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Should I eat more when I feel sick? The truth about illness nutrition

4 min read

Your immune system requires significant energy and nutrients to fight off illness, which can increase your body's energy needs. When you feel under the weather, the age-old question of 'should I eat more when I feel sick' has a nuanced answer: fueling your body smartly is key to recovery.

Quick Summary

During illness, your body's energy and protein needs increase to fuel the immune system. Focus on small, frequent, nutrient-dense meals and plenty of fluids, even with reduced appetite, to support recovery.

Key Points

  • Ditch the Myth: The old saying "starve a fever" is not supported by evidence; your body needs energy and nutrients to fight any illness.

  • Fuel Your Immune System: Your body burns more calories when sick due to an increased metabolic rate, so providing it with fuel is crucial for recovery.

  • Prioritize Nutrient-Dense Foods: Focus on easy-to-digest, nutrient-rich foods like soups, broths, and smoothies to get essential vitamins, minerals, and protein.

  • Stay Hydrated: Fever, vomiting, and diarrhea can cause dehydration, so drink plenty of fluids like water, herbal tea, or broth.

  • Eat Small, Frequent Meals: If your appetite is low, smaller meals and snacks are easier to handle and can still provide consistent nutrition for healing.

  • Avoid Greasy and Sugary Items: Processed, fatty, and high-sugar foods can strain your digestive system and hinder your immune response.

In This Article

Feeling unwell often comes with a loss of appetite, leaving you to wonder whether you should force yourself to eat or simply ride it out. The centuries-old adage, "feed a cold, starve a fever," is a piece of folklore that modern science has largely disproven. The reality is that your body needs calories, protein, and fluids to fuel the immune response, regardless of your symptoms. The key is not necessarily to 'eat more,' but to eat smartly and listen to your body's specific needs.

The Myth of 'Starve a Fever'

For generations, people have believed that fasting during a fever would help lower body temperature. This myth, however, has no scientific backing. A 2016 study on mice found that fasting might help fight bacterial infections, but it was not beneficial against viral infections, and human studies are lacking. In fact, starving yourself during a fever can be detrimental. A fever increases your body's metabolic rate, meaning it burns more calories and uses more energy to fight the infection. Depriving your body of this necessary fuel can weaken your immune system and delay recovery. Whether it's a cold or a fever, your body needs nutritional support to heal.

Why Your Body Needs Fuel During Illness

When you're sick, your body shifts into high gear to fight off pathogens. This process requires a significant amount of energy, which your body gets from calories. Not consuming enough calories can lead to muscle loss and a weakened immune system, which can prolong your illness.

The Role of Protein and Nutrients

Protein is especially critical during illness. It serves as the building material for the body, and its requirements can increase significantly—sometimes double—when you are unwell. If you don't consume enough protein, your body starts to break down its own muscle tissue to get what it needs. Essential vitamins and minerals, like vitamin C, vitamin D, zinc, and iron, are also vital for immune function and can be depleted more quickly during an infection. Focusing on nutrient-dense foods is far more effective than simply trying to increase volume.

The Importance of Hydration

Fluids are paramount when you're sick, especially if you have a fever, vomiting, or diarrhea. Dehydration can worsen symptoms and impede recovery. Water is the best choice, but broth, herbal tea, and fruit juices can also help, as they contain electrolytes and nutrients.

Comparison Table: Eating When Sick vs. Healthy

Feature Eating When Sick Eating When Healthy
Appetite Often reduced or inconsistent Typically follows a regular schedule
Meal Frequency Small, frequent meals or snacks Larger, scheduled meals (3-4 per day)
Food Priorities Easily digestible, nutrient-dense foods (soups, broths, smoothies) Variety of food groups for balance and long-term health
Energy Needs Can be higher due to immune response Stable, based on activity level
Fluid Intake Higher emphasis on water and electrolyte-rich drinks Consistent hydration is important but less critical for immediate healing
Best Foods Bone broth, chicken soup, bananas, toast Wide variety of fruits, vegetables, proteins, and whole grains
Foods to Limit Greasy, fatty, high-sugar, and processed foods Excessively processed foods, but generally fewer restrictions

Best Foods to Eat When Sick

When your appetite is low, focus on foods that are both nourishing and gentle on your system. These are some of the best options:

  • Broth or Soup: Chicken soup and bone broth are staples for a reason. They provide hydration, electrolytes, and easy-to-digest nutrients.
  • Toast and Crackers: Bland, simple carbohydrates like toast or crackers can be easy on a sensitive stomach and provide quick energy.
  • Fruits and Smoothies: Fruits like bananas, melons, and berries offer vitamins, minerals, and hydration. A smoothie with fruit, yogurt, and a scoop of protein powder is an easy way to get calories and protein.
  • Herbal Tea with Honey: Herbal teas provide warmth and hydration, while honey can soothe a sore throat.
  • Protein-rich Foods: When you can tolerate them, lean proteins like eggs, chicken, and fish are excellent for rebuilding and fueling your immune system.

What to Avoid Eating When Sick

Just as important as knowing what to eat is knowing what to avoid. Certain foods can put extra strain on your digestive system or worsen symptoms:

  • Greasy and Fatty Foods: These are difficult to digest and can upset a sensitive stomach.
  • High-Sugar Foods: Excess sugar can cause inflammation and may suppress immune function.
  • Dairy Products (for some): If you are experiencing congestion, dairy can increase mucus production in some individuals.
  • Spicy Foods: While some people find spicy foods helpful for congestion, they can irritate a sore throat or sensitive stomach.

Conclusion: Eat Wisely, Not Necessarily More

Ultimately, the question of whether to eat more when you feel sick depends on what and how you eat. The goal isn't to overeat, especially if you have no appetite, but to provide your body with the necessary fuel to recover efficiently. Listen to your body's signals: if you're hungry, eat small, frequent, nutrient-rich meals. If you have no appetite, focus intensely on hydration with water and broths. Eating well during an illness supports your immune system, helps prevent muscle loss, and gives your body the best chance to recover quickly. As always, consult a healthcare provider for personalized advice, particularly if you have a life-limiting illness or if your symptoms persist.

Visit MedlinePlus for more on eating extra calories when sick

Frequently Asked Questions

Yes, it is common to lose your appetite when sick. While it's important to try to get some nutrients, prioritize staying hydrated. Focus on broth and fluids if you can't eat solid foods, and try small snacks when you feel up to it.

Not eating enough can lead to a weakened immune system, muscle loss, and general weakness, which can prolong your illness.

Water is always best for hydration, but broth is also excellent as it helps replenish electrolytes lost from sweating. Herbal teas can be soothing and hydrating as well.

When you have an upset stomach, start with bland, easily digestible foods like toast, crackers, or bananas. Avoid fatty or greasy foods that can worsen symptoms.

While no food can cure an illness, nutrient-dense options like chicken soup, citrus fruits, and foods rich in zinc, vitamin C, and protein can support your immune system.

Dairy products may increase mucus production and nasal congestion in some individuals. If you are experiencing congestion, you might consider limiting dairy intake.

During recovery, gradually return to a varied diet. You may be hungrier than usual as your body replenishes nutrients and regains lost weight. Continue to prioritize nutrient-rich foods.

Focus on nutrient-dense options that are easier to consume, like protein-packed smoothies, milkshakes made with high-fat milk or cream, or adding butter or cheese to foods.

References

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Medical Disclaimer

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