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Is Pizza Good for a Running Stomach? The Definitive Guide

5 min read

Approximately 50% of adults experience nausea at some point each year, and when digestive issues strike, your comfort food cravings might kick in. However, when you have a running stomach, your go-to pizza might be the worst choice you can make, as the high fat, dairy, and acidic ingredients can worsen symptoms like diarrhea and bloating.

Quick Summary

This article explores why pizza is generally not recommended for an upset stomach, highlighting the high-fat cheese, acidic sauce, and potential for sensitivities like lactose intolerance. It details better food choices and provides a comparison of ingredients, offering guidance for those with digestive discomfort.

Key Points

  • High-Fat Content: The cheese and toppings in pizza are high in fat, which slows down digestion and can worsen diarrhea and bloating in an upset stomach.

  • Dairy is a Trigger: Many people are lactose intolerant, and the cheese in pizza can cause or exacerbate digestive issues like diarrhea and cramps.

  • Acidic Ingredients Irritate: The tomato sauce is highly acidic and can irritate the stomach lining, intensifying feelings of nausea and heartburn.

  • Bland Foods are Best: For a running stomach, stick to easily digestible, low-fiber foods like bananas, rice, applesauce, and toast to help your gut recover.

  • Hydration is Critical: Combat dehydration from diarrhea by drinking plenty of water and electrolyte-rich fluids like broth.

  • Smart Pizza Modifications: To minimize digestive upset, opt for a thinner, lighter crust and reduce the amount of cheese and fatty toppings.

  • Underlying Issues: Consider potential underlying causes like food sensitivities or IBS, which could be triggered by pizza's complex ingredients.

In This Article

Why pizza and a running stomach don't mix

When your digestive system is already compromised, your body struggles to process complex or heavy foods. Pizza, in its traditional form, presents a perfect storm of ingredients that can exacerbate a running stomach and other symptoms like bloating, gas, and diarrhea. The combination of high-fat dairy, acidic tomatoes, and refined carbohydrates can prove overwhelming for a sensitive gut.

The triple threat: Fat, dairy, and acid

1. High fat content

Pizza is notoriously high in fat, primarily from the cheese and often from fatty meat toppings like pepperoni or sausage.

  • Slows digestion: Fat is the slowest macronutrient for the body to digest. When you eat a high-fat meal with a running stomach, it slows down stomach emptying, which can cause bloating and nausea.
  • Intestinal irritation: Excessive fat can also irritate the intestines, directly contributing to diarrhea. This is particularly true immediately after intense exercise like a long run, where blood flow is diverted away from the gut.

2. Dairy products

For many, dairy is a significant contributor to digestive problems.

  • Lactose intolerance: Millions of people are lactose intolerant, meaning their bodies lack the enzyme (lactase) needed to properly digest lactose, the sugar found in milk products like cheese. Symptoms can include diarrhea, bloating, and stomach cramps.
  • High in fat: Beyond lactose, the high fat content in most cheeses can independently cause digestive distress, even for those without lactose intolerance.

3. Acidic sauce and toppings

The tomato sauce, often a staple of pizza, is highly acidic.

  • Stomach irritation: The acidity can further irritate an already upset stomach lining, worsening symptoms like nausea and abdominal pain.
  • Acid reflux: For people prone to acid reflux, the combination of acidic tomatoes and high-fat content can cause heartburn by relaxing the lower esophageal sphincter.

Potential underlying issues triggered by pizza

Besides the inherent qualities of pizza, there are specific health conditions where eating it can be particularly problematic.

  • Food sensitivities: It's possible to have a sensitivity or intolerance to gluten (found in the crust) or other ingredients without being aware. Eating pizza can then trigger painful digestive reactions.
  • Irritable Bowel Syndrome (IBS): For people with IBS, the high-fat content and trigger foods like dairy and onions can cause a flare-up of symptoms.
  • Food poisoning: If the pizza was prepared incorrectly or ingredients were spoiled, food poisoning could be the cause of your upset stomach.

What to eat instead: The right way to heal your gut

When your stomach is upset, the best approach is to follow a bland, low-fiber, and easily digestible diet. This helps to soothe your digestive system and prevent further irritation.

The BRAT Diet and beyond

For decades, the BRAT diet (Bananas, Rice, Applesauce, Toast) has been recommended for upset stomachs because its components are binding, low-fiber, and easily tolerated.

Best Foods for an Upset Stomach

  • Bananas: Provide potassium and are gentle on the digestive system.
  • White rice: A simple, starchy carb that is easily digested.
  • Applesauce: Made from cooked apples, it's a source of pectin, a soluble fiber that can help with diarrhea.
  • Toast: Simple white bread or toast is easy to digest and doesn't contain the fiber found in whole grains, which can worsen diarrhea.
  • Broth: Chicken or vegetable broth helps rehydrate and replenish lost electrolytes.
  • Boiled potatoes: Another plain, starchy food that provides energy without irritation.
  • Plain oatmeal: A good source of soluble fiber, which can help regulate bowel movements.
  • Crackers: Saltine crackers or other plain, non-fatty crackers can help settle an empty stomach.

Hydration is key

Beyond food, staying hydrated is crucial when dealing with diarrhea or vomiting.

  • Water: The best choice for simple hydration.
  • Electrolyte solutions: Sports drinks or oral rehydration solutions can replenish lost fluids and electrolytes, especially after vomiting or severe diarrhea.
  • Herbal tea: Ginger or peppermint tea can have soothing effects and aid with nausea.

Conclusion

While a slice of pizza might seem like a comforting cure for a running stomach, its high-fat, high-dairy, and acidic nature make it a poor choice that can prolong your digestive distress. The combination of hard-to-digest ingredients is the opposite of what your body needs during a time of gut sensitivity. Instead, opt for bland, easily digestible foods like those in the BRAT diet and focus on staying well-hydrated. By giving your digestive system a much-needed break, you'll be on the fastest track to recovery and back to enjoying your favorite foods without regret.

Comparison Table: Pizza vs. BRAT Diet for a Running Stomach

Feature Traditional Pizza BRAT Diet What's Best for a Running Stomach
Fat Content High. Loaded with saturated fats from cheese and processed meats. Low. Consists of lean, simple foods. Low. Fat slows digestion and can worsen diarrhea.
Digestibility Difficult. High fat and complex ingredients take 6-8 hours to digest. Easy. Bland, low-fiber foods are easily processed by the gut. Easy. Promotes faster healing and less irritation.
Dairy High. Rich in cheese, which is a common trigger for lactose intolerance. None. Dairy is typically avoided in this diet. None (or low-lactose). Avoids potential lactose intolerance issues.
Acidity High. Tomato sauce is acidic and can irritate the stomach lining. Low. Non-acidic, soothing foods. Low. Reduces stomach irritation and acid reflux risk.
Fiber Low. Especially with refined white flour crust and minimal veggie toppings. Low/Soluble. Contains low fiber foods and soluble fiber in applesauce. Low. High fiber can exacerbate diarrhea.
Risk of Bloating High. Due to fat content, refined carbs, and potential sensitivities. Low. Simple foods are less likely to cause gas. Low. Minimizes bloating and discomfort.

Modifying pizza for a sensitive stomach

If you absolutely can't resist a slice, there are some modifications you can make to reduce the risk of a reaction:

  • Choose a thin, sourdough, or gluten-free crust: Sourdough's fermentation process can make it easier to digest, while a thin crust or gluten-free alternative can reduce the intake of refined flour.
  • Go light on the cheese or opt for a dairy-free alternative: Using less cheese or a non-dairy option can minimize fat and lactose content.
  • Blot the grease: Use a paper towel to blot excess oil from the top of the pizza to reduce fat intake.
  • Add mild, cooked vegetables: Instead of fatty meats or acidic tomatoes, top your pizza with gentle, cooked vegetables like mushrooms or spinach.
  • Eat in moderation: Even with modifications, portion control is key. A small, modified slice is far better than a large, traditional one.

Frequently Asked Questions

Pizza can cause stomach pain due to its high-fat content, which is slow to digest; high dairy content, a problem for lactose-intolerant individuals; and acidic tomato sauce, which can irritate the stomach lining.

When you have a running stomach, focus on bland, easily digestible foods like bananas, white rice, applesauce, toast, and boiled potatoes. These foods are low in fiber and gentle on the digestive system.

Yes, the BRAT diet (Bananas, Rice, Applesauce, Toast) is still recommended as a starting point for upset stomachs because the foods are bland, low in fiber, and can help firm up stools. You should reintroduce other foods as you feel better.

If you are lactose intolerant, you should avoid or heavily modify traditional pizza. The cheese can cause diarrhea, gas, and bloating. Consider a dairy-free cheese or a pizza with minimal cheese.

To make pizza easier to digest, opt for a thin, fermented, or gluten-free crust. Go light on the cheese, blot away excess grease, and choose mild toppings like cooked vegetables instead of fatty meats.

Yes, pizza can cause constipation due to its low fiber content and high saturated fat, which can slow down digestion. The high salt content can also draw water from the stool, making it harder to pass.

Stay hydrated with clear fluids like water, broth, or electrolyte-replacing sports drinks. Ginger or peppermint tea can also be soothing. Avoid sugary drinks, caffeine, and alcohol.

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Medical Disclaimer

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