Kidney Disease, Fibromyalgia - Yom Kippur Fast
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Question
1. A woman with chronic kidney disease stage b3 needs to drink 2.5 liters every day. Should she drink as usual or in measured amounts? 2. A woman who has fibromyalgia and is recovering from shingles. Additionally, she has neurological symptoms under investigation. She takes gabapentin and aspirin. The family doctor thinks fasting is really not advisable. She thinks something nutritious can be taken in measured amounts, provided that if there is any deterioration, the fast should be stopped immediately. What is the correct course of action? 3. Is it permissible to insert insoles covered with leather into house slippers?
Answer
Hello
A. If it is possible to consume the required amount in measured amounts, it should be done this way. If not, she should drink as usual. [If one drinks a lot before and after the fast, not much is needed during the fast itself].
B. One should follow the doctor's instructions
C. It is permissible if without them there is distress or pain.
Source
Shulchan Aruch, Yoreh De'ah, Siman 618
See Terumat HaDeshen, Siman 254, where it is permitted to stand on leather cushions, as they are not considered shoes. This seems analogous. If it is a place of illness or great pain, there is more room for leniency.