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How do I avoid headaches while fasting?

Cream and red coffee cup-shaped balconies, Niimi Tableware, Kappabashi Dougu Street, Tokyo, Japan
Photo: Basile Morin, CC BY-SA 4.0 via Wikimedia Commons

Cut down on caffeine before Ramadan, drink plenty of water between iftar and suhoor, never skip suhoor, and get enough sleep. Most fasting headaches come from caffeine withdrawal, dehydration, low blood sugar or tiredness, and all four can be eased with a little planning.

Why fasting causes headaches

Headaches are one of the most common complaints in the first days of Ramadan, especially for new Muslims who aren't used to fasting yet. The usual causes are:

  • Caffeine withdrawal: your morning coffee or tea suddenly disappears.
  • Dehydration: long hours without water, especially in summer.
  • Low blood sugar: skipping suhoor or eating only sugary food.
  • Short sleep: late iftars, night prayers and early suhoor.

The good news is that most people feel much better after the first three to five days, as the body adjusts.

Taper caffeine before Ramadan

If you drink several coffees a day, start cutting down one to two weeks before Ramadan. Swap one cup for decaf or herbal tea each few days. During Ramadan, a cup of coffee or tea at suhoor can soften the withdrawal, but don't rely on it for hydration.

Eat and drink well at night

The Prophet ﷺ said, "Take suhoor, for in suhoor there is blessing" (Sahih al-Bukhari 1923). A meal with slow-release food, such as oats, wholegrain bread, eggs, yoghurt and fruit, keeps blood sugar steadier through the day. See What is suhoor and what should I eat?

Spread water through the evening instead of gulping a litre at once: a glass at iftar, a couple after Maghrib, more after Isha, and one or two at suhoor. Go easy on salty and very sugary food, which make you thirstier.

Rest, and know when to stop

A short nap in the afternoon helps a lot if your schedule allows it. Keep out of the hot sun when you can, and avoid hard workouts until late in the day.

Islam made fasting easy, not a punishment:

إِنَّ مَعَ ٱلْعُسْرِ يُسْرًا "Indeed, with hardship [will be] ease." Quran 94:6

If you get migraines or a headache becomes severe, with vomiting, confusion or blurred vision, break your fast and get medical help. You can take pain relief at iftar; during the day, ask your doctor what's right for you. See Can I take medicine while fasting? And if you feel truly unwell, see What if I feel too weak to finish my fast?

Key points
  • Most fasting headaches come from caffeine, thirst, hunger or tiredness.
  • Cut down coffee and tea one to two weeks before Ramadan.
  • Never skip suhoor, and spread your water through the night.
  • Severe headaches or migraines: break the fast and seek help.
Tip: Fill a 1.5-litre bottle at iftar and aim to finish it before you sleep. Seeing the level go down is an easy way to know you've had enough.

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