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Is Fermented Food Good When Sick? The Benefits and Precautions

4 min read

Over 70% of the immune system is located in the gut, making gut health a critical factor in recovering from illness. Given this connection, many wonder if fermented food is good when sick, as these foods are known for their probiotic content. The answer is nuanced, depending on the type of food and the nature of the illness.

Quick Summary

Fermented foods can support recovery from illness by boosting the immune system through their high probiotic content. They can aid digestion, nutrient absorption, and hydration, but certain precautions are necessary for those with compromised immunity or specific sensitivities.

Key Points

  • Immune Boost: Probiotics in fermented foods help strengthen the immune system, primarily located in the gut, which can assist in fighting off infections like colds and flu.

  • Digestive Aid: Fermented foods aid digestion and nutrient absorption, which is beneficial when appetite is low during illness.

  • Hydration: Warm options like miso soup provide soothing hydration and electrolytes, particularly good for sore throats or stomach upset.

  • Caution for Compromised Immunity: Individuals with weakened immune systems should consult a doctor before consuming live cultures in fermented foods due to infection risk.

  • Start Slowly: If you are sensitive, begin with small amounts of mild, plain fermented foods like yogurt or kefir to allow your gut to adjust and minimize potential gas or bloating.

In This Article

Why Fermented Foods Can Help When You're Sick

Fermented foods, rich in beneficial microorganisms known as probiotics, can be a powerful addition to your diet when recovering from a viral illness like a cold or flu. Here's how they can help your body fight back.

Boosts the Immune System

As the primary source of your body's immune function, a healthy gut microbiome is essential for fighting off infections. Studies have shown that probiotics can help boost the immune system's response to viruses and may even reduce the duration of an illness. Some strains found in fermented dairy and vegetables have been shown to protect against respiratory infections. By introducing more good bacteria, you are supporting your body's natural defense mechanisms.

Aids Digestion and Nutrient Absorption

When you're sick, your digestive system can often be sluggish or upset. The live and active cultures in fermented foods assist your body in breaking down food, making nutrients easier to absorb. This is particularly useful when you have a reduced appetite, as it helps your body get the most nutritional value from what little you consume. For individuals with lactose intolerance, the fermentation process breaks down lactose into simpler sugars, meaning fermented dairy products like yogurt or kefir may be tolerated better than regular milk.

Provides Hydration and Soothing Warmth

Certain fermented options offer soothing benefits in addition to probiotics. A warm bowl of miso soup, for instance, provides hydration, electrolytes, and healthy bacteria to help soothe a sore throat or stomach. Kombucha can also be a refreshing, hydrating beverage, though it's important to be mindful of its sugar content.

Which Fermented Foods Are Best When Sick?

Choosing the right fermented food is crucial, especially when your system is sensitive. Starting with mild, easily digestible options is often the best approach.

  • Plain Yogurt or Kefir: Opt for plain varieties with live and active cultures to avoid excess sugar, which can cause inflammation. They are gentle on the stomach and packed with probiotics.
  • Miso Soup: The warm broth is soothing for sore throats and contains beneficial probiotics. It's a great way to rehydrate and get some nutrients.
  • Sauerkraut and Kimchi: These fermented vegetables are excellent sources of probiotics and fiber. If you're new to them or have a sensitive stomach, start with a small amount, as the spicy or sour flavor can sometimes be intense.
  • Tempeh: Made from fermented soybeans, tempeh provides plant-based protein and probiotics. It has a firm texture but can be incorporated into cooked dishes.

Important Considerations and Who Should Be Cautious

While beneficial for many, fermented foods are not suitable for everyone when ill. It's essential to be mindful of your specific health status.

Precautions for Specific Conditions

  • Compromised Immune Systems: Individuals with weakened immune systems, such as those with HIV/AIDS, cancer patients on chemotherapy, or organ transplant recipients, should avoid fermented foods containing live cultures unless advised by a doctor. There is a small but present risk of infection from the live microorganisms.
  • Histamine Intolerance: Certain fermented foods are high in histamine, which can cause symptoms like headaches, bloating, and fatigue in sensitive individuals.
  • Digestive Sensitivity: The initial introduction of probiotics can cause temporary gas and bloating as the gut microbiome adjusts. If you experience excessive discomfort, reduce your intake.

Comparison of Fermented Food Options When Sick

Feature Mild Options (Best When Sick) Stronger Options (Start with Caution)
Examples Plain yogurt, kefir, miso soup Sauerkraut, kimchi, some kombucha
Flavor Profile Mild, creamy, or savory Pungent, sour, or spicy
Digestibility Very easy to digest; soothing Can cause initial gas or bloating
Probiotic Diversity Contains a good range of strains Often a more diverse range of microbes
Sodium Content Variable; miso can be high Typically higher due to salt preservation
Best For Settling the stomach, hydration Boosting immunity in less sensitive individuals

Tips for Incorporating Fermented Foods While Sick

  1. Start Small: Begin with a small serving, like a spoonful of yogurt or a sip of kefir, to see how your body reacts. You can gradually increase your intake if you feel fine.
  2. Go Plain and Simple: Avoid options with high sugar or artificial flavors. Stick to plain yogurts, unflavored kefir, or simple miso soup.
  3. Use it as an Add-on: Instead of a full meal, use fermented foods as a supplement. Add a dollop of yogurt to a smoothie, or a spoonful of miso to a clear broth.
  4. Listen to Your Body: Pay close attention to how you feel. If a particular food makes you feel worse, stop and try a different option or wait until you've recovered more.
  5. Check Labels: Look for the words "live and active cultures" on products like yogurt and kefir. For items like sauerkraut, refrigerated versions that are not pasteurized contain the live cultures.

Conclusion

For most healthy people, fermented foods can be a beneficial part of a recovery diet when sick. The probiotics they contain can support the immune system and aid digestion, helping to potentially shorten the duration of a cold or flu. Options like plain yogurt, kefir, and miso soup are often easy to digest and can provide soothing relief. However, individuals with compromised immune systems, histamine intolerance, or sensitive digestion should proceed with caution and consult a healthcare professional. By listening to your body and choosing mild, high-quality options, you can leverage the gut-health benefits of fermented foods while you heal.

For more information on the immune-boosting properties of fermented foods, you can refer to sources such as this review on the effects of fermented foods on inflammatory diseases.

Frequently Asked Questions

For a cold, plain yogurt, kefir, or a warm broth like miso soup are often best. They are easy to digest, soothing, and provide probiotics to help your immune system.

Some studies suggest that probiotics in fermented foods may help reduce the duration of common illnesses like the cold and flu by boosting your immune response.

While probiotics can help with some digestive issues, those with a stomach flu should start with very gentle, bland options like kefir or miso soup. Avoid spicy or overly sour foods like kimchi, which may irritate a sensitive stomach.

Yes, fermented foods can be particularly helpful after a course of antibiotics to help restore the balance of gut bacteria. However, it's recommended to take probiotics at least two hours apart from your antibiotic dose.

Regular consumption is often recommended for consistent benefits. When sick, even a few servings over the course of your illness can help support your body's immune response.

Yes, some people may experience temporary gas and bloating as their digestive system adjusts to the new bacteria. High-histamine options can also trigger symptoms in sensitive individuals.

When buying store-bought, look for products with 'live and active cultures' and ensure they have not been pasteurized, which kills the beneficial bacteria. Homemade products can offer a greater diversity of microbes.

References

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Medical Disclaimer

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