When dealing with an upset stomach from gastroenteritis, food poisoning, or a stomach flu, the focus shifts from nutrition to rehydration. Vomiting and diarrhea quickly deplete the body of water and vital electrolytes like sodium, potassium, and chloride. However, not all electrolyte drinks are suitable during this time, as a high sugar content can worsen symptoms.
The Problem with High-Sugar Sports Drinks
Traditional sports drinks like Gatorade and Powerade are designed for athletes and contain significant sugar. For someone with a sensitive stomach, this high sugar content can worsen diarrhea by pulling more water into the gut. A typical serving can exceed recommended daily sugar intake, making lower-sugar, balanced electrolyte solutions a better choice for gut healing.
Top Commercial Options for Stomach Upset
Certain commercial options are better suited for an upset stomach than traditional sports drinks.
Oral Rehydration Solutions (ORS)
Oral Rehydration Solutions, such as Pedialyte, are formulated to rehydrate those who are ill. They offer a balanced mix of sodium, potassium, and chloride for rapid rehydration and have a lower sugar concentration than most sports drinks to avoid worsening diarrhea. Some also contain zinc, which can reduce the duration and severity of diarrhea.
Low-Sugar Electrolyte Alternatives
Many modern electrolyte powders and drops provide a cleaner, low-sugar option, using natural sweeteners like stevia or monk fruit. Brands like Cure and sugar-free Liquid IV are known for being gentle and effective.
Natural and Homemade Electrolyte Drinks
For natural or homemade options, consider these alternatives.
Coconut Water
Coconut water is naturally rich in potassium, low in sugar, and easy to digest. One cup provides potassium and some sodium, calcium, and magnesium. Adding a pinch of salt is recommended for better balance with potassium after significant fluid loss.
Bone Broth
Warm bone broth can be soothing for an upset stomach, offering sodium and other minerals, plus amino acids for recovery. A low-sodium version is preferable.
Homemade Lemonade
You can make a simple rehydration drink with: 1 quart water, 1/2 teaspoon salt, 1/2 cup fresh lemon juice, and 1-2 tablespoons honey (or less for lower sugar). This DIY method lets you control sugar content for effective rehydration.
Comparison: Commercial vs. Natural Electrolyte Drinks
| Feature | Commercial ORS (e.g., Pedialyte) | Natural/Homemade (e.g., Coconut Water) | 
|---|---|---|
| Effectiveness for Illness | Precisely formulated for rapid rehydration with optimal glucose-electrolyte ratio. | Can be effective, but may require added salt to balance electrolytes for severe loss. | 
| Sugar Content | Low sugar to avoid worsening diarrhea; specifically designed for sickness. | Naturally low sugar, but content can vary. You can control sugar in homemade versions. | 
| Taste | Often comes in mild, palatable flavors, but taste can be divisive for some. | Can be polarizing (coconut water) or customizable (homemade) to suit preference. | 
| Additives | May contain artificial sweeteners or flavors in some formulas. | Made from whole-food sources, offering a clean, natural option. | 
| Accessibility | Easily found in pharmacies and supermarkets. | Readily available, but sourcing high-quality, pure options is key. | 
When to Seek Medical Advice
While most stomach upsets improve with hydration, seek medical attention for severe dehydration or symptoms like persistent dizziness or fainting, inability to keep fluids down for over 24 hours, high fever lasting more than three days, bloody diarrhea, severe abdominal pain, confusion, or severe weakness.
Final Thoughts
For a sensitive stomach, a low-sugar oral rehydration solution like Pedialyte is a safe and effective choice. Natural alternatives like coconut water with salt or a homemade drink are also good options. Avoid high-sugar sports drinks. Sip small amounts frequently and gradually increase as tolerated. Always consult a healthcare professional for specific medical advice. For more information on gastroenteritis, refer to the NIDDK website.