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How do I avoid heartburn while fasting?

Bottle of Antacid tablets
Photo: Midnightcomm, CC BY 2.5 via Wikimedia Commons

Break your fast gently, eat smaller meals slowly, go easy on fried, spicy and fatty food, and don't lie down straight after eating. Heartburn in Ramadan usually comes from eating a big, heavy meal on an empty stomach and then sleeping soon after.

Why heartburn gets worse in Ramadan

After a long day without food, it's tempting to eat everything at once. A very full stomach pushes acid up into the food pipe, and that burning feeling follows. Fried samosas, rich curries, coffee, fizzy drinks and late-night snacking all add to it. Lying down soon after suhoor or a late iftar makes it worse.

Start iftar the Sunnah way

The Prophet ﷺ used to break his fast with a few fresh dates, or dry dates if there were none, or a few sips of water (Sunan Abi Dawud 2356). This small start is kind to an empty stomach. Pray Maghrib, then come back for a moderate meal. See What is iftar and how do I break my fast?

The Quran also reminds us not to overdo it:

وَكُلُوا۟ وَٱشْرَبُوا۟ وَلَا تُسْرِفُوٓا۟ ۚ إِنَّهُۥ لَا يُحِبُّ ٱلْمُسْرِفِينَ "...And eat and drink, but be not excessive. Indeed, He likes not those who commit excess." Quran 7:31

The Prophet ﷺ advised leaving a third of the stomach for food, a third for drink and a third for breath (Jami' at-Tirmidhi 2380). That's good advice for reflux too.

Simple habits that help

  • Eat slowly and stop before you feel stuffed.
  • Choose gentle food: grilled rather than fried, less chilli, fewer heavy sauces.
  • Limit triggers: coffee, strong tea, chocolate, fizzy drinks, citrus and peppermint bother many people.
  • Wait two to three hours before lying down after a big meal.
  • Raise the head of your bed slightly, or sleep on your left side.
  • Keep suhoor light: oats, yoghurt, bananas and wholegrain bread sit well. See What is suhoor and what should I eat?

Medicine and when to see a doctor

Antacids and reflux tablets can be taken at suhoor or iftar. Swallowing them during the day breaks the fast, so ask your pharmacist about longer-acting options taken at night. If you have heartburn most days, trouble swallowing, vomiting or chest pain, see a doctor. Chest pain should never be ignored. If you do throw up without trying to, see Does vomiting break my fast?

Key points
  • Break your fast with dates or water, then eat a moderate meal.
  • Avoid overeating: a third food, a third drink, a third air.
  • Cut fried, spicy and fizzy foods, and don't lie down soon after eating.
  • Take reflux medicine at night and see a doctor if it persists.
Tip: Try a short walk to the mosque for Isha or Tarawih after iftar. Moving gently after a meal helps digestion, and you collect the reward of walking to prayer.

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