According to the rule, if you can fast you keep your fasting and if you feel that you cant continue it, you may break your fast and no need to give any fidiya rather you have to do qadha later for that fast.
But if you are not in position to even begin your fast since fajr then do not keep fasting although if you know that InshAllah you will get back your health before next ramadan, you must do qadha for your lapsed fast. If you will not be able to fast qadha after Ramadan then you have to pay fidiya for your left fasts but not Kaffara.