The first and most critical step after a bout of vomiting is to allow your stomach to settle. For the first few hours, it's best to avoid consuming solid foods entirely. During this time, the focus should be on gentle rehydration to replace the fluids and electrolytes lost. Sipping small amounts of clear liquids, sucking on ice chips, or consuming oral rehydration solutions are the best approaches.
The Role of Apples (and Applesauce) in Recovery
When your stomach feels ready to handle solid food again, apples and, more specifically, applesauce often come to mind as a gentle option. The inclusion of applesauce in the traditional BRAT diet (Bananas, Rice, Applesauce, Toast) is a testament to its long-standing reputation as a soothing food for an upset stomach.
Apples contain pectin, a type of soluble fiber that can help firm up loose stools, making it particularly beneficial if vomiting was accompanied by diarrhea. Applesauce is often recommended over raw apples because the cooking process breaks down the fiber, making it significantly easier to digest for a sensitive stomach. Raw apples, with their higher fiber content and acidity, could potentially irritate a stomach that is still recovering. In a 2021 study, apples were found to be well-tolerated by pregnant people experiencing morning sickness, further supporting their use for nausea.
The BRAT Diet and Beyond
For many years, the BRAT diet was the go-to recommendation for recovering from vomiting or diarrhea. While its components are still considered good options, healthcare professionals now advocate for a more varied, though still bland, approach to avoid nutrient and calorie deficiencies. The core components of the BRAT diet remain excellent starting points.
Here are some gentle foods to gradually reintroduce:
- Low-Fiber Starches: Plain white rice, toast without butter, and saltine crackers are easy to digest.
- Soft Fruits: In addition to applesauce, bananas are a great source of potassium, which is often depleted during vomiting.
- Clear Broths: Chicken or vegetable broth can be soothing and helps replenish fluids and sodium.
- Lean Protein: As you improve, small amounts of baked skinless chicken or plain scrambled eggs can be added.
Gradual Reintroduction: A Phased Approach
Reintroducing food should be a slow process, guided by how you feel. A common approach involves a multi-phase progression:
- Phase 1 (First 6 hours): Rest your stomach completely. Suck on ice chips or hard candies if nausea persists.
- Phase 2 (First 24 hours): Introduce clear liquids in small, frequent sips. Options include water, apple juice, and clear broth.
- Phase 3 (Next 24-48 hours): Start with bland, low-fat foods from the BRAT diet, such as applesauce, plain toast, and bananas. Eat small, frequent meals.
- Phase 4 (Gradual Expansion): Slowly add back other soft, easily digestible foods, like boiled potatoes or cooked carrots, before returning to a regular diet.
Comparing Apple-Based Foods for Recovery
| Feature | Raw Apple | Applesauce | Stewed Apples | 
|---|---|---|---|
| Preparation | No cooking required | Cooked and puréed | Cooked with liquid and spices | 
| Fiber Content | High, especially with skin | Lower than raw apple | Lower than raw apple | 
| Ease of Digestion | Difficult for sensitive stomach | Very easy, gentle on the gut | Easy, softened texture | 
| Pectin | Present, but less available | Higher availability from cooking | Pectin levels are increased | 
| Benefit | High in vitamins, but hard to digest when sick | Calming, helps with diarrhea, provides potassium | Soothing, aids gut health, easy to tolerate | 
What to Avoid After Vomiting
Just as important as knowing what to eat is knowing what to avoid. Certain foods can trigger further irritation and delay your recovery. For the first few days, you should stay away from:
- Fatty and Greasy Foods: These are difficult to digest and can upset the stomach.
- Spicy Foods: Spices can irritate the stomach lining.
- High-Sugar Foods: Large amounts of sugar can worsen diarrhea and dehydration.
- Dairy Products (except yogurt/kefir): Milk and cheese can be hard to digest initially. Yogurt and kefir, with probiotics, may be tolerated.
- Caffeine and Alcohol: Both can act as irritants and cause dehydration.
Hydration is Key
Dehydration is the most significant risk associated with vomiting. Replenishing fluids is non-negotiable. While water is essential, your body also needs electrolytes to function properly. Oral rehydration solutions (ORS) are formulated with a balanced mix of salts and sugars to facilitate absorption and are more effective than plain water. Broths and diluted clear juices (like apple juice) can also aid in rehydration once you can tolerate them.
Conclusion
When your stomach is upset, knowing what to eat can be confusing, but the answer to do apples help after throwing up is a gentle yes, with a crucial caveat. While whole, raw apples are often too fibrous for a sensitive system, applesauce or cooked apples are excellent choices to ease back into eating solid foods. Focus on a gradual reintroduction of bland, easily digestible foods like applesauce and toast, while prioritizing consistent rehydration with clear fluids. Remember to listen to your body and return to liquids if nausea returns. Consulting a healthcare provider is recommended for persistent or severe symptoms.
Keypoints
- Start with Rehydration: The first priority after vomiting is to replenish lost fluids and electrolytes by sipping small amounts of clear liquids.
- Choose Applesauce Over Raw Apples: Applesauce is much easier on a sensitive stomach than a raw apple due to its lower fiber content and cooked form.
- Embrace the BRAT Diet Basics: While dated, the BRAT diet components (bananas, rice, applesauce, toast) are still valuable starting points for bland, easily digestible foods.
- Advance Gradually: Reintroduce solid foods slowly, starting with bland options and moving toward a regular diet as your symptoms improve.
- Avoid Irritants: Stay away from fatty, spicy, high-sugar, and acidic foods, as well as alcohol and caffeine, during recovery.
- Hydrate Strategically: Use oral rehydration solutions or broths to replace lost electrolytes more effectively than plain water alone.
FAQs
Question: When is it safe to eat solid food again after throwing up? Answer: It's best to wait at least 4-6 hours after the last episode of vomiting. During this time, focus solely on sipping clear liquids in small, frequent amounts.
Question: Why is applesauce recommended over a whole apple? Answer: Applesauce is cooked, which breaks down the fiber and makes it gentler and easier for a sensitive stomach to digest. A raw apple's high fiber and acidity can cause more irritation.
Question: Are there any alternatives to applesauce for a bland diet? Answer: Yes, other excellent bland options include bananas, plain white rice, toast, saltine crackers, clear broths, and boiled potatoes.
Question: Can I drink apple juice instead of eating applesauce? Answer: Apple juice can be a good clear liquid to start with for hydration, but it's important to choose clear juice and not consume excessive amounts of sugar.
Question: What are the best drinks for rehydration after vomiting? Answer: The best choices are water, oral rehydration solutions, and clear broths. Sips should be small and frequent to avoid upsetting your stomach further.
Question: Should I avoid all dairy products? Answer: Most full-fat dairy products like milk and cheese should be avoided initially as they can be hard to digest. However, plain yogurt or kefir, which contain probiotics, might be tolerated once you are on the bland food phase.
Question: When should I see a doctor after vomiting? Answer: You should seek medical attention if you can't keep any liquids down for 24 hours, show signs of dehydration (dizziness, dark urine), have a high fever, severe abdominal pain, or notice blood in your vomit.
Citations
- The Oregon Clinic. BRAT Diet. https://www.oregonclinic.com/resource/diets-brat/
- GoodRx. The BRAT Diet for Nausea, Vomiting, and Diarrhea. https://www.goodrx.com/well-being/diet-nutrition/brat-diet-benefits-diarrhea-nausea
- Cleveland Clinic Health Essentials. Vomiting 101: Why You Throw Up and the Best Way To Recover. https://health.clevelandclinic.org/vomiting-101-why-you-throw-up-and-the-best-way-to-recover
- Capalaba Natural Health. Is Apple Good for an Upset Stomach? https://www.capalabanaturalhealth.com.au/is-apple-good-for-an-upset-stomach/
- Healthline. The 12 Best Foods for an Upset Stomach. https://www.healthline.com/nutrition/best-foods-for-upset-stomach
- Health. 5 Foods and Drinks for Diarrhea—and What To Avoid. https://www.health.com/what-to-eat-when-you-have-diarrhea-7104211
- Samaritan Health Services. The Best Foods to Eat When You Are Sick. https://samhealth.org/news/best-foods-to-eat-when-sick-to-feel-better/
- Healthdirect. Vomiting - treatments, self-care and causes. https://www.healthdirect.gov.au/vomiting
- Sahyadri Hospital. What To Eat After Vomiting Due To Indigestion. https://sahyadrihospital.com/blog/what-to-eat-after-vomiting-due-to-indigestion
- EatingWell. 4 Foods That Can Help With Nausea, According to a Dietitian. https://www.eatingwell.com/article/8069696/foods-that-can-help-with-nausea/