Gastroenteritis, or the 'stomach flu', is an inflammation of the stomach and intestines that can cause a range of unpleasant symptoms, including vomiting, diarrhea, and stomach pain. While your body works to fight the infection, the foods and drinks you consume play a significant role in either alleviating or aggravating your discomfort. Avoiding certain dietary culprits can provide much-needed relief and support your digestive system's recovery.
The primary culprits: What foods make gastro worse?
High-fat and fried foods
Foods that are high in fat, whether they are fried, greasy, or rich, are heavy on the digestive system and require more effort to break down. This can slow down digestion and exacerbate symptoms like nausea, cramping, and bloating. Fried options like french fries, fried chicken, and pizza, as well as fatty cuts of meat and full-fat dairy, are particularly troublesome. Stick to lean protein sources like boiled chicken or fish instead.
Dairy products
Milk and other high-lactose dairy products can be especially problematic during a gastrointestinal illness. The infection can cause temporary lactose intolerance, making it difficult for your body to digest lactose, the sugar found in milk. This can lead to increased bloating, gas, and diarrhea. While some may tolerate small amounts of low-fat, low-lactose products like yogurt with live cultures, it is often best to avoid dairy until symptoms have subsided.
Spicy and highly seasoned foods
Hot peppers, chili powder, and other fiery seasonings can irritate the already-sensitive lining of your stomach and intestines. This can trigger heartburn and stomach pain, and potentially worsen inflammation. During recovery, it's best to opt for a milder diet using herbs and minimal seasoning to add flavor without the irritation.
Acidic foods and citrus fruits
Highly acidic foods and drinks can trigger acid reflux and further irritate the digestive tract. While citrus fruits like oranges and grapefruits are healthy, their high acid content makes them a poor choice during gastroenteritis. Tomatoes and tomato-based products can also be irritating. It's best to avoid them until your stomach has settled.
Sugary and carbonated beverages
Sugary foods and drinks, including sodas, sweet fruit juices, and candy, can pull excess water into the intestines, which can make diarrhea worse. Carbonated beverages also introduce gas into the digestive system, leading to uncomfortable bloating and belching. Electrolyte-rich sports drinks can be beneficial, but choose those with lower sugar content, or opt for oral rehydration solutions.
Caffeinated and alcoholic drinks
Caffeine stimulates acid production in the stomach and has a diuretic effect, which can increase dehydration. Both alcohol and caffeine also relax the muscles at the end of the esophagus, which can increase the likelihood of acid reflux. Alcohol can also irritate the digestive lining and is best avoided entirely while ill.
Processed foods and artificial sweeteners
Highly processed foods often contain a mix of artificial additives, preservatives, unhealthy fats, and sugars that are difficult for an upset stomach to process. Additionally, many artificial sweeteners, such as sorbitol, can cause gas and diarrhea and are best avoided. Opting for whole, unprocessed foods is a safer bet.
Comparison of foods: Avoid vs. Embrace
| Foods to Avoid | Foods to Eat | Reason for Avoiding | Benefit of Eating |
|---|---|---|---|
| Fried & Fatty Foods | Boiled or Baked Chicken Breast | Slows digestion, heavy on the stomach | Lean protein, easy to digest |
| Dairy Products (Milk, Cheese) | Lactose-Free Yogurt or Milk (if tolerated) | Can cause temporary lactose intolerance, bloating | Some probiotics in yogurt may aid gut health, offers nutrients |
| Spicy Foods | Blandly Seasoned Foods (e.g., with salt) | Irritates stomach lining, increases inflammation | Gentle on the digestive system, easy to tolerate |
| Acidic Fruits & Tomato Sauce | Bananas, Applesauce, Pears | Triggers acid reflux, can worsen inflammation | Low-acid, easy to digest, binding properties |
| Coffee, Alcohol, Soda | Water, Clear Broth, Herbal Tea | Dehydrates, irritates stomach, adds gas | Hydrates, provides electrolytes (broth), soothing |
| Sugary Drinks & Candy | Unsweetened Applesauce, Mild Broth | Can worsen diarrhea and electrolyte imbalance | Provides simple carbohydrates for energy, hydrating |
The path to recovery: What to eat instead
When recovering from gastroenteritis, focus on rehydration and a bland, easily digestible diet. The BRAT diet (bananas, rice, applesauce, and toast) is a well-known option for this. Foods that are low in fiber and easy to digest will give your stomach a chance to rest and recover. Start by sipping clear fluids and gradually reintroducing simple foods in small, frequent amounts. Staying hydrated is key to replacing fluids and electrolytes lost through vomiting and diarrhea. For comprehensive information on eating and nutrition during viral gastroenteritis, consult the National Institute of Diabetes and Digestive and Kidney Diseases at NIDDK.gov.
Conclusion
While a stomach bug is unpleasant, controlling your diet can significantly improve your comfort level and hasten your recovery. Understanding what foods make gastro worse?—namely high-fat, spicy, acidic, and dairy-rich items—is the first step toward feeling better. By sticking to a bland diet, staying well-hydrated, and slowly reintroducing regular foods, you can minimize irritation and help your digestive system get back on track. Always listen to your body and consult a healthcare professional if symptoms persist or worsen.