines. To avoid this, those who consume caffeine on a daily basis must plan to reduce it gradually before Ramzaan starts instead of stopping abruptly on the first fasting day. Transitioning to decaf options or having caffeine in small amounts during Suhoor and Iftar can ease the process.
For those who are dependent on medication for controlling migraines, visiting a doctor prior to Ramzaan is strongly advised. Certain migraine drugs can be taken in a way that accommodates the fasting regimen, so that the symptoms are still controlled during the day. Where preventive medication is required, physicians can recommend drugs with longer action. If a migraine attack still happens despite precautions, it should be known when breaking the fast is unavoidable. Islam allows breaking the fast when health is in danger, and severe migraine symptoms like severe pain, nausea, vomiting, or visual changes can be incapacitating enough to need this.
Fasting with migraines can be managed with proper planning, and the risk can be dramatically cut with proper methods. Drinking lots of water, consuming balanced meals, managing sleep patterns, and being careful with caffeine consumption can help cut the risk of migraines when fasting. Attuning to the body’s cues and taking positive actions to preserve well-being allows for the observation of Ramzaan without aggravating discomfort. Putting health first not only supports the tenets of self-care but also enables a greater focus on a more meaningful and rewarding experience of fasting.
