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What to eat when you have the stomach flu?

5 min read

According to Yale Medicine, 900 norovirus-related deaths occur each year, with dehydration being a major complication. Understanding what to eat when you have the stomach flu is critical for maintaining hydration, managing symptoms, and supporting a faster recovery.

Quick Summary

This guide provides a comprehensive overview of the best foods and drinks to consume during and after a stomach flu, focusing on hydration and bland, easy-to-digest options to soothe the digestive system.

Key Points

  • Hydration is paramount: Drink clear fluids and electrolyte solutions consistently to combat dehydration caused by vomiting and diarrhea.

  • Start with bland foods: Introduce gentle, easy-to-digest foods like bananas, rice, applesauce, and toast (BRAT) once you can tolerate liquids.

  • Move beyond BRAT: While a good start, the traditional BRAT diet is not nutritionally complete for long-term recovery; expand to other low-fat, low-fiber foods as tolerated.

  • Avoid irritating foods: Stay away from dairy (except some yogurts), fatty, spicy, and high-fiber foods that can worsen symptoms and delay healing.

  • Listen to your body: The recovery process is gradual. Eat small, frequent meals and slowly reintroduce foods, backing off if symptoms return.

In This Article

Rehydrating Your Body During the Stomach Flu

Staying hydrated is the most crucial step when dealing with the stomach flu, as vomiting and diarrhea cause significant fluid and electrolyte loss. Dehydration can lead to more serious complications, so it is vital to replenish fluids continuously.

Prioritize Clear Liquids

Start by sipping small amounts of clear liquids frequently to avoid overwhelming your sensitive stomach. Focus on these options during the initial phase of the illness, especially in the first 24 hours after vomiting has stopped.

  • Water: Plain water is always the best choice for basic hydration.
  • Oral Rehydration Solutions (ORS): Products like Pedialyte are formulated to replace lost electrolytes and fluids effectively. Homemade versions can also be made with specific ratios of salt and sugar dissolved in water.
  • Clear Broths: Non-greasy chicken or vegetable broth is easy to digest and helps replenish sodium.
  • Herbal Teas: Chamomile, ginger, and peppermint teas can help calm nausea and soothe the stomach.
  • Diluted Juices: Small amounts of diluted apple juice can provide some sugar and hydration.

The Shift to Bland Foods

Once you can tolerate clear liquids without vomiting, you can slowly begin reintroducing bland, easy-to-digest foods. These foods put minimal stress on your digestive system as it begins to recover.

  • Bananas: Rich in potassium, bananas help replace lost electrolytes and are easy to digest.
  • Plain White Rice: A low-fiber starch that is easy on the stomach and can help bind loose stools.
  • Applesauce: This cooked, peeled apple product contains pectin, which can help with diarrhea.
  • Toast: Plain, dry, white toast is a simple carbohydrate that is easy to digest.
  • Boiled Potatoes: A good source of energy and easy on the digestive tract.
  • Saltine Crackers: These salty snacks help replenish sodium and may help settle an upset stomach.

The Updated Approach: Beyond the BRAT Diet

While the BRAT diet (Bananas, Rice, Applesauce, Toast) was once the go-to advice, experts now recommend a more varied approach to ensure adequate nutrition for a speedy recovery. The BRAT diet is overly restrictive and lacks essential nutrients like protein, fat, and fiber, which are needed for healing.

Gradually Expanding Your Diet

As you feel better, begin to incorporate other low-fat, low-fiber foods into your diet. This phased approach helps prevent a relapse of symptoms.

  • Low-Fat Proteins: Consider small portions of baked, skinless chicken or fish, and scrambled eggs.
  • Cooked Vegetables: Steamed or boiled carrots, green beans, or zucchini are gentle on the stomach.
  • Yogurt with Live Cultures: Small amounts of low-fat yogurt can help reintroduce beneficial probiotics to your gut.
  • Simple Grains: Cooked cereals like oatmeal are a good source of energy.

Comparison Table: Foods to Eat vs. Foods to Avoid

Category Foods to Eat (Healing) Foods to Avoid (Irritating)
Carbohydrates Plain white rice, white toast, saltine crackers, potatoes Whole-grain products, high-fiber cereals, beans
Proteins Baked skinless chicken or fish, eggs, tofu Fatty cuts of red meat, bacon, processed meats
Fruits Bananas, applesauce, canned peaches (in water) Citrus fruits (oranges, lemons), raw vegetables, seeded berries
Drinks Water, clear broth, electrolyte drinks, ginger tea Alcohol, caffeine (coffee, black tea), sugary sodas, milk
Fats Small amounts of olive oil on bland food Fried, greasy, or high-fat foods (pizza, chips)
Dairy Low-fat yogurt (with active cultures) Milk, cheese, ice cream (can be hard to digest)

Foods and Substances to Avoid During Recovery

Just as important as knowing what to eat is knowing what to avoid. These items can worsen symptoms and prolong your recovery.

  • Dairy Products (except for some yogurt): Many people become temporarily lactose intolerant after a stomach flu, as the enzyme needed to break down lactose is temporarily depleted. Avoid milk, cheese, and ice cream.
  • Fatty and Fried Foods: These are difficult to digest and can irritate an already sensitive stomach.
  • Spicy Foods and Strong Seasonings: Spices can inflame the stomach lining and trigger discomfort.
  • Caffeine and Alcohol: Both can further dehydrate you and irritate your digestive system.
  • High-Fiber Foods: While healthy normally, raw vegetables and other high-fiber items can be too harsh during recovery.
  • Sugary Drinks and Sweets: High sugar content can draw more water into the intestines, making diarrhea worse.

What to Expect During the Recovery Process

Recovery from the stomach flu typically takes a few days, but everyone's experience is different. You should listen to your body and move through the stages of eating at your own pace. Forcing food too soon can set back your recovery. The process generally involves three stages:

  1. Initial Rest Period (First 6-12 hours): After vomiting or diarrhea stops, rest your stomach completely. Focus on hydration by sipping clear liquids like water, clear broth, or electrolyte drinks.
  2. Reintroduction of Solids (Days 1-2): When you feel ready, start with the bland, easy-to-digest foods listed above, such as bananas, rice, applesauce, and toast. Eat small, frequent meals rather than large ones.
  3. Gradual Return to Normal Diet (Day 3+): As your symptoms continue to improve, slowly begin adding more foods back into your diet, including lean proteins and cooked vegetables. It's crucial to take it slow and see how your body reacts to each new food. Some people may need a few extra days before feeling completely back to normal.

If you experience a return of symptoms after introducing a new food, revert to the previous step and wait a little longer before trying again. Always prioritize hydration, as it's the most critical factor in a smooth recovery.

For more detailed guidance on rehydration, the World Health Organization provides specific instructions on preparing oral rehydration solutions.

Conclusion: Listen to Your Body and Be Patient

Dealing with the stomach flu is unpleasant, but making smart dietary choices is a critical part of a faster, more comfortable recovery. The key is to start with clear liquids for rehydration, and then gradually introduce bland, easy-to-digest foods in small quantities. By avoiding irritating foods and listening to your body's signals, you can help your digestive system heal effectively. While the traditional BRAT diet is a starting point, a slightly more varied diet with low-fat proteins and cooked vegetables will provide the nutrients needed for a better recovery. If symptoms persist or worsen, always consult a healthcare professional.

Frequently Asked Questions

The best things to drink are plain water, oral rehydration solutions (like Pedialyte), clear broths, and mild herbal teas (ginger, peppermint) to combat dehydration and soothe your stomach.

You should start eating solid food only after vomiting has stopped and you can tolerate clear liquids. Begin with small portions of bland foods like the BRAT diet and increase gradually as your stomach allows.

It is generally best to avoid dairy products, as the lactose can be difficult to digest and may worsen diarrhea. Low-fat yogurt with live cultures might be tolerated later in recovery.

The BRAT diet (Bananas, Rice, Applesauce, Toast) is now considered too restrictive for a complete recovery. It can be a good starting point but should be expanded to include other easy-to-digest foods to provide better nutrition.

You should avoid fatty, greasy, spicy, and sugary foods, as well as caffeine, alcohol, and high-fiber foods like raw vegetables. These can irritate the digestive system and worsen symptoms.

Most people recover from the stomach flu within one to three days, but it can take longer for some. It's important to listen to your body and progress your diet slowly to ensure a full recovery.

While some sports drinks can help replenish electrolytes, they are often high in sugar, which can worsen diarrhea. Oral rehydration solutions are a better option, but small, diluted sips of sports drinks are also an alternative.

References

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Medical Disclaimer

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