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Sweets That Can Cause Diarrhea: What to Know

4 min read

According to research published in the journal Gastroenterology, some individuals experienced severe gastrointestinal symptoms, including diarrhea, after ingesting as little as 20 grams of sorbitol. This highlights why many sweets can cause diarrhea, with culprits ranging from sugar substitutes to high-fructose corn syrup and dairy-based ingredients.

Quick Summary

Several ingredients common in many sweets can trigger diarrhea. These include sugar alcohols like sorbitol and maltitol, high amounts of fructose, lactose in dairy desserts, and caffeine in chocolate, all of which can upset the digestive system.

Key Points

  • Sugar Alcohols: Artificial sweeteners like sorbitol and maltitol, found in 'sugar-free' sweets, are poorly absorbed and can cause osmotic diarrhea by drawing water into the intestine.

  • Fructose Malabsorption: High-fructose corn syrup in sodas and processed sweets can lead to diarrhea in some people when large quantities overwhelm the digestive system's absorption capacity.

  • Lactose Intolerance: Many dairy-based desserts, such as ice cream and milk chocolate, can trigger diarrhea, gas, and bloating in individuals who lack the lactase enzyme needed to digest lactose.

  • High-Fat Content: Rich, creamy sweets with high fat can contribute to diarrhea because large, unabsorbed amounts of fat can affect the colon and bowel movements.

  • Caffeine in Chocolate: Dark chocolate contains caffeine, a stimulant that can speed up intestinal motility and cause diarrhea in sensitive individuals.

  • Check Labels: To avoid triggering sweets, read nutrition labels carefully to identify ingredients like sugar alcohols, high-fructose corn syrup, and dairy products based on your sensitivities.

In This Article

Sweets are a beloved treat, but for many, they can lead to uncomfortable digestive issues, most notably diarrhea. The cause isn't always the sugar itself but often lies with specific types of sweeteners or other ingredients that can overwhelm the digestive system. Understanding these components is key to enjoying dessert without the unwanted side effects.

Sugar Alcohols: The Primary Culprits in 'Sugar-Free' Sweets

Sugar alcohols, also known as polyols, are common sugar substitutes in many low-calorie, 'sugar-free' products like candies, gums, and baked goods. While they offer sweetness with fewer calories, they are notoriously difficult for the small intestine to fully absorb. As a result, they travel to the large intestine where they can pull excess water into the colon via osmosis, resulting in loose stools or diarrhea. They are also fermented by gut bacteria, which can cause bloating and gas.

Common Sugar Alcohols to Watch For

  • Sorbitol: Often found in sugar-free gum, mints, and hard candies, sorbitol is known for its strong laxative effect.
  • Maltitol: Used frequently in sugar-free chocolates, ice cream, and baked goods, maltitol is a very common cause of digestive distress.
  • Isomalt: This sugar alcohol is often used for hard candies and cough drops and can also cause intestinal issues in large quantities.
  • Mannitol: Naturally occurring in some fruits and vegetables, mannitol is often extracted and used in foods, and like other sugar alcohols, can cause digestive upset.

Fructose and High-Fructose Corn Syrup

Fructose is a natural sugar found in many fruits, but it is also a key component of high-fructose corn syrup (HFCS), a widespread sweetener in processed sweets and soft drinks. For some individuals, consuming large quantities of fructose can overwhelm the small intestine's ability to absorb it, leading to a condition known as fructose malabsorption. The unabsorbed fructose then draws water into the intestine, triggering diarrhea. Sweets to be cautious with include sodas, many fruit juices, and candies made with HFCS.

Dairy and Lactose Intolerance

Many popular sweets, such as milk chocolate, ice cream, puddings, and creamy fudge, are made with dairy products. For individuals with lactose intolerance, consuming these treats can cause diarrhea, gas, and bloating. Lactose intolerance occurs when the body lacks the enzyme lactase, which is necessary to break down lactose, the sugar found in dairy. When undigested lactose reaches the colon, it ferments and causes discomfort.

Other Ingredients to Consider

Beyond sweeteners, certain other components in sweets can contribute to diarrhea, especially when consumed in large amounts:

  • High Fat Content: Fatty foods are more difficult to digest. When large amounts of fat aren't absorbed properly, they reach the colon and can trigger diarrhea. Rich, creamy desserts like cheesecakes, ice cream, and certain chocolates can fall into this category.
  • Caffeine: Dark chocolate, in particular, contains caffeine, a known stimulant that can speed up the digestive process and lead to diarrhea in sensitive individuals. The higher the cocoa content, the more caffeine present.
  • Fiber: Some 'healthy' sweets and bars are loaded with fiber to improve their nutritional profile. However, an abrupt increase in fiber intake can cause digestive upset, including diarrhea, as the body adjusts.

How to Identify and Avoid Triggering Sweets

Comparison of Common Sweeteners and Their Digestive Impact

Sweetener Type Associated Sweets Potential Digestive Impact
Sugar Alcohols (Sorbitol, Maltitol) Sugar-free candies, gums, cookies, diet desserts Causes osmotic diarrhea, bloating, and gas due to poor absorption and fermentation by gut bacteria.
High-Fructose Corn Syrup Sodas, commercial baked goods, some candies, syrups Can lead to diarrhea in individuals with fructose malabsorption by drawing water into the intestine.
Lactose (Dairy) Milk chocolate, ice cream, creamy fudge, puddings Triggers diarrhea, gas, and bloating in those with lactose intolerance.
Natural Sugars (in large amounts) Jams, juices, honey, dried fruit High intake can overwhelm the digestive system's capacity, especially fructose.
High Fat Content Creamy desserts, rich chocolates, cheesecakes Large, unabsorbed quantities of fat can trigger diarrhea as they are processed in the colon.
Caffeine Dark chocolate, coffee-flavored desserts Acts as a stimulant, speeding up bowel movements in sensitive individuals.

Understanding the 'Why' Behind the Digestive Issues

The mechanisms behind diarrhea from sweets are primarily osmotic and fermentative.

  1. Osmotic Effect: When substances that are poorly absorbed by the small intestine, such as sugar alcohols and excess fructose, reach the colon, they create an osmotic gradient. This pulls water from the body's tissues into the large intestine, resulting in watery, loose stools.
  2. Fermentation: The bacteria in the large intestine readily ferment these undigested carbohydrates. This process creates gas, leading to bloating, cramping, and additional digestive discomfort.

Navigating Your Sweet Tooth Wisely

To manage or avoid diarrhea from sweets, reading labels and understanding your body's specific sensitivities is crucial. If you suspect sugar alcohols are the culprit, look for products sweetened with alternatives like monk fruit or stevia, or consider the sugar alcohol erythritol, which is generally better tolerated. For lactose intolerance, dairy-free alternatives are widely available. Moderation is also key, as even for those without specific intolerances, consuming a large quantity of any single ingredient can overwhelm the digestive system.

Conclusion

For those seeking to enjoy a sweet treat without the unpleasant aftermath, the solution often lies in identifying and managing specific trigger ingredients. From the osmotic effects of sugar alcohols in diet candies to the malabsorption of fructose and lactose, several common components in sweets can cause diarrhea. By becoming a savvy label-reader and paying attention to your body's reactions, you can satisfy your cravings while keeping your digestive system happy and healthy.

Center for Science in the Public Interest

Frequently Asked Questions

Yes, sugar-free candies often contain sugar alcohols like maltitol, sorbitol, and isomalt, which are not fully absorbed by the body. This can lead to an osmotic effect in the gut, causing gas, bloating, and diarrhea.

Chocolate can cause diarrhea for several reasons: it may contain lactose (for those who are intolerant), it can have high levels of fat, and dark chocolate contains caffeine, which can speed up digestion.

High-fructose corn syrup is a widely used sweetener that contains a high amount of fructose. When consumed in large amounts, especially by individuals with fructose malabsorption, the unabsorbed fructose pulls water into the intestine, leading to diarrhea.

Yes, especially for people with lactose intolerance. Ice cream is a dairy product containing lactose, which can cause digestive issues like diarrhea, gas, and bloating in those who lack the necessary enzyme to break it down.

No, the severity of the laxative effect varies by the type of sugar alcohol and the individual. Erythritol, for example, is generally better tolerated than others like sorbitol and maltitol, which are more likely to cause symptoms.

Yes, sweets with a high fat content, such as creamy desserts and rich chocolates, can cause diarrhea. When fat is not absorbed properly in large quantities, it can trigger the colon to secrete fluid, leading to loose stools.

To avoid diarrhea, identify your triggers by checking ingredient labels for sugar alcohols, high-fructose corn syrup, and dairy. Reduce consumption of these ingredients, opt for naturally sweetened alternatives, and eat sweets in moderation.

References

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Medical Disclaimer

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