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Is it best not to eat if you feel sick? Separating myth from medical advice

5 min read

A recent survey found that a significant number of people still believe the centuries-old advice to "starve a fever". But is it best not to eat if you feel sick? Modern medical consensus indicates the opposite is true for most illnesses, as the body needs energy to fight off infection.

Quick Summary

Debunking old adages, modern medical advice emphasizes nourishing your body when ill. Proper hydration and eating the right foods provide crucial energy and nutrients to fight infection and aid recovery.

Key Points

  • Starving a Fever is a Myth: Your body needs energy to fight infection, making food intake important, even with a fever.

  • Hydration is Key: Replenishing fluids and electrolytes is critical, especially with vomiting, diarrhea, or fever.

  • Choose Bland Foods for Stomach Issues: When your stomach is upset, opt for gentle, easy-to-digest items like the BRAT diet (Bananas, Rice, Applesauce, Toast).

  • Eat Small, Frequent Meals: If your appetite is low, consuming smaller meals or snacks throughout the day is more manageable and helpful than forcing large meals.

  • Avoid Problem Foods: Greasy, sugary, spicy, and heavily processed foods can worsen symptoms and should be avoided.

  • Listen to Your Body: If you cannot tolerate solids, prioritize fluids. Never force yourself to eat if it causes discomfort.

  • Focus on Nutrient-Dense Options: When appetite is limited, make each bite count with items rich in vitamins, minerals, and protein to support your immune system.

In This Article

The myth of starving a fever

The notion that you should "feed a cold, starve a fever" is an outdated piece of folk wisdom with no scientific basis. In fact, when your body is fighting an infection, its metabolic rate increases, meaning you burn more calories and have higher energy needs. Depriving your body of energy when it's under stress is counterproductive to recovery. Your immune system requires fuel from food to produce antibodies and mount an effective defense against pathogens. While a loss of appetite is a common symptom of illness and it's okay to eat less, deliberately fasting is not recommended and can hinder the healing process.

The importance of fueling your body during illness

Eating and drinking when you're sick provides several key benefits that support recovery:

  • Replenishes energy stores: Fighting infection is taxing on the body and burns extra calories. Eating provides the necessary energy to sustain this effort.
  • Supports immune function: Nutrients like protein, zinc, and Vitamin C are vital for the immune system to work efficiently. Protein, found in foods like lean chicken, eggs, and beans, is essential for building antibodies. Zinc, from nuts and seeds, can help shorten the duration of respiratory viruses.
  • Aids hydration: Many foods, especially fruits and soups, have high water content that helps with hydration, a critical component of feeling better.
  • Replaces electrolytes: Vomiting, diarrhea, and fever cause a loss of electrolytes, which are essential for nerve and muscle function. Broths, bananas, and electrolyte drinks can help restore balance.

What to eat when you feel sick (based on symptoms)

What you can tolerate eating will often depend on your specific symptoms. It's always best to listen to your body and start with small, manageable portions.

For a cold or flu:

  • Warm fluids: The steam from hot liquids like chicken soup or herbal teas (ginger, peppermint, chamomile) can act as a natural decongestant and soothe a sore throat.
  • Vitamin C-rich fruits: Oranges, strawberries, and kiwis are excellent sources of Vitamin C, which can help reduce the length and severity of a cold.
  • Garlic: Known for its antiviral properties, adding garlic to your cooking, especially soups, can help support immune function.
  • Honey: A spoonful of honey can help suppress a cough, but remember not to give honey to infants under one year old.

For an upset stomach (nausea, vomiting, diarrhea):

  • The BRAT diet: This acronym stands for Bananas, Rice, Applesauce, and Toast. These foods are bland, low in fiber, and easy on the digestive system.
  • Ginger: Historically and scientifically proven to be an effective remedy for nausea. Try ginger ale (flat), ginger tea, or ginger chews.
  • Clear broths: Sipping on clear broth or bouillon provides hydration and sodium without irritating a sensitive stomach.
  • Gelatin and ice pops: These can be easy to tolerate and help with both hydration and a sore throat.

Foods and drinks to avoid when sick

Just as some foods can help, others can make your symptoms worse. It's best to steer clear of the following until you feel better:

  • Greasy, fried, and spicy foods: These can be hard to digest and can upset an already sensitive stomach.
  • High-sugar foods and drinks: Excessive sugar can cause inflammation and interfere with the immune response. This includes sugary cereals and sodas.
  • Caffeine and alcohol: Both are diuretics, which means they cause you to lose fluid, increasing your risk of dehydration.
  • Processed meats: Heavy or processed meats can be difficult to digest and divert energy your body needs for healing.

How to handle a poor appetite

If you have a low appetite, don't fret. This is a normal part of being sick. The goal is to provide your body with some fuel, not to eat a full-sized meal. Here are a few tips:

  • Eat small, frequent meals: Instead of three large meals, try having several small snacks or mini-meals throughout the day.
  • Opt for liquid nourishment: If solids are unappealing, nutrient-dense fluids like smoothies made with yogurt and fruit or hearty broth-based soups can be a good compromise.
  • Have prepared foods handy: Having easy-to-prepare snacks like crackers, toast, or yogurt can make eating less of a chore when you're feeling unwell.

Comparison: Common Illnesses and Dietary Recommendations

Symptom Recommended Intake What to Avoid
Cold/Flu (Respiratory) Warm fluids (broth, tea, soup), Vitamin C fruits, Zinc-rich foods (nuts, beans), Garlic, Honey Spicy foods, Excessive caffeine, Alcohol, Sugary drinks
Stomach Bug (GI upset) Clear broths, BRAT diet (Bananas, Rice, Applesauce, Toast), Ginger, Gelatin, Electrolyte drinks Greasy foods, Fried foods, Spicy foods, High-fiber foods, Acidic foods, Caffeine, Alcohol, Sugary foods

The crucial role of hydration

Water is a major component of every cell in your body, and proper hydration is essential for your body to function correctly, especially when ill. A fever increases your body temperature and can lead to fluid loss through sweating. Meanwhile, vomiting and diarrhea accelerate dehydration by expelling large amounts of fluids and electrolytes.

Hydration aids recovery by:

  • Regulating body temperature during a fever.
  • Transporting nutrients to cells.
  • Flushing out waste and toxins.
  • Thinning mucus to ease congestion.

To effectively rehydrate, you can choose water, broth, or specific oral rehydration solutions. Many sports drinks can be high in sugar and may not be the best choice for severe illness, so check labels carefully.

When to seek medical advice

While good nutrition and hydration can aid most common illnesses, there are times when you should consult a healthcare provider. Seek medical attention if you:

  • Cannot keep fluids down due to persistent vomiting.
  • Experience a high or prolonged fever.
  • Have severe symptoms or your condition worsens.
  • Are concerned about your or a child's hydration levels.

Conclusion

Ignoring the old adage to "starve a fever" is critical for a smooth recovery from most common illnesses. By prioritizing proper hydration and listening to your body's needs, you can provide the essential nutrients and energy your immune system requires. Whether it's the comforting warmth of chicken soup for a cold or bland, easily digestible foods for an upset stomach, the right dietary choices can make a significant difference in how you feel and how quickly you recover.

For more detailed information on eating during specific illnesses, consult reputable sources such as the Mayo Clinic Health System.

Frequently Asked Questions

Focus on bland, easy-to-digest foods like bananas, plain rice, applesauce, and toast, often called the BRAT diet. These help rest your digestive system.

While dairy doesn't necessarily increase mucus production for everyone, it can feel thick and uncomfortable in the mouth. If you have stomach upset, it might be best to limit dairy until you feel better.

Signs of dehydration include a dry mouth, dark-colored urine, feeling dizzy or light-headed, and low energy. Staying hydrated is crucial for recovery.

No, forcing yourself to eat can make you feel worse, especially if you have nausea. Focus on staying hydrated with fluids like broth or tea until your appetite naturally returns.

Yes, chicken soup helps with hydration and provides beneficial nutrients. The warm broth and steam can also help clear congestion and soothe a sore throat.

High sugar intake can contribute to inflammation in the body and potentially interfere with immune function, which hinders your recovery.

You should contact a healthcare provider if you can't keep any fluids down due to persistent vomiting, have a prolonged high fever, or if your symptoms worsen.

References

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Medical Disclaimer

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