Ramadan is a time of spiritual reflection, improvement and increased devotion and worship. Muslims are expected to put more effort into following the teachings of Islam. The fast begins at dawn and ends at sunset. In addition to abstaining from eating and drinking, Muslims also increase restraint, such as abstaining from sexual relations and generally sinful speech and behavior. The act of fasting is said to redirect the heart away from worldly activities, its purpose being to cleanse the soul by freeing it from harmful impurities. Ramadan also teaches Muslims how to better practice self-discipline, self-control, sacrifice, and empathy for those who are less fortunate; thus encouraging actions of generosity and compulsory charity.
It becomes compulsory for Muslims to start fasting when they reach puberty, so long as they are healthy, sane and have no disabilities or illnesses. Exemptions to fasting are travel, menstruation, illness, older age, pregnancy, and breast-feeding. However, many Muslims with medical conditions insist on fasting to satisfy their spiritual needs, and healthcare professionals must work with their patients to reach common ground. Professionals should closely monitor individuals who decide to persist with fasting.
While fasting is not considered compulsory in childhood, many children endeavour to complete as many fasts as possible as practice for later life. Those who are unable to fast are obliged to make up for it. According to the Quran, those ill or traveling are exempt from obligation, but still must make up the days missed later on.
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