Is the wudu of a person who undergoes dialysis broken?

1. Is the wudu of a person who undergoes dialysis broken? For example, is the wudu of a person who undergoes peritoneal dialysis broken?
2. Is it permissible for a kidney patient who undergoes dialysis to pray during dialysis?

Dear Brother / Sister,

Answer 1:

Peritoneal dialysis is a treatment method used in kidney failure. In that method, a catheter is placed into the abdominal cavity. The abdominal cavity is filled with dialysis fluids given through the catheter. The peritoneum acts as a filter. Harmful substances and excess fluids in the blood pass into the fluid in the abdominal cavity. When that fluid is discharged, the excess fluid and toxic substances accumulated in the body are removed from the body.

As it is explained above, the fluids given to the abdominal cavity of kidney patients undergoing peritoneal dialysis and then discharged are regarded as something religiously dirty coming out of the body.

Therefore, it is necessary to be careful to avoid that fluid just like urine. The removal or coming out of the aforementioned liquid from the body as described above normally invalidates wudu just like a religiously dirty substance coming out of the body. If the clothes or the body are smeared with it, it is necessary to wash the smeared parts. (Qasani, Badai, 1/119; Marghinani, al-Hidaya, 1/118)

According to Imam Malik and Imam Shafii, blood that comes out of the body except from the private parts does not invalidate wudu. According to Imam Abu Hanifa, Abu Yusuf, Imam Muhammad and Ahmed b. Hanbal, blood, pus and other liquids that flow out from any part of the body invalidate wudu.

Accordingly, the wudu of a person undergoing dialysis is not invalidated according to Imam Malik and Shafii; it is broken according to the other imams.

A person who practices the decrees of any madhhabs may perform his deeds of worship according to the decree of another madhhab if necessary.

Answer 2:

It is definitely permissible for a kidney patient who undergoes dialysis to perform prayers during dialysis; if the time period for a fard prayer is to end during dialysis, that prayer must be performed during dialysis.

Since a person in dialysis will be regarded as excused during dialysis, he makes wudu before going into dialysis; his wudu is not invalidated during dialysis; he performs the prayer with gestures while lying down or sitting without changing the state of dialysis.

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