We are following the authentic narrations from the Prophet Muhammad (SAWA) in every religious matter including this matter. The authentic narrations mentioned three nights; 19th and 21st and 23rd.
No. Fasting of the Month of Ramadhan can not be replaced by any other fast. If you miss fasting in the month of ~Ramadhan due to traveling or illness, you must make it up as Qadha after the month of Ramadhan.
Tahajjud is a great recommended worship for every night of the whole year. It is also called Salat Al-Layl or Namaz Shab. It is performed individually and not with congregation. Umar Ibn al-Khattab ordered during his government to pray Tahajjud with congregation which was then called Taraweeh.
Taraweeh is a Bid'ah which was never practiced by the Prophet Muhammad (SAWA) but was initiated by Omar Ibn al-Khattab in year 14 after Hijra.
One should see a specialist and doctor (preferably Muslim) to determine whether fasting could be truly harmful for them after recovering. If it was ruled to be harmful and you yourself know it that can harm you, then it’s possible for you to be exempted until your state improves.
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