Managing Diarrhea: The Power of Proper Diet and Nutrition

5 MINUTES

If you have acute diarrhea or gastroenteritis, it is important to follow a specific diet to help manage your symptoms and promote healing. Here are some dietary recommendations:

  1. Stick to a bland diet: Eat foods that are low in fat, fiber, and sugar. Good options include rice, boiled potatoes, crackers, and plain toast.
  2. Avoid spicy, greasy, or acidic foods: These types of foods can irritate the stomach and make diarrhea worse. Stay away from spicy foods, fried foods, citrus fruits, and tomatoes.
  3. Drink plenty of fluids: It is important to stay hydrated, especially when you have diarrhea. Drink water, clear broths, or electrolyte-rich drinks such as sports drinks, coconut water, or Almora.
  4. Consume probiotics: Probiotics can help restore the balance of good bacteria in your gut.
  5. Avoid alcohol and caffeine: Both alcohol and caffeine can cause dehydration and irritate your digestive system.
  6. Gradually reintroduce solid foods: Once your symptoms start to improve, gradually introduce more solid foods into your diet. Start with bland, easy-to-digest foods like bananas, cooked vegetables, and grilled chicken.

It is important to consult with a healthcare provider for personalized dietary recommendations, as the specific diet may vary depending on the underlying cause of your diarrhea or gastroenteritis.

What is BRAT diet?

BRAT diet is a type of bland diet that is often recommended for people with diarrhea or vomiting, particularly children. The BRAT diet consists of four bland, low-fiber foods that are easy to digest and can help alleviate gastrointestinal symptoms. The four foods that make up the BRAT diet are:

  1. Bananas: Bananas are low in fiber and high in potassium, which can help replace electrolytes lost due to diarrhea or vomiting.
  2. Rice: Plain white rice is easy to digest and provides carbohydrates for energy.
  3. Applesauce: Unsweetened applesauce is a good source of pectin, a soluble fiber that can help bulk up stool and alleviate diarrhea.
  4. Toast: Plain toast can provide carbohydrates for energy and help absorb excess stomach acid.

While the BRAT diet is easy to digest, it is low in protein, fat, and other essential nutrients, so it is not recommended for long-term use.

What are the foods that should be completely avoided in acute diarrhea?

During an episode of acute diarrhea, certain foods should be avoided as they may worsen symptoms or cause further irritation to the digestive system. These foods include:

  1. Dairy products: Milk, cheese, and other dairy products can be difficult to digest for people with lactose intolerance, which can cause or exacerbate diarrhea.
  2. Spicy and fatty foods: Spicy or fatty foods can irritate the digestive system and worsen diarrhea symptoms.
  3. Raw vegetables and fruits: Raw vegetables and fruits can be high in fiber and difficult to digest, which can aggravate diarrhea symptoms. It is best to stick to cooked vegetables and canned fruits in natural juices.
  4. Caffeine and alcohol: Both caffeine and alcohol can cause dehydration and irritate the digestive system, which can make diarrhea worse.
  5. Artificial sweeteners: Some artificial sweeteners, such as sorbitol and mannitol, can have a laxative effect and worsen diarrhea symptoms.
  6. Fried foods: Fried foods are high in fat and can be difficult to digest, which can worsen diarrhea symptoms.

It is important to focus on a bland, low-fiber diet and stay well-hydrated during an episode of acute diarrhea. In general, it is best to avoid anything that may irritate the digestive system or worsen symptoms. It is also important to seek medical attention if diarrhea persists for more than a few days, or if you experience severe symptoms such as dehydration or blood in the stool.

Is honey any good for diarrhea?

While honey is a natural sweetener and has many potential health benefits, it is generally not indicated in diarrhea. Honey is high in sugar, which can worsen diarrhea by drawing water into the intestines and increasing stool volume. In addition, honey can contain bacteria that can be harmful to infants, young children, and people with weakened immune systems.

It is recommended to avoid foods that are high in sugar, including honey, during an episode of diarrhea. Instead, it is important to focus on a bland, low-fiber diet and stay well-hydrated with water, clear broths, or electrolyte-rich drinks.

Is yoghurt indicated in diarrhea?

Maybe. Yogurt can be indicated in diarrhea, especially if it contains live and active cultures of beneficial bacteria, known as probiotics. Probiotics can help restore the natural balance of bacteria in the digestive system, which can be disrupted during an episode of diarrhea. Yogurt can also provide a source of protein and other nutrients that may be lacking in a bland, low-fiber diet.

However, not all types of yogurt are created equal, and it is important to choose a yogurt that contains live and active cultures. Look for labels that indicate the presence of probiotics, such as Lactobacillus acidophilus and Bifidobacterium bifidum. Additionally, it is recommended to avoid yogurt that contains added sugars, which can exacerbate diarrhea symptoms. Also, yoghurt can be difficult to digest for people with lactose intolerance, which can cause or exacerbate diarrhea. If you are not sure, you may avoid consuming yoghurt if you have diarrhea.

What beverages should I drink if I have diarrhea?

If you have diarrhea, it is important to drink plenty of fluids to help replace the fluids and electrolytes lost due to diarrhea. Here are some recommended beverages to drink when you have diarrhea:

  1. Water: Drinking plenty of plain water is essential to help prevent dehydration.
  2. Clear broths: Clear broths, such as chicken or beef broth, can help replenish fluids and electrolytes.
  3. Electrolyte-rich drinks: Sports drinks like Gatorade or Powerade, or electrolyte replacement solutions like Almora, can help replace lost fluids and electrolytes.
  4. Coconut water: Coconut water is a natural electrolyte-rich drink that can help prevent dehydration.
  5. Herbal tea: Chamomile tea or peppermint tea can help soothe the digestive system and alleviate diarrhea symptoms.

It is important to avoid beverages that can worsen diarrhea symptoms, such as caffeinated drinks, sugary drinks, and alcoholic beverages. These beverages can increase fluid loss and exacerbate diarrhea.

Is cola indicated in acute diarrhea?

No, cola is generally not indicated in acute diarrhea. Cola is a carbonated soft drink that contains caffeine and sugar, which can both exacerbate diarrhea symptoms. Caffeine can irritate the digestive system and increase the frequency of bowel movements, while sugar can worsen diarrhea by drawing water into the intestines and increasing stool volume. In addition, the carbonation in cola can cause bloating and gas, which can be uncomfortable for people with diarrhea.

It is important to stay hydrated during an episode of acute diarrhea, but it is recommended to avoid caffeinated or sugary beverages like cola. Instead, it is recommended to drink water, clear broths, or electrolyte-rich drinks like sports drinks, coconut water, or Almora to help replace lost fluids and electrolytes. If you have concerns about your hydration status or are experiencing severe diarrhea symptoms, it is important to consult with a healthcare provider for personalized advice and treatment.

How can I contact gastroenterologist Dr. Zavos for an appointment?

Dr. Chris Zavos is a board-certified gastroenterologist and hepatologist, located in Thessaloniki Greece, and specifically in Kalamaria suburb, about 7 kilometres (4 miles) southeast of downtown Thessaloniki. His private office is at: Fanariou 8 street (near Aigaiou and Adrianoupoleos avenues), Kalamaria (Thessaloniki), Greece.

Thessaloniki International Airport is only 10 km away from his private office in Kalamaria and can be reached by taxi within 13 minutes from the airport.

Dr. Chris Zavos performs endoscopies at Bioclinic private hospital in downtown Thessaloniki (Mitropoleos 86 street).

You can contact Dr. Zavos at phone numbers: (+30)-6976596988 and (+30)-2311283833, or you can email him at czavos@ymail.com. Dr. Zavos responds to Greek and English languages.

Last update: 3 October 2023, 12:34

DR. CHRIS ZAVOS, MD, PHD, FEBGH

Gastroenterologist - Hepatologist, Thessaloniki

PhD at Medical School, Aristotle University of Thessaloniki, Greece

PGDip at Universitair Medisch Centrum Utrecht, The Netherlands

Ex President, Hellenic H. pylori & Microbiota Study Group