Withholding a diagnosis from a patient for his own good

By Nazir Ayyad

حكم إخفاء حقيقة المرض عن المريض لمصلحته

A questioner says his sister's husband has cancer and that the doctor did not tell him his condition but told the questioner instead, fearing a rapid decline. Egypt's Dar al-Ifta, in a fatwa issued under Grand Mufti Nazir Ayyad, answered that the rule is to tell the patient, but where the doctor judges from experience that disclosure would bring a serious physical or psychological decline, he may withhold it; this is not blameworthy concealment but permitted indirection to the extent needed, provided only the patient is kept uninformed, the relatives who need to know are told so that his rights are protected, and no harm to others results.

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Summary

A question on a doctor withholding the truth of an illness from a patient for his own good, which Egypt's Dar al-Ifta permitted within limits. 1

The question

The questioner said his sister's husband has cancer, and that when the patient asked the doctor about his condition, the doctor did not tell him plainly. 1 The doctor told the questioner instead, explaining that the patient's condition would decline quickly if he learned the truth. 1

The answer

Dar al-Ifta answered that the basic rule is for the doctor to tell the patient the truth of his illness. 1 It held that where the doctor judges from experience that disclosure would bring a serious physical or psychological decline, he may withhold it, and that this is not blameworthy concealment but permitted indirection to the extent needed. 1 Its conditions were that only the patient is kept uninformed, that the relatives who need to know are told so that his religious and worldly rights are protected, and that this stays within what necessity requires and harms no one else. 1

About this record

Egypt's Dar al-Ifta published this fatwa on its site as no. 8977, dated 13 May 2026, in its medicine category, among the fatwas of Grand Mufti Nazir Ayyad. 1 The museum records this answer as a historical text attributed to its author; it issues no ruling of its own.

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Medical treatment (al-mu'alaja)

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Medicine· Rules for studying and practising obstetrics and gynaecology· IIFA resolution 261 (6/26) on the effect of mental illness on legal capacity in Islamic law· Medical experiments on human beings· Medical treatment (al-mu'alaja)

Sources

  1. Egypt's Dar al-Ifta (dar-alifta.org) , fatwa 8977

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islam.museum contributors. “Withholding a diagnosis from a patient for his own good”. islam.museum, https://islam.museum/en/work/fatwa-dar-alifta-withholding-diagnosis-from-patient/. CC BY-SA 4.0. Last updated 2026-11-01.

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Medicine

Ibn Sina defines medicine as the science that studies the human body insofar as it is healthy or departs from health, in order to keep health and restore it when lost. Its subjects include the elements, temperaments, humours, organs, spirits, powers and actions, and it knows the causes of health and disease in four kinds: material, efficient, formal and final.