Skip to content

Nutrition Diet: What not to eat when you have Giardia?

4 min read

Giardiasis is one of the most common waterborne diseases in the world, with approximately 280 million symptomatic cases globally in 2013. A key part of managing the infection and soothing the intestinal distress is knowing what not to eat when you have Giardia, as certain foods can significantly exacerbate symptoms.

Quick Summary

Guidance on dietary choices during a Giardia infection. Understand which food groups, including high-fat items, dairy, and sugar, can worsen symptoms like diarrhea and bloating. Proper nutrition helps manage digestive upset and supports recovery.

Key Points

  • Avoid High-Fat Foods: Research indicates that high-fat diets can increase the severity of Giardia symptoms and enhance parasite growth.

  • Skip Dairy and Lactose: Many people experience temporary lactose intolerance during and after giardiasis, so avoiding milk and other dairy products is advisable to prevent aggravated diarrhea and bloating.

  • Limit Refined Sugars: High sugar intake can worsen diarrhea by affecting the osmotic balance in the gut and providing a food source for parasites.

  • Cut Out Irritants: Eliminate alcohol, caffeine, and spicy foods, as these can further irritate an already sensitive digestive system and contribute to dehydration.

  • Prioritize Hydration: Due to diarrhea, consuming plenty of fluids, such as purified water and broths, is critical to prevent dehydration and support recovery.

  • Cook and Wash Produce: When traveling, be cautious and consume only hot, freshly cooked foods and drink bottled water to avoid re-infection.

In This Article

Understanding the Impact of Giardia on Your Gut

Giardia is a microscopic parasite that lives in the intestine and causes giardiasis, an infection characterized by symptoms like diarrhea, gas, abdominal cramps, and bloating. The parasite disrupts the intestinal lining, which impairs nutrient absorption and leads to digestive distress. Dietary modifications play a crucial role in minimizing these uncomfortable symptoms and promoting a smoother recovery. By eliminating foods that are difficult to digest or that aggravate the inflamed gut, you can reduce pain and allow your intestinal lining to heal.

High-Fat Foods

Evidence suggests that consuming a high-fat diet can increase the severity of a Giardia infection. Giardia parasites thrive on bile acids, which are released to help digest fats. By consuming large amounts of fat, you provide a more hospitable environment for the parasite and exacerbate inflammation and gut dysbiosis. This can lead to more severe and persistent symptoms, including increased inflammation, gut motility, and water content in stools.

Foods to avoid include:

  • Fried foods (e.g., french fries, fried chicken)
  • High-fat cuts of meat (e.g., sausage, bacon)
  • Creamy sauces and gravies
  • Baked goods and pastries made with high levels of fat or butter
  • Full-fat dairy products (addressed further below)
  • Oils, especially in large quantities
  • Fast food and processed snacks high in fat

Dairy and Lactose

A significant number of people with giardiasis develop temporary lactose intolerance, which can last for weeks or even months after the infection has cleared. The parasite's damage to the intestinal lining can disrupt the production of lactase, the enzyme needed to break down lactose, the sugar found in milk. Consuming dairy during this time can cause or worsen symptoms like bloating, gas, and diarrhea, mimicking a persistent infection.

Dairy products to eliminate or severely limit include:

  • Milk and cream
  • Soft cheeses
  • Butter and ice cream
  • Yogurt, unless it is a probiotic, lactose-free variety and well-tolerated

Refined Sugars and Simple Carbohydrates

Refined sugars and simple carbohydrates can contribute to digestive upset by feeding the parasites and potentially worsening diarrhea. The rapid absorption of these sugars can affect osmotic balance in the gut, drawing more water into the intestines and aggravating loose stools. It is best to stick to more complex carbohydrates and whole foods while recovering.

Sugary and simple carbohydrate foods to avoid:

  • Candy, cookies, and cakes
  • Sugary sodas and fruit juices with added sugar
  • White bread and pasta
  • Breakfast cereals with high sugar content

Caffeinated, Alcoholic, and Fizzy Drinks

Caffeine, alcohol, and carbonated beverages are well-known gut irritants that should be avoided during a Giardia infection. Caffeine and alcohol can both increase gut motility and dehydration, while fizzy drinks can introduce excess gas, intensifying bloating and cramping.

Foods That Trigger Bloating and Gas

While a high-fiber diet is generally beneficial for gut health and can aid in clearing the parasite, certain high-fiber or gas-producing foods might be too irritating for a sensitive, recovering gut. Some individuals may find relief by temporarily avoiding certain vegetables from the cruciferous family or other known gas-producers.

These may include:

  • Beans and lentils (reintroduce slowly)
  • Cruciferous vegetables like broccoli, cauliflower, and cabbage
  • Onions and garlic (if symptoms are severe)
  • Certain fruits, especially in large quantities

Comparison of Foods to Avoid vs. Foods to Eat with Giardiasis

Category Foods to Avoid Foods to Eat (Bland & Low-Fat)
Fats Fried foods, bacon, fatty cuts of meat, creamy sauces Lean protein (chicken breast), broth, cooked vegetables without added fat
Dairy Milk, cheese, cream, butter, ice cream Lactose-free dairy alternatives, lactose-free probiotic yogurt
Sugar & Carbs Candy, sugary sodas, white bread, pastries Plain toast, white rice, bananas, applesauce
Beverages Caffeine, alcohol, carbonated drinks Purified water, clear broth, herbal tea, diluted fruit juice
Produce (as needed) Raw, unpeeled vegetables/fruits, gas-producing veggies Cooked vegetables, bananas, rice, pumpkin seeds

What About When Traveling?

If you contract Giardia while traveling to high-risk areas, extra caution is needed with food and water. Beyond the general list of foods to avoid, it is important to take additional measures:

  • Drink only bottled water and liquids, or boil water before use.
  • Avoid tap water and ice cubes made from untreated water.
  • Eat only hot, freshly cooked food.
  • Avoid raw vegetables and unpeeled fruit.

The Importance of Replenishing Fluids

Because a primary symptom of giardiasis is diarrhea, staying hydrated is extremely important to prevent dehydration. While you should avoid irritating beverages, focus on consuming purified water and electrolyte-replenishing drinks. Small sips of clear fluids throughout the day can help keep you hydrated and alleviate some symptoms.

Conclusion: Navigating Your Diet During Recovery

An infection with Giardia is a taxing experience for your digestive system. By being mindful of your diet and consciously choosing what not to eat when you have Giardia, you can ease the burden on your gut and support a faster, more comfortable recovery. Opting for a low-fat, low-sugar, dairy-free, and bland-food diet, along with avoiding alcohol and caffeine, is the recommended approach. Listen to your body and reintroduce foods slowly as you begin to feel better. Consult a healthcare professional or a registered dietitian for personalized advice regarding your specific condition and recovery plan. Following these nutritional guidelines can help manage symptoms and prevent exacerbation of the infection, allowing your body to heal and recover efficiently.

Remember to consult a medical professional for a proper diagnosis and treatment plan. A nutritionist can provide personalized dietary guidance.

Giardiasis: pathophysiology and management

Frequently Asked Questions

High-fat foods can increase the severity of a Giardia infection. The parasite uses bile acids, released to digest fat, to survive. High fat consumption can exacerbate inflammation and promote parasite growth, worsening symptoms like diarrhea and bloating.

It is generally not recommended to consume milk or cheese. Many people with giardiasis develop temporary lactose intolerance because the parasite damages the gut, impairing the digestion of lactose, which is the sugar in milk. This can worsen diarrhea, bloating, and gas.

You should avoid alcohol, caffeine, and fizzy, carbonated drinks. These can irritate the stomach and increase gut motility. Caffeine and alcohol can also contribute to dehydration, which is a concern with giardiasis.

Refined sugars can affect the osmotic balance in the gut and may feed the parasite, potentially worsening diarrhea. It is best to reduce your intake of sugary sodas, candies, and white breads during your recovery.

In high-risk areas, it is safest to avoid raw or unpeeled fruits and vegetables, as they could have been washed with contaminated water. Stick to cooked vegetables and fruits that you have peeled yourself, especially when traveling.

Focus on a bland, low-fat diet with plenty of fluids. Good options include plain rice, toast, bananas, cooked lean chicken, and clear broths. Reintroducing probiotics and high-fiber foods slowly can also be beneficial.

Many people with giardiasis experience symptoms for one to three weeks, but lingering digestive issues like lactose intolerance can persist for months after the infection is cleared. Listen to your body and reintroduce restricted foods slowly to see how your digestive system tolerates them.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9

Medical Disclaimer

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