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Does sugar help a sick stomach? A dietitian's perspective on sweet relief

4 min read

Did you know that viral gastroenteritis, commonly known as the stomach flu, affects millions of people each year? When faced with nausea and discomfort, the common myth that sugar helps can actually do more harm than good, raising the critical question: Does sugar help a sick stomach?

Quick Summary

A high sugar intake can exacerbate stomach issues by feeding harmful gut bacteria, increasing inflammation, and causing osmotic diarrhea. For effective recovery, focus on rehydrating with low-sugar electrolyte solutions and consuming bland, gentle foods, rather than relying on sweet treats.

Key Points

  • Avoid Sugary Foods: Refined and processed sugars can worsen stomach issues by feeding bad gut bacteria, increasing inflammation, and causing osmotic diarrhea.

  • Choose Bland Foods: The BRAT diet (Bananas, Rice, Applesauce, Toast) consists of low-fiber, easily digestible foods that are gentle on the stomach and aid recovery.

  • Prioritize Hydration: Replenish lost fluids and electrolytes with low-sugar options like oral rehydration solutions or clear broths, rather than high-sugar sports drinks.

  • Beware of Sugar Alcohols: Many sugar-free products contain sugar alcohols like sorbitol or xylitol, which are poorly absorbed and can cause gas, bloating, and diarrhea.

  • Support Your Gut Microbiome: Focus on foods that support a healthy gut flora, and reintroduce beneficial probiotics as you recover to restore balance.

  • Listen to Your Body: Eat small, frequent meals as tolerated and gradually return to a regular, healthy diet as symptoms subside.

In This Article

The Myth of Sugar as a Stomach Soother

The idea that sugary foods and drinks can settle an upset stomach is a common misconception that is frequently passed down through generations. While a sweet taste might offer a temporary psychological comfort, the physiological effects of sugar are often counterproductive for a distressed digestive system. The reality is that refined and processed sugars are one of the last things your body needs when it is already under stress from a stomach bug or other digestive issue. Instead of promoting healing, excess sugar can trigger a cascade of negative effects that worsen symptoms and prolong recovery.

How Sugar Harms an Upset Stomach

Dysbiosis: Feeding the Wrong Gut Bacteria

Your gut is home to trillions of microorganisms, collectively known as the microbiome. This delicate ecosystem is a balance of beneficial and harmful bacteria. A diet high in sugar favors the proliferation of harmful bacteria and fungi, leading to an imbalance known as dysbiosis. When your stomach is already compromised, this imbalance can lead to increased gas, bloating, and discomfort. In contrast, a healthy gut microbiome is crucial for proper digestion and immune function. Excess sugar consumption actively disrupts this balance, making it harder for your body to fight off the underlying cause of your illness.

Osmotic Diarrhea: The Pull of Water

When you consume excessive amounts of sugar, especially forms like fructose or sugar alcohols, your small intestine may be unable to absorb it all efficiently. This unabsorbed sugar then proceeds to the large intestine, where it creates an osmotic effect. This process pulls extra water into the intestines, resulting in watery stools and aggravating diarrhea. This can lead to further dehydration, a critical issue when you're already losing fluids through vomiting or diarrhea. Sports drinks and fruit juices, which are often high in sugar, can trigger this same effect.

Gut Inflammation: A Sensitive System

High sugar intake promotes systemic inflammation, particularly in the digestive system. This inflammation can damage the gut lining, a condition sometimes referred to as “leaky gut syndrome”. A compromised gut barrier allows toxins and other harmful substances to enter the bloodstream, triggering a broader inflammatory response. For individuals with inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS), sugar acts as a potent trigger that can worsen their symptoms significantly.

Sports Drinks: More Sugar Than Solutions

While sports drinks are marketed for hydration and electrolyte replenishment, their high sugar content can be detrimental to an upset stomach. For someone experiencing diarrhea or vomiting, a high-sugar beverage can worsen dehydration due to the osmotic effect mentioned earlier. A proper oral rehydration solution (ORS) contains a specific, balanced ratio of sugar and electrolytes to facilitate fluid absorption. In contrast, many sports drinks contain far too much sugar and not enough of the necessary electrolytes for effective rehydration during an illness.

Effective Dietary Strategies for a Sick Stomach

Instead of sugar, the right dietary choices can support your recovery by being gentle on your digestive system. The goal is to provide your body with easily digestible energy and rehydrate effectively. The following strategies offer a better path to relief:

The BRAT Diet: Bland and Gentle

For decades, the BRAT diet has been recommended for temporary relief from stomach issues. It consists of:

  • Bananas: Easy to digest and rich in potassium, a crucial electrolyte lost during vomiting or diarrhea.
  • Rice: Plain white rice is a gentle, binding food that can help firm up stools.
  • Applesauce: A simple, cooked fruit that provides energy and is easy on the stomach.
  • Toast: Dry, plain white toast is a bland carbohydrate source that is simple to digest.

Other Gentle Foods and Hydration

Beyond the BRAT diet, a variety of other foods and drinks can aid in your recovery:

  • Bland starches: Saltine crackers, boiled potatoes, and oatmeal are all good choices.
  • Clear broths: Chicken or vegetable broth can provide hydration and sodium without irritating your stomach.
  • Herbal teas: Ginger and peppermint teas have natural soothing properties that can help reduce nausea.
  • Coconut water: A natural source of electrolytes, though it is important to choose versions with minimal added sugar.

Comparing Sugary vs. Soothing Foods

To illustrate the difference, here is a table comparing common sugary options with their stomach-soothing alternatives:

Type Avoid (High-Sugar, Irritating) Choose Instead (Bland, Soothing)
Drinks Sugary soda, high-sugar sports drinks, fruit juices Water, herbal teas (ginger, peppermint), oral rehydration solution
Snacks Candy, cookies, pastries Bananas, applesauce, saltine crackers, plain toast
Carbohydrates Greasy, spicy, or fried foods Plain white rice, boiled potatoes, oatmeal
Dairy Milk, ice cream, high-sugar yogurt Small amounts of plain yogurt (probiotics may help recovery)

Conclusion: Prioritize Bland and Balanced Intake

Contrary to popular belief, sugar does not help a sick stomach and can, in fact, make symptoms worse. Excess sugar can cause digestive distress by disrupting the gut microbiome, increasing inflammation, and leading to or worsening diarrhea. A much more effective strategy involves prioritizing hydration with low-sugar electrolyte solutions and consuming bland, easily digestible foods like those found in the BRAT diet. By making informed dietary choices, you can better support your body's recovery and find genuine relief from stomach discomfort.


Disclaimer: The information provided is for educational purposes only and is not a substitute for professional medical advice. If you have severe or persistent stomach issues, consult a healthcare provider.

Frequently Asked Questions

Excess sugar can cause stomach pain by feeding harmful gut bacteria, which leads to gas and bloating. It can also draw water into the intestines, causing osmotic diarrhea.

Opt for clear fluids like plain water, herbal teas (ginger or peppermint), clear broths, or a low-sugar oral rehydration solution. High-sugar sodas can worsen dehydration and irritation.

Some fruits, like bananas and applesauce, are fine in moderation as part of the BRAT diet. However, high-fructose fruits or large amounts of fruit juice can still be problematic for a sensitive stomach and may worsen diarrhea.

No, many sugar-free candies contain sugar alcohols like sorbitol or xylitol, which are poorly absorbed and can cause significant gas, bloating, and diarrhea.

Hydrate with water, sip on herbal tea, or try bland, naturally sweet foods like mashed banana or plain applesauce. Satisfying cravings with high-protein and fiber-rich foods after initial recovery can also help stabilize blood sugar.

Many sports drinks are high in sugar, which can pull excess water into the gut and worsen diarrhea. While they contain electrolytes, low-sugar oral rehydration solutions are a better choice for proper rehydration.

Start with clear liquids like broth, then gradually reintroduce bland, easily digestible foods such as bananas, plain white rice, toast, and crackers. Avoid greasy, spicy, and high-fat foods.

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.