Is it permissible to break the fast and offer expiatory feeding of the poor instead of making up for the missed days of Ramadan, especially with a medical excuse that prevents fasting and makes making up difficult, and should money be given for expiation if a person dies before making up?

If someone breaks their fast in Ramadan due to illness, they are required to make up for the missed days (qaḍāʾ), based on the Almighty's saying: "{But whoever among you is ill or on a journey [during them] - then [he is to fast] a number of other days}" (Quran 2:185). If you break your fast out of fear for yourself, your fetus, or your infant, then you are only required to make up for the missed days (qaḍāʾ). There is no expiation (kaffārah) for delay if another Ramadan begins and you were unable to make up the days. However, if you were able to make up the days but did not, then you are required to both make up the days and pay expiation for each day.

If your illness is incurable and a trustworthy doctor informs you that fasting would harm you, then the requirement to make up the days (qaḍāʾ) is waived, and you must feed one poor person for each day. If you pass away before feeding them, the feeding must be paid from your estate. However, if your illness is curable, then you are required to make up the days after recovery without expiation. And if fasting does not harm you during short days, then you must fast to make up the days (qaḍāʾ) rather than feeding the poor.