Ima (health guidelines - haj)
avoid fluids to prevent you from using the toilets. This can
Islamic Medical Association
have disastrous consequences (heat exhaustion and
It is preferable to adjust your periods 3-4 months before Hajj
dehydration). Do not rush to stone the Jamarat. Wait for a
using hormones so that no adjustment is needed during the
suitable opportunity and enjoy rejecting Shaitan. Wear
Hajj period. It is possible and permissible to delay periods
secured footwear. Avoid bending to look for lost footwear in
for convenience by taking appropriate hormone tablets.
crowded situations. You may get pushed to the ground.
Your doctor/gynaecologist can guide you.
If an injury is sustained, clean it well with an antiseptic
solution or water, use an antibiotic or antiseptic cream if
THE MARBLE FLOORS
available. Seek medical help for deep wounds or severe
The marble can be very slippery when wet. Please take extra
care to avoid slipping. Severe injuries can occur on the
elbows, wrists, back or hips from a fall.
Yellow Fever and Meningo-coccal (4 strain) vaccines are
In bright sunshine, the white marble shines brilliantly.
essential for all pilgrims from Sub-Saharan Africa. Take the
Those people who have sensitive eyes should wear sun
vaccines at least 2 weeks or earlier before departure. If you
glasses. Walking on the marble bare feet can cause the feet
are unable to take any of the vaccines, e.g., pregnancy, a
to dry out, e.g., during Tawaf. Wear ordinary or leather
letter from your doctor to verify the pregnancy is required
socks, if this becomes a problem. Use urea-containing
It is highly recommended that you take an Influenza
Hepatitis A vaccine should also be taken, especially if you
are going to eat foods prepared outside the hotels.
Dr. Farouk Haffejee
Avoid going into large crowds. Go to the masajid ½ hour
SAHUC MEDICAL MISSION
before adhan and leave the masajid ½ hour after the
On arrival in Saudi Arabia, familiarize yourself with the
salah has ended. Take this opportunity to make more
location of the SAHUC Medical Mission. The Medical
Hajj is one of the fundamental pillars of Islam.
Mission will help you in treating any acute medical
Hajj is compulsory for those who can afford it.
problems. Do not rely on this source of medication for your
It is therefore very important for those
chronic medicines as it would be impossible to carry all the
medication everybody would need.
performing Hajj to be both physically and
From the 1 of Dhul Hijjah, ensure that you are physically
spiritually prepared to perform this once in a
and spiritually fit for the 5 days of Hajj. Treat any conditions
that require attention. Do not over-exert yourself. Have
Every returning Haji must take one 500mg Ciprobay tablet,
adequate rest. Try to connect with Allah Subahanahu
Here are some health guidelines to make the
24 hours prior to departure. This is prophylaxis to prevent
Watha'ala. The main purpose of your visit is close. You
your relatives from contracting Meningococcal Meningitis.
performance of Hajj and Umrah such that more
need to be in peak condition.
This tablet is available free from your agent from the SAHUC
quality time can be devoted to ibadaat.
THE FIVE DAYS OF HAJ
Be as helpful as possible to all around you. Do not push
under any circumstance. Keep a space in front of you so that
Adequate preparations for one of the most important
Hajj and Umrah are easier for physically fit people. One
your feet are not injured. Protect the vulnerable in your
journeys in your life will, Insha Allah make the performance
should improve physical fitness about 6 to 8 weeks before
company. Remain focused on your mission. Avoid people
of Hajj a successful and memorable experience.
departure. Brisk walks for about 30-45 minutes 3 to 4 times a
who distract you from your purpose. Carry your medication
week going up to 5 to 10 km. at a time would be ideal. Start
in a safe, dry place. Insulin must be kept with a cold pack.
May Allah Subahanahu Watha'la take you safely and bring
slow and increase. Walk in your "Ihraam" footwear and your
Do not carry unnecessary items in your luggage. Avoid the
you back safely. May you have a successful and acceptable
backpack if you are doing the walking Hajj, to break them in so
"just in case" syndrome.
that the footwear and the backpack become user-friendly.
By taking care of your health, you will not compromise
Continue your fitness in the Haramain. If you are over-weight,
someone else's Hajj.
Islamic Medical Association of South Africa
go onto a low calorie diet and exercise to lose weight. The less
Please take your medications on time. Watch your diet if
P O Box 701063, Overport 4067
weight you carry, the easier it is to do the physical aspects of
you are diabetic.
Durban, South Africa
Hajj and Umrah.
Do not over-eat. Eat small meals, have adequate fluid intake
Tel: 031-207 2250 Fax: 031-207 2260
Wheel chairs are available free of charge in Makkah and
and keep out of the sun unless necessary. Do not
OFFSET PRINTERS 031-2079410/1 / SEPT 2010
Because of the very hot, dry weather conditions, hydration
Visit your doctor 2 to 3 months before departure and get
Avoid back strain, especially if you have a history of back
is important. Tap water is not safe to drink. One can brush
optimal diabetic control. Make sure that you have enough
problems, as healing can take anything from 2 – 6 weeks.
teeth and make wudhu with tap water. Zam Zam is freely
of your medication and test strips to last you for at least a
Travel lightly with bags with wheels. Avoid lifting heavy
available. Drink as much Zam Zam as possible. Bottled
week after your expected return, just in case your flight is
items. If you have to lift, ask for help or lift with a straight
water is also available and distributed free on the days of
delayed. Keep on a strict diet during your stay. Monitor your
back by bending your knees. At the first sign of back pain,
Hajj. Fruit juices are also available. Diabetics should make
glucose levels frequently. Beware of fruit juices that have
stop whatever activity is causing the pain to prevent it from
sure that no sugar is added to the fruit juices. Fluid intake
sugar added to them. Take extra precautions not to injure
becoming worse. Seek medical attention early.
should be about 12 large glasses a day. If your urine is
yourself, especially on your feet. Leave enough space in
concentrated, your fluid levels are down. Restricting water
front of you when walking in crowded situations. Consult a
intake to avoid going to the toilet can lead to heat
doctor if your glucose is persistently high or low or if you
develop an infection.
Drinking very cold Zam Zam can cause a sore throat, as it is
Those people who suffer from arthritis of the back, hips,
knees or ankles should lose weight as fast as possible prior to
HIGH BLOOD PRESSURE
departure if they are overweight. Start treatment before
departure to get the arthritis under control. Be guided by
Visit your doctor 2 to 3 months before departure and get
your doctor or physiotherapist on the exercises you can do
One should continue to eat a healthy, well balanced diet
optimal control of your blood pressure. Take your
to strengthen your muscles before departure. Stronger
and should be weary of unusual foods. One should be
medication on time. Those on diuretics may need their
muscles take the pressure off the joints. Carry your
cautious about food purchased from street vendors. Make
medication adjusted in view of the climatic conditions
medication with you.
sure that your fibre intake is high to avoid constipation.
there. This should be done on the advice of a doctor.
Consult a doctor if you experience blurred vision,
unexplained headaches, dizziness, disorientation or
swelling of the ankles and feet.
Continue your preventative medication diligently and
Constipation is usually caused by inadequate fibre and/or
continuously. Take the medication for controlling an attack
fluid intake. The fear of using "unknown" toilets can lead
of gout from your doctor just in case of an attack. Be strict
one to postpone the use of the toilet. Familiarise yourself
with your gout diet.
with the toilets, take in adequate fibre (bran cereals, dried
The dry weather conditions in Saudi Arabia can cause
fruit, fruit and vegetables) and insist on adequate fluid
cracking of the skin, especially on the heel area. Deep
intake. Constipation leads to piles and anal fissures, which
fissures can develop with a possibility of infection.
are unpleasant and painful. If you have a constipation
Cellulitis can occur, requiring the person to keep the feet
problem despite your diet, take a stool softener daily
elevated for 3-4 days. If this occurs before Hajj starts, it can
(Lacson, Laxette, Movicol, etc.).
make it very difficult. This is especially important for
Most medicines are available in Saudi Arabia. Your
diabetics. Moisturize regularly with a good moisturizer like
particular chronic medication (medicines you take daily)
Vaseline, heel balms and urea-containing moisturizers. Use
DIARRHOEA AND VOMITING
may not be available in Saudi Arabia. Please ensure that you
socks, ordinary or leather to protect the feet on the marble
have adequate supplies of your medication, taking an extra
Gastro-enteritis (diarrhoea, vomiting and fever) is usually
floors. Beware of slipping on wet marble.
weeks' supply just in case your flight is delayed. Also, keep
spread by viruses or by infected foods. Make sure that the
Because of the rubbing of the scrotum against the upper
some money in reserve just in case you have to purchase
food source is clean, wash all raw fruit and vegetables
thigh whilst walking in Ihraam without underwear, a painful
thoroughly, peel fruit before eating. Cooking kills the viruses
rash can develop. Avoid this by applying large amounts of
and bacteria. Viral gastro-enteritis is usually spread by
Vaseline on the inside of the upper thigh throughout Umrah
It is essential that you take a letter from your doctor
contact with an infected person. Keep away from people
and the first 3 days of Hajj. This applies more so to people
specifying your illnesses, the chronic medication you are on
who have the virus. If this is not possible, wash hands
who are going to walk throughout Hajj. If you are
and the dosage. Otherwise, all medicines you take must
regularly after touching the infected person. Do not kiss or
unfortunate enough to get this painful condition, a steroid
have your name on the labels. It would be helpful for
hug an infected person until the virus is gone (about 5 days).
cream helps very quickly.
doctors if you carried a list of your medications and your
If you are infected, keep away from people. Stop vomiting
hotel card on you at all times.
by using anti-emetics like maxolon, valoid, etc. Do not stop
the diarrhoea as the body is trying to get rid of the virus. Use
Medicines that may be helpful to take include pain-killers,
buscopan or scopex to stop stomach cramps. If diarrhoea
tablets for nausea (maxolon, valoid), for stomach cramps
Fungal infections, especially of the feet should be treated
occurs more than 6 times in 24 hours, then lomotil or
(buscopan, scopex), for diarrhoea (Imodium, lomotil), for
before departure. Dry the areas between the toes after
Imodium may be used to slow the diarrhoea. Drink extra
runny nose (Actifed), for infections (co-amoxycillin,
wudhu. Use an anti-fungal cream regularly. Fungal
fluids especially, Zam Zam, rehydrating fluids, honey water
erymycin if allergic to penicillin), citirizine or loratadine for
infections can also lead to cellulitis.
and fruit juices.
allergies, etc. Do not carry liquid medicines in bottles.
ABRACADAVER MAGAZINE, Página 2 Número 1, Octubre de 2003. Editorial Has estado bajo el habla de personas que son menos que tú y que se creen con el derecho de decir y criticar todo lo que en tu vida haces. Sientes que muchas otras apenas tienen la cultura medianamente aceptable y aún así, te tratan como si no pertenecieras a este mundo. Que importa que, a los ojos de la gente, tengas un problema… En realidad estás aquí para hacerles recordar que son ellos los del problema…Lo único que nos mueve a escribir en Abracadaver es esa sensación de que algo anda mal y de que
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