What to Eat During Diarrhea: Dietary Tips for Recovery

What can you eat when you have diarrhea?

Hello Dr.
Chen,
I was hospitalized a week ago due to infectious diarrhea, and the bacterial culture suggested it might be caused by Escherichia coli.
At that time, I was experiencing over 20 bowel movements a day, accompanied by intermittent abdominal pain.
My condition has improved significantly now, as it is the eighth day, but I still have 2 to 3 bowel movements daily, and they are still watery and not formed.
Currently, I am eating congee with some squash and drinking some fruit juice.

I would like to ask what I can eat given that I still have diarrhea.
Could you please provide some general guidance (for example: vegetables, fruits, eggs, fish, whole grains)? It seems that my attending physician was not very clear when I asked.
I had been taking antibiotics (ciprofloxacin) for about eight days, and now I am mainly taking medications related to diarrhea (pecolin, butylscopolamine, dimethicone).

Thank you for your assistance.

ken, 20~29 year old female. Ask Date: 2009/01/31

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, it is recommended to maintain a light diet.
Juice is not suitable for now, and milk is also not allowed.
Regarding medication, please follow the prescription from your physician.
Wishing you good health.
Sincerely, Dr.
Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Reply Date: 2009/01/31

More Info

When dealing with diarrhea, especially after an infection like the one caused by E. coli, it is crucial to focus on dietary choices that can aid recovery and help restore gut health. Here are some dietary tips and recommendations for what to eat during this recovery phase.

1. BRAT Diet
Initially, you might want to follow the BRAT diet, which consists of:
- Bananas: They are easy to digest and can help replace lost potassium.

- Rice: Plain white rice is bland and can help firm up stools.

- Applesauce: This provides pectin, which can help bulk up stools.

- Toast: Plain toast is also easy on the stomach.

2. Hydration
Staying hydrated is essential, especially if you have experienced significant fluid loss. Drink plenty of fluids, including:
- Water: The most important fluid to replace lost fluids.

- Clear broths: Chicken or vegetable broth can provide hydration and some nutrients.

- Oral rehydration solutions: These can help replenish electrolytes lost during diarrhea.

3. Gentle Foods
As your condition improves, you can gradually introduce other gentle foods:
- Oatmeal: A good source of soluble fiber, which can help absorb excess water in the intestines.

- Plain crackers: These can be easy to digest and provide some carbohydrates.

- Steamed vegetables: Carrots and zucchini are good options as they are gentle on the stomach.

- Boiled potatoes: Without the skin, they can provide carbohydrates and potassium.

4. Protein Sources
Once you feel ready to add protein back into your diet, consider:
- Eggs: Scrambled or boiled eggs are easy to digest and provide protein.

- Lean meats: Skinless chicken or turkey can be introduced gradually.

- Fish: Steamed or baked fish is another good protein source.

5. Probiotics
Incorporating probiotics can be beneficial for gut health:
- Yogurt: Choose plain yogurt with live cultures, as it can help restore the natural balance of bacteria in your gut.

- Kefir: This fermented milk drink is rich in probiotics and can aid digestion.

6. Avoid Certain Foods
While recovering, it’s important to avoid foods that can irritate your digestive system:
- Dairy products: Some people may temporarily become lactose intolerant after a bout of diarrhea.

- Fatty or fried foods: These can be hard to digest and may worsen diarrhea.

- Spicy foods: They can irritate the gut lining.

- Caffeine and alcohol: Both can dehydrate you and irritate your digestive system.

7. Fruits and Vegetables
While fruits and vegetables are generally healthy, during diarrhea, you should be cautious:
- Avoid high-fiber raw vegetables: Instead, opt for cooked vegetables.

- Choose low-fiber fruits: Such as bananas and applesauce, which are easier on the stomach.

8. Gradual Reintroduction
As your symptoms improve, gradually reintroduce a wider variety of foods. Pay attention to how your body reacts to each new food, and avoid anything that seems to trigger symptoms.

Conclusion
In summary, during recovery from diarrhea, focus on hydration and easily digestible foods. Start with the BRAT diet, gradually introduce gentle foods, and consider probiotics to help restore gut health. Avoid irritants like dairy, fatty foods, and caffeine. If symptoms persist or worsen, it’s essential to consult with your healthcare provider for further evaluation and management.

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