Dietary Guidelines for Recovery from Viral Gastroenteritis - Gastroenterology and Hepatology

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Diet for Viral Gastroenteritis


Hello Doctor, on the morning of the 19th, I woke up with stomach pain and had no appetite for the entire day, only eating half a steamed bun.
I did not experience vomiting or diarrhea.
In the evening, I went to see a doctor who diagnosed me with mild viral gastroenteritis.
My dad thought it wasn't serious, so he took me out for rice noodle soup, but I ended up vomiting around 11 PM.
Starting on the 20th, I've only been eating congee, millet porridge, bananas, and apples.
Today marks the second day of this diet, and I haven't vomited or had diarrhea during these two days, although I occasionally feel a bit nauseous due to excess stomach acid or bloating.
The doctor prescribed medication to reduce stomach acid before and after meals, as well as medication for bloating and stomach pain.
I take the acid-reducing medication before meals and the others as needed.
I would like to ask if I can start eating something other than congee and millet porridge from the 21st, or should I continue this diet for another day or two? Thank you.

Ya Ya, 10~19 year old female. Ask Date: 2016/07/21

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If your symptoms have improved, you can increase the variety and amount of food you eat, but you should avoid high-protein and high-fat foods.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/07/21

More Info


Recovering from viral gastroenteritis can be a challenging process, especially when it comes to dietary adjustments. It’s essential to approach your recovery with care to ensure that your gastrointestinal system heals properly and that you avoid any potential setbacks. Here are some dietary guidelines and recommendations for your recovery phase.


Initial Recovery Phase
After experiencing symptoms of viral gastroenteritis, such as nausea, vomiting, and diarrhea, it’s crucial to allow your stomach to settle. The first 24-48 hours after the onset of symptoms should focus on hydration and very light foods. Since you mentioned that you have already been consuming rice porridge, millet porridge, bananas, and apples, you are on the right track. These foods are gentle on the stomach and can help provide some necessary nutrients without overwhelming your digestive system.


Gradual Reintroduction of Foods
Once you have gone a couple of days without vomiting or diarrhea, you can start to gradually reintroduce other bland foods. Here are some suggestions for what you can consider adding to your diet:
1. Bland Carbohydrates: In addition to rice and millet porridge, you can try plain white rice, boiled potatoes, or plain pasta. These foods are easy to digest and can help provide energy.

2. Lean Proteins: After a few days, if you feel ready, you can introduce lean proteins such as boiled chicken (without skin), turkey, or fish. Eggs can also be a good option, but start with scrambled or boiled eggs to see how your stomach reacts.

3. Cooked Vegetables: Soft, cooked vegetables like carrots, zucchini, or spinach can be added gradually. Avoid raw vegetables initially, as they can be harder to digest.

4. Dairy Products: If you tolerate dairy, consider low-fat yogurt or kefir, which can be beneficial due to their probiotic content. However, some individuals may experience lactose intolerance after gastrointestinal distress, so monitor your body’s response.

5. Clear Soups: Broth-based soups can be soothing and provide hydration. Just ensure they are low in fat and not too spicy.


Foods to Avoid
While recovering, there are certain foods and beverages you should avoid to prevent irritation of your stomach:
- Fatty and Fried Foods: These can be hard to digest and may exacerbate nausea.

- Spicy Foods: Spices can irritate the stomach lining and should be avoided until you are fully recovered.

- Caffeinated Beverages: Caffeine can stimulate the digestive system and may lead to discomfort.

- Alcohol: It can irritate the stomach and should be avoided during recovery.

- High-Fiber Foods: Foods like whole grains, nuts, and seeds can be difficult to digest immediately after gastroenteritis.


Monitoring Your Symptoms
As you begin to reintroduce foods, it’s essential to listen to your body. If you experience any nausea, vomiting, or abdominal pain after eating certain foods, it may be best to revert to a more bland diet for a few more days before trying again.

Hydration
Throughout your recovery, maintaining hydration is vital. Continue to drink clear fluids, such as water, herbal teas, or electrolyte solutions. Avoid sugary drinks and sodas, as they can worsen gastrointestinal symptoms.


Conclusion
In summary, you can start to introduce bland, easy-to-digest foods gradually after a couple of days of stable recovery. Focus on hydration and listen to your body’s signals. If symptoms persist or worsen, it’s important to consult with your healthcare provider for further evaluation and guidance. Recovery from viral gastroenteritis can take time, but with careful dietary management, you can support your healing process effectively.

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