Hemorrhoid patients who cannot perform Istinja’

Q: A person suffers external hemorrhoids and bleeding and cannot perform Istinja' (cleansing the private parts with water after urination or defecation), so he only performs Istijmar (cleansing the private parts with a hard material after urination or defecation) with pebbles. Is it permissible to perform Istijmar with pebbles despite the presence of traces of blood after performing Wudu' (ablution), or should he perform Tayammum (dry ablution with clean earth)?

A: It is permissible to perform Istijmar with pure pebbles and the like provided that they are clean and can purify the opening of the anus like dry tissues. This replaces water if the opening of the anus becomes clean after rubbing it thrice or more until it is purified, provided that the pebbles contain no bones or dung.As for the blood that oozes continuously due to hemorrhoids, it does not affect the Taharah (ritual purity) of the person if the person cannot prevent it. Allah (Exalted be He) says: So keep your duty to Allâh and fear Him as much as you can However, he should place tissues there to prevent blood from staining his body and clothes.May Allah grant us success. May peace and blessings be upon our Prophet Muhammad, his family, and Companions.