Gentle and Healing Foods: The BRAT Diet and Beyond
When dealing with diarrhea, selecting bland, low-fiber, and easily digestible foods is essential to help firm up stool and provide nutrients without irritating your gut. The BRAT diet is a helpful starting point, and other foods can also be included.
The BRAT Diet
The BRAT diet is a common recommendation for acute diarrhea, focusing on:
- Bananas: Provide potassium and pectin to help with electrolyte balance and absorb fluid.
- White Rice: A low-fiber starch that is gentle on the stomach and adds bulk.
- Applesauce: Contains pectin and is easier to digest than whole apples. Choose unsweetened options.
- White Toast: A low-fiber, easily tolerated option made from refined flour. Avoid butter or other spreads.
Expanding Your Bland Diet
As symptoms improve, gradually add other mild foods, such as:
- Boiled or baked potatoes.
- Lean protein like skinless chicken, fish, or scrambled eggs.
- Cooked vegetables such as carrots and green beans.
- Low-fiber cooked cereals like oatmeal.
- Saltine crackers to help replenish salt.
Staying Hydrated is Critical
Dehydration is a significant risk with diarrhea due to the loss of fluids and electrolytes. It is crucial to sip liquids frequently to replace what is lost, especially after bowel movements.
Recommended fluids include:
- Water.
- Clear broths.
- Electrolyte-enhanced drinks or oral rehydration solutions.
- Weak, decaffeinated tea.
Foods and Drinks to Avoid While You Recover
Certain foods and drinks can worsen diarrhea by irritating the digestive tract. It is best to avoid these during recovery:
- High-fiber foods, including whole grains, nuts, seeds, and raw vegetables.
- Fatty and fried foods.
- Spicy foods.
- Dairy products like milk and cheese (though some may tolerate probiotic yogurt).
- Caffeine and alcohol, which can worsen dehydration.
- High sugar intake and artificial sweeteners, which can lead to looser stools.
Comparison Table: What to Eat vs. What to Avoid
| What to Eat (Gentle Choices) | What to Avoid (Irritating Choices) |
|---|---|
| Bananas, Applesauce, Plain White Rice | Whole grains, Brown rice, Legumes, Nuts |
| Plain White Toast or Saltine Crackers | Fried, Greasy, or Fatty Foods |
| Skinless Baked Chicken, Fish, Scrambled Eggs | Spicy Foods, Heavy Sauces, Fatty Meats (pork, veal) |
| Boiled Potatoes, Cooked Carrots, Green Beans | Raw Vegetables (broccoli, onions, peppers) |
| Clear Broths, Water, Weak Tea | Caffeine (coffee, soda), Alcohol, Sugary Drinks |
| Unsweetened Applesauce or Canned Fruit | Citrus Fruits, High-sugar juices, Dried Fruits |
| Low-fiber cereals (Oatmeal, Cream of Wheat) | Whole grain cereals, Granola |
| Probiotic yogurt or kefir (if tolerated) | Milk, Cheese, and Ice Cream (full-fat dairy) |
Gradually Returning to a Normal Diet
After 1-2 days on a bland diet, you can start reintroducing regular foods slowly. Observe your body's reactions.
- Start slowly: Introduce new foods one at a time to identify triggers.
- Fiber carefully: Begin with cooked vegetables before raw fruits and whole grains.
- Dairy cautiously: Reintroduce dairy slowly, starting with probiotic yogurt if tolerated.
- Pay attention: If a food causes symptoms, avoid it for a few more days.
Conclusion
Choosing the right foods and staying hydrated are crucial when you have diarrhea. Starting with bland, easy-to-digest options like the BRAT diet helps calm your system and firm stool. Avoiding fatty, spicy, and high-fiber foods allows your gut to heal. Gradually returning to your regular diet, while observing how your body responds, supports a smooth recovery. If diarrhea persists beyond a couple of days or is accompanied by fever or blood, consult a healthcare provider.
Here is a good resource from the National Institute of Diabetes and Digestive and Kidney Diseases on eating with diarrhea: https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/eating-diet-nutrition.