Skip to content

Why can I only eat bland foods when sick?

5 min read

An estimated 80% of what we perceive as 'flavor' actually comes from our sense of smell, so when you have a cold with a stuffy nose, food seems bland or tasteless. This is a key reason why you can only eat bland foods when sick, along with an altered immune response and digestive sensitivities.

Quick Summary

Illness affects appetite by triggering immune responses, altering taste and smell perception, and impacting the digestive system, making bland foods more tolerable. The body's focus on fighting infection and conserving energy leads to a preference for easily digestible, less stimulating foods. This phenomenon is a natural, protective mechanism that helps the body heal.

Key Points

  • Immune Response: Sickness triggers the release of cytokines, which are proteins that signal the brain to suppress appetite to conserve energy for fighting infection.

  • Altered Senses: Congestion from colds or flu blocks the olfactory receptors in the nose, dulling the sense of smell that accounts for 80% of flavor, making everything taste bland.

  • Digestive Sensitivity: Illness often makes the digestive system more sensitive, and bland, easily digestible foods are tolerated better than rich, greasy, or spicy alternatives.

  • Capsaicin Aversion: Spicy foods contain capsaicin, which binds to pain receptors and can cause further irritation and discomfort when your body is already inflamed from illness.

  • Evolutionary Adaptation: Sickness-induced anorexia is an evolutionarily conserved response that is beneficial for survival, redirecting metabolic resources toward healing.

  • Natural Recovery Cue: The preference for bland foods is a natural, protective mechanism that signals your body's focus on recovery and reduces the burden on your digestive system.

In This Article

Your Immune System’s Focus on Fighting Infection

When you're sick, your body shifts its energy and resources toward fighting off the infection. This complex process is driven by the immune system, which releases powerful signaling proteins called cytokines. These cytokines are essential for coordinating the immune response but also have a side effect of suppressing your appetite. This serves an adaptive purpose: by reducing your desire to eat, your body conserves energy that would otherwise be spent on digestion and foraging for food. Instead, that energy is redirected to power the metabolic processes required for healing, such as the production of antibodies and new immune cells.

The phenomenon of sickness-induced anorexia has been observed across many species and is considered an evolutionary conserved survival strategy. Force-feeding sick animals, for instance, has been shown to result in worse outcomes, suggesting that the body’s natural aversion to food is beneficial during an acute illness. As your immune system's workload decreases during recovery, so do the levels of these appetite-suppressing cytokines, and your normal eating habits and cravings gradually return.

The Crucial Connection Between Taste and Smell

For many common illnesses like the cold, flu, and COVID-19, one of the most direct reasons you prefer bland foods is the impairment of your senses of taste and smell. Flavor is not solely detected by the tongue, but is a composite experience created by the brain combining signals from both your taste buds and your sense of smell. When you have a congested nose, mucus and inflammation can block the olfactory receptors that detect odors, preventing the aroma molecules from food from reaching the nerve cells.

  • The tongue can only detect a few basic tastes: sweet, sour, salty, bitter, and umami.
  • The nose, however, can identify thousands of different scents.
  • When your sense of smell is compromised, the complex and nuanced aspects of flavor disappear, leaving only the basic tastes. This is why a piece of seasoned chicken might taste like a simple, savory chunk of protein, or an apple might be indistinguishable from a potato.
  • As a result, strongly flavored or spicy foods lose their appeal, while plain, simple foods become the most tolerable option. Your preference for bland food is a natural response to this sensory shift.

Illness and Digestive Sensitivities

Your digestive system can also become more sensitive when you are unwell. Illness can lead to gastrointestinal distress, including nausea, vomiting, and diarrhea. Foods that are greasy, fried, or highly processed can be difficult to digest and may exacerbate these symptoms, taxing your body's energy further.

Conversely, bland foods are gentle on the stomach and easy to process, allowing your body to focus on healing without a heavy digestive load. This is the rationale behind diets like the BRAT diet (bananas, rice, applesauce, toast), which are frequently recommended for upset stomachs because they are low in fiber and easy on the system.

Comparison: Food During Sickness vs. Health

Factor Eating When Healthy Eating When Sick
Senses of Taste & Smell Fully functional, allowing for a full range of flavor perception. Often diminished or distorted, leading to a blunted flavor experience.
Immune System Focus Normal, with energy dedicated to regular metabolic functions. Redirected to fighting infection, signaling appetite suppression via cytokines.
Digestive System Capable of processing a wide variety of foods, including fats, fiber, and spices. Often more sensitive, prone to nausea and indigestion from rich or complex foods.
Food Preferences Driven by a desire for complex flavors, textures, and aromas. Guided by tolerance for simple, soothing, and easily digestible foods.
Physiological Goal Enjoyment and providing regular, balanced nutrition. Conserving energy and minimizing digestive burden to facilitate recovery.

The Body’s Avoidance of Irritants

Spicy foods, in particular, can be especially unappealing or even painful when you’re sick. The compound capsaicin, which gives chili peppers their heat, doesn’t actually activate taste buds but rather binds to pain receptors in your mouth, tricking your brain into thinking it is experiencing a burning sensation. When you are already battling inflammation and sensitivity from a fever or sore throat, introducing capsaicin can feel like adding fuel to the fire, causing further irritation and discomfort.

This is another protective mechanism. Your body is attempting to minimize any stress or irritation, and spicy foods represent a form of chemical stress that it would rather avoid. Instead, it drives you toward comforting, non-irritating options like warm broths, plain rice, or toast that can be easily tolerated and don't trigger the body's defensive pain responses.

Conclusion: Listening to Your Body's Cues

Your preference for bland foods when sick is not a random occurrence but a complex, multi-layered physiological response. It's a combination of your immune system prioritizing healing over appetite, the temporary loss of your sense of smell affecting your perception of flavor, and your digestive system's need for gentler, easily processed foods. The aversion to strong flavors and irritants like capsaicin is a protective signal, guiding you toward foods that are less likely to cause discomfort and more likely to support your recovery. The next time you find yourself reaching for plain toast and soup, recognize that you are simply listening to your body's intelligent, evolutionary-honed cues for getting better. Learn more about the science behind appetite regulation during illness from this detailed review.

What happens to your sense of taste and smell when you’re sick?**: When you're sick with a cold or flu, nasal congestion and inflammation block the olfactory receptors responsible for detecting odors. Since most flavor perception relies on smell, food tastes bland, and you only perceive basic tastes like salty or sweet.

Is it a bad idea to force yourself to eat spicy food when you’re congested?**: Yes, it's generally a bad idea. While some people believe spicy food can clear congestion, the capsaicin can also irritate your stomach lining and throat, making symptoms like nausea, heartburn, or a sore throat worse.

How do medications affect appetite and taste when sick?**: Many medications, including antibiotics, can alter taste sensations or cause side effects like dry mouth or nausea, further contributing to a diminished appetite and a preference for bland foods. This is in addition to the effects of the illness itself.

Why does my body suppress my appetite when I have a fever?**: Fevers are part of the immune response, and the body's metabolic resources are redirected toward generating heat and fighting infection. The release of inflammatory cytokines suppresses appetite to conserve energy, a process known as sickness-associated anorexia.

What are some good bland food options for when I'm sick?**: The BRAT diet (bananas, rice, applesauce, toast) is a classic choice for digestive issues, but other options include oatmeal, broth-based soups, boiled potatoes, and plain crackers. These are all easy to digest and gentle on a sensitive stomach.

How long will it take for my normal appetite to return?**: The duration varies depending on the illness and the individual. For most common infections, your senses of taste and smell and normal appetite will return within a few weeks as the inflammation subsides. If symptoms persist for longer, it may be worth consulting a doctor.

Why are certain smells so off-putting when I’m sick?**: During illness, the altered perception of flavor due to disrupted smell can also lead to dysosmia or parosmia, where otherwise normal smells are perceived as unpleasant or distorted. This can make food that you normally enjoy seem unappealing.

Frequently Asked Questions

Yes, research suggests that the loss of appetite during an infection, known as sickness-associated anorexia, is an adaptive response. It helps conserve energy that is then redirected to fuel the immune response, which can be metabolically costly. Some studies have even shown that force-feeding can worsen outcomes.

For most viral infections like the common cold or flu, the loss of taste and smell is temporary and resolves as inflammation in the nasal passages subsides. However, in rare cases, especially with certain viral infections or if there is nerve damage, the loss can be more prolonged or, in extremely rare instances, permanent.

When you're sick, your body is already in an inflammatory state. The capsaicin in spicy foods activates pain receptors in your mouth, a sensation that can feel amplified and more irritating when your body is already sensitive and inflamed. This can exacerbate symptoms like a sore throat or an upset stomach.

Broth-based soups are recommended because they are hydrating and contain electrolytes, which are important to replenish during illness, especially with fever or vomiting. The warmth of the steam can also help clear nasal congestion, and the simple ingredients are easy on a sensitive stomach.

Yes, many medications, including some antibiotics, can alter your sense of taste, a condition known as dysgeusia. This can cause a metallic, bitter, or otherwise unpleasant taste in your mouth, which can make eating less appealing and contribute to your preference for bland foods.

Hunger is the physiological need for food driven by the body's energy requirements, while appetite is the psychological desire to eat. When you are sick, your body's immune response can actively suppress your appetite, even if you are physiologically in a state of hunger due to the lack of food. This is a key part of the sickness-associated anorexia response.

For short-term illnesses, it's generally okay not to force yourself to eat if you have no appetite, especially if you're also experiencing nausea or vomiting. Staying hydrated is more important. As you start to recover, focus on small, nutrient-dense meals and gradually increase your intake as your appetite returns.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

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