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Is Licorice Good for Diarrhea?

4 min read

Historically, licorice root has been used in traditional medicine systems, including Traditional Chinese Medicine and Ayurveda, for treating a range of digestive ailments. However, when it comes to diarrhea, the effect of licorice is complex and can vary significantly depending on the form, dosage, and individual's health.

Quick Summary

The relationship between licorice and diarrhea is complex, with high doses of standard licorice potentially causing or worsening symptoms due to laxative effects and mineral imbalances. However, deglycyrrhizinated licorice (DGL) is often used to soothe digestive irritation, but should not be a first-line treatment for diarrhea.

Key Points

  • Standard licorice can worsen diarrhea: The glycyrrhizin compound in standard licorice can cause electrolyte imbalance and has a mild laxative effect, which may exacerbate diarrhea.

  • DGL is a safer alternative: Deglycyrrhizinated licorice (DGL) has the risky glycyrrhizin removed and is used to soothe digestive tract irritation, not to treat diarrhea directly.

  • Avoid high doses: Excessive consumption of standard licorice can lead to serious side effects like high blood pressure and low potassium levels.

  • Individuals with IBS should be cautious: Licorice contains FODMAPs, which can trigger symptoms like bloating and diarrhea in those with sensitive digestive systems or IBS.

  • Consider other alternatives: Safe and effective alternatives for digestive relief include anise, fennel, ginger, and chamomile tea.

  • Not a remedy for diarrhea: Standard licorice candy or supplements are not an appropriate treatment for diarrhea and may cause more harm than good.

In This Article

Understanding Licorice and the Active Compounds

Licorice, derived from the root of the Glycyrrhiza glabra plant, contains several bioactive compounds that interact with the body's systems. The primary active compound is glycyrrhizin, which is significantly sweeter than sugar and is responsible for many of licorice's medicinal properties, as well as its notable side effects. Other compounds, such as flavonoids and polysaccharides, also contribute to its effects. The impact of licorice on the digestive system is multifaceted, and understanding these components is key to discerning its effects on conditions like diarrhea.

How Glycyrrhizin Affects the Digestive System

Glycyrrhizin is the main reason for caution when using licorice for digestive issues. In high doses, glycyrrhizin can affect the body in several ways, potentially leading to or exacerbating diarrhea.

  • Electrolyte Imbalance: Glycyrrhizin can cause the kidneys to retain sodium and excrete potassium, leading to an electrolyte imbalance. This fluid imbalance can draw more water into the intestines, resulting in looser stools or diarrhea.
  • Increased Intestinal Motility: Some research suggests that glycyrrhizin may increase intestinal motility, speeding up the movement of food through the digestive tract. For individuals with sensitive digestive systems, this can lead to diarrhea.
  • Mild Laxative Effect: In traditional medicine, licorice root has sometimes been used for its mild laxative properties to treat constipation. While this may be beneficial for constipation, it is counterproductive for diarrhea. The laxative effect is more pronounced in pure licorice root products compared to commercial candies, which often contain less actual extract.

The Role of Deglycyrrhizinated Licorice (DGL)

Not all licorice products are the same, and the form matters significantly when treating digestive issues. Deglycyrrhizinated licorice, or DGL, is a special formulation where the glycyrrhizin compound has been removed.

  • DGL retains other beneficial compounds, such as flavonoids, but eliminates the risk of glycyrrhizin-related side effects, including electrolyte imbalances and high blood pressure.
  • It is specifically used to soothe and heal the digestive tract, making it a more appropriate option for soothing stomach upset and inflammation.
  • DGL is often recommended for conditions like acid reflux and peptic ulcers, as it helps protect the stomach and intestinal lining.

Comparing Licorice and DGL for Digestive Health

Feature Standard Licorice Root Deglycyrrhizinated Licorice (DGL)
Active Compounds Contains glycyrrhizin, flavonoids, and others Glycyrrhizin removed, retains flavonoids and others
Effect on Diarrhea Can potentially cause or worsen diarrhea in high doses due to laxative properties and electrolyte disruption Not used to cause diarrhea; instead, it is intended to soothe digestive tract irritation
Side Effects Risk of high blood pressure, potassium loss, and edema, especially with excessive intake Generally safer, as glycyrrhizin is removed, eliminating the risk of mineralocorticoid effects
Best Uses Traditional remedy for various ailments, but risky for sensitive individuals Used to heal and soothe the gastrointestinal lining for conditions like GERD and ulcers
Recommended Intake Moderate and infrequent consumption for healthy adults Often recommended in chewable form before meals for digestive support

When Licorice Might Cause or Worsen Diarrhea

For individuals with certain sensitivities or pre-existing conditions, consuming standard licorice can be problematic. These include people with Irritable Bowel Syndrome (IBS) or other functional gut disorders, who may be sensitive to the FODMAP content in some licorice products.

  • High Glycyrrhizin Intake: Regular, high consumption of products containing glycyrrhizin can lead to digestive disturbances, including diarrhea, particularly in sensitive individuals.
  • Pre-existing Conditions: People with conditions like hypertension, heart, or kidney disease should be cautious with licorice due to its potential to affect mineral balance.
  • FODMAPs: Licorice contains fermentable carbohydrates (FODMAPs) that can trigger gastrointestinal symptoms like bloating, gas, and diarrhea in those with IBS.

Natural Alternatives and Safe Usage

If licorice, even in its DGL form, is not suitable, or if standard licorice causes issues, there are other natural options for supporting digestive health. For those who enjoy the flavor, anise and fennel provide a similar taste without the glycyrrhizin-related side effects. Fennel tea, for example, is known for its ability to help reduce digestive discomfort. For soothing the digestive tract, alternative herbal remedies may be more appropriate.

  • Fennel tea is an effective way to get a licorice-like flavor with added digestive benefits.
  • Ginger is known to calm an upset stomach and soothe digestive inflammation.
  • Chamomile tea can help relax intestinal muscles and reduce spasms.
  • Peppermint has antispasmodic properties that can alleviate stomach cramps.

Conclusion

While traditional medicine has used licorice root for various digestive complaints, its role in treating diarrhea is complicated. Standard licorice containing glycyrrhizin can have a mild laxative effect and cause electrolyte imbalances, potentially worsening or causing diarrhea, especially in high doses or in sensitive individuals. In contrast, deglycyrrhizinated licorice (DGL), with the problematic glycyrrhizin removed, is often used to soothe and support the stomach lining for conditions like ulcers and reflux, but it is not a direct treatment for diarrhea. The takeaway is that licorice is not a recommended remedy for diarrhea; in fact, it can be a trigger. Always consult a healthcare professional before using herbal supplements, especially if you have pre-existing health conditions or are on medication.

Frequently Asked Questions

Yes, high consumption of black licorice candy containing real licorice extract (glycyrrhizin) can cause diarrhea due to its mild laxative properties and its potential to cause electrolyte imbalances.

DGL, or deglycyrrhizinated licorice, is a form of licorice where the glycyrrhizin compound has been removed. This eliminates the risk of serious side effects and makes it suitable for soothing digestive irritation, such as with acid reflux, but not for treating diarrhea.

While DGL is often used to soothe digestive issues like indigestion and acid reflux, using standard licorice root, especially in large doses, is not recommended and can potentially cause or worsen stomach upset.

Individuals with high blood pressure, heart or kidney disease, low potassium levels, and pregnant women should avoid licorice. People with IBS or other digestive sensitivities should also be cautious.

Yes, deglycyrrhizinated licorice (DGL) has been shown in some studies to help reduce symptoms of acid reflux and aid in healing peptic ulcers by protecting the stomach lining.

Consuming too much standard licorice can lead to side effects including high blood pressure, low potassium levels, fluid retention (edema), and irregular heart rhythms.

Yes, licorice can interact with several medications, including diuretics, corticosteroids, and certain heart and blood pressure medications. It is important to consult a doctor before use.

Red licorice rarely contains real licorice root but often contains high sugar content, artificial colors, and other additives that can trigger digestive issues like diarrhea, cramping, and bloating in sensitive individuals, including those with IBS.

You can use alternatives like anise or fennel, which have a similar flavor profile but do not contain glycyrrhizin. Anise-flavored candies, teas, or fennel tea are great options.

For most healthy adults, occasional, moderate consumption of real licorice is unlikely to cause problems. However, excessive intake, often cited as more than 2 ounces daily for over two weeks, can lead to serious adverse effects.

References

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Medical Disclaimer

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