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Is it better to eat less when you have diarrhea? Expert Advice

4 min read

According to the World Health Organization, diarrhea is a leading cause of malnutrition globally, and abstaining from food can worsen this effect. While it may seem logical to fast to stop the symptoms, is it better to eat less when you have diarrhea or should you continue to provide your body with fuel?

Quick Summary

Instead of eating less, experts recommend small, frequent meals of specific bland foods to aid recovery. This approach helps prevent dehydration and replenish vital nutrients and electrolytes lost during illness.

Key Points

  • Prioritize Rehydration: The most immediate danger with diarrhea is dehydration. Focus on replacing lost fluids and electrolytes with water, clear broth, and oral rehydration solutions.

  • Choose Bland, Small Meals: Instead of eating less, eat small, frequent portions of bland foods like bananas, white rice, applesauce, and toast (the BRAT diet) to soothe your digestive system.

  • Avoid High-Fiber and Fatty Foods: Foods that are high in fiber, fat, or spice are difficult to digest and can worsen symptoms. Limit raw vegetables, whole grains, and fried foods.

  • Limit Dairy and Irritants: Temporarily reduce dairy intake, as some people experience lactose intolerance during diarrhea. Also, cut out caffeine, alcohol, and artificial sweeteners.

  • Consider Probiotics: Introducing good bacteria through probiotics (like in yogurt with live cultures) can help rebalance your gut flora and aid recovery.

In This Article

Why Fasting During Diarrhea is a Bad Idea

For most people experiencing diarrhea, the impulse might be to stop eating entirely. The logic is that if nothing goes in, nothing can come out. However, this line of thinking is counterproductive and can prolong recovery. When you have diarrhea, your body is losing essential fluids, minerals, and electrolytes. Eating nothing can starve your body of the nutrients needed to fight the underlying cause of the illness and repair itself. Fasting can lead to fatigue, lightheadedness, and even further dehydration, which is the most dangerous side effect of severe diarrhea.

The Importance of Replenishing Fluids and Electrolytes

While food intake is important, maintaining proper hydration is the top priority during a bout of diarrhea. The watery stool draws significant fluid and electrolytes out of the body, and this loss must be replaced. Water alone is often not enough. Electrolyte solutions like oral rehydration salts (ORS), coconut water, clear broths, and some sports drinks can effectively replenish sodium and potassium.

The Smart Approach: What to Eat (and When)

Instead of eating less, the correct strategy is to eat differently—focusing on small, frequent meals of bland, easily digestible foods. This approach prevents overwhelming your sensitive digestive system while providing the necessary fuel for recovery.

Recommended Foods for Diarrhea

  • The BRAT Diet: This classic approach involves Bananas, Rice (white), Applesauce, and Toast (white bread). These foods are low in fiber, bland, and can help bind the stool.
  • Oatmeal: Plain oatmeal is a low-fiber, digestible source of soluble fiber that can help absorb excess fluid in the intestine.
  • Boiled Potatoes: Peeled and boiled potatoes are easy to digest and provide essential potassium.
  • Lean Protein: Small portions of plain, baked chicken or turkey can provide protein without irritating the gut.
  • Probiotics: Yogurt or kefir with live cultures can help restore the balance of good bacteria in your gut, but watch for lactose intolerance, which can sometimes worsen during illness.

Foods and Drinks to Avoid

  • High-Fiber Foods: Raw vegetables, whole grains, nuts, and high-fiber cereals can exacerbate symptoms.
  • Fatty and Fried Foods: Grease and fat are hard to digest and can worsen diarrhea.
  • Dairy Products: Many people experience temporary lactose intolerance during diarrhea. Limiting milk, cheese, and other dairy (except for yogurt/kefir) is often recommended.
  • Spicy Foods: Irritating spices should be avoided to prevent further inflammation of the digestive tract.
  • Caffeine and Alcohol: These are both diuretics and can worsen dehydration, in addition to irritating the gut.
  • Artificial Sweeteners: Some sugar substitutes, like sorbitol, have a laxative effect.

Comparison: Fasting vs. Proper Diet During Diarrhea

Feature Fasting (Eating Less) Proper Dietary Management
Energy & Nutrient Supply Starves the body of essential nutrients needed for recovery, potentially prolonging illness. Provides necessary fuel and nutrients to aid the body's repair processes.
Hydration Risks High risk of severe dehydration and electrolyte imbalance dueating less or restricting fluids. Focuses on replenishing fluids and electrolytes with oral rehydration solutions and broths.
Gastrointestinal Irritation Less irritation from food, but can lead to stomach discomfort and cramping from hunger. Uses bland, low-fiber foods that are gentle on the digestive system, promoting healing.
Recovery Time Can potentially prolong recovery by weakening the body's immune response and causing further complications. Supports a faster, more effective recovery by providing the body with the right fuel.
Symptom Management Stops new output but fails to address underlying causes and risks complications. Manages symptoms by firming stools and soothing the digestive tract.

The Role of Probiotics and Gut Health

During diarrhea, the delicate balance of your gut microbiome is often disrupted. The introduction of probiotics, found in foods like yogurt or supplements, can help restore beneficial bacteria. This rebalancing can shorten the duration of diarrhea and improve overall digestive health. Look for products with active cultures and consider a non-dairy option if lactose is a concern during recovery.

Conclusion: Eat Wisely, Don't Starve Yourself

The idea that it is better to eat less when you have diarrhea is a misconception. While large, complex meals should be avoided, restricting all food is harmful. The key is a strategic dietary approach that prioritizes hydration and nourishes the body with bland, easily digestible foods. This method supports faster recovery, prevents dehydration, and replenishes the nutrients lost during illness. If symptoms are severe or persist, consulting a healthcare provider is essential, especially with signs of dehydration, fever, or blood in the stool.

For more information on dietary management during illness, consider consulting resources from trusted health organizations, such as the National Institute of Diabetes and Digestive and Kidney Diseases.

Frequently Asked Questions

No, you should not stop eating completely. Fasting can deprive your body of the nutrients needed for recovery and can worsen dehydration. Focus on consuming small, frequent meals of bland, easily digestible foods.

The BRAT diet (Bananas, Rice, Applesauce, Toast) is often recommended because these foods are low in fiber, bland, and help bind the stool. Lean meats, boiled potatoes, and plain oatmeal are also good options.

Avoid fatty and fried foods, spicy foods, high-fiber foods, and dairy products. You should also stay away from caffeine, alcohol, and artificial sweeteners, as they can irritate your digestive system and worsen dehydration.

Diarrhea causes the body to lose a significant amount of fluids and electrolytes. This can quickly lead to dehydration, which is the most dangerous complication. Replacing these lost fluids is the top priority for recovery.

Yes, probiotics can be helpful. They introduce beneficial bacteria back into your gut, which can restore a healthy microbial balance disrupted by the illness. Yogurt with live cultures or probiotic supplements can be effective.

You should contact a healthcare provider if you have a high fever, severe abdominal pain, blood or mucus in your stool, signs of severe dehydration, or if the diarrhea lasts for more than a couple of days.

It is best to limit or avoid milk and most dairy products, as many people temporarily develop lactose intolerance during a bout of diarrhea. Plain yogurt with live cultures may be tolerated and even beneficial due to probiotics.

References

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Medical Disclaimer

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