BRAT Diet for Gastroenteritis : What You Need to Know

Nutrition Corner with Dr D 

BRAT Diet for Gastroenteritis : What You Need to Know

Did you know that one of the most effective ways to combat gastroenteritis is by following a specific diet called the BRAT diet?  BRAT diet for gastroenteritis is an acronym which stands for bananas, rice, applesauce, and toast, and it has been recommended by healthcare providers for decades as a go-to treatment for gastrointestinal distress. However, there are many misconceptions about the BRAT diet and how it works. In this article, we will discuss all the major topics related to the BRAT diet for gastroenteritis, including who it is for, how it works, what conditions it works for, how long to follow it, and what foods to avoid. By the end of this article, you will have a better understanding of this diet and how it can help you or someone you know recover from gastroenteritis faster.

What is the BRAT diet?

The BRAT diet stands for bananas, rice, applesauce, and toast. It is a bland diet that is low in fiber and fat, making it easy to digest. The foods included in the diet are chosen for their ability to help ease symptoms of gastroenteritis, such as diarrhea and nausea.

 

Let's take a closer look at the individual foods in the BRAT diet and why they are included:

 

Bananas: Bananas are a great source of potassium, which is an important electrolyte that can be lost during bouts of diarrhea and vomiting. They also contain pectin, a soluble fiber that can help bulk up the stool and reduce diarrhea. Bananas are also easy to digest and gentle on the stomach.

 

Rice: Rice is a bland, easily digestible source of carbohydrates that can help provide energy when the body is feeling weak or depleted from illness. White rice is preferred over brown rice in the BRAT diet because it is lower in fiber, which can help reduce diarrhea.

Applesauce: Applesauce is a good source of pectin, like bananas, and is also high in carbohydrates. It can help reduce diarrhea and provide energy without putting a strain on the digestive system. However, it is important to choose unsweetened applesauce to avoid added sugars, which can worsen diarrhea.

 

Toast: Toasted white bread is another easy-to-digest source of carbohydrates that can help provide energy. It is low in fiber and fat, making it gentle on the stomach. Toast can also help absorb excess stomach acid and reduce nausea.

 

Who is it for?

The BRAT diet is a well-known and often recommended treatment for those experiencing symptoms of gastroenteritis, commonly referred to as the stomach flu. This condition can cause a variety of unpleasant symptoms, including nausea, vomiting, diarrhea, and stomach cramps. The diet is generally recommended for those who are experiencing these symptoms because the foods included in the diet are low in fiber and fat, making them easy to digest and less likely to aggravate the digestive system.

 

The diet is also commonly recommended for children who are experiencing similar symptoms. Children are more susceptible to gastroenteritis due to their weaker immune systems and tendency to put objects in their mouths. Additionally, children may not be able to tolerate more complex foods while they are recovering from the illness. The simplicity of the BRAT diet can make it easier for parents to ensure their child is getting the proper nutrition while recovering from the illness.

 

It is important to note that the BRAT diet is not recommended for long-term use, as it does not provide all of the necessary nutrients for a healthy diet. It is intended to be a short-term treatment to help ease symptoms and aid in recovery. If symptoms persist or worsen, it is important to seek medical attention from a healthcare professional.

How does it work?

The BRAT diet works by providing the body with simple, easily digestible foods that give the digestive system a break from harder-to-digest foods. Bananas, rice, applesauce, and toast are all gentle on the digestive system and do not contain irritants that could cause further discomfort. Bananas contain high amounts of potassium which can help to replace electrolytes that are lost due to diarrhea and vomiting. Rice provides a bland source of carbohydrates that can help to bind stools and ease diarrhea. Applesauce is easy to digest and can provide a source of pectin, which can help to firm up stools. Toast is a good source of carbohydrates that can help to settle the stomach and provide energy.

 

When the digestive system is under stress, it can have difficulty processing complex foods, such as those that are high in fiber or fat. These foods can cause more irritation to the digestive tract and prolong symptoms such as diarrhea, cramping, and nausea. By consuming a diet that is low in fiber and fat, the BRAT diet allows the digestive system to recover and heal. As the symptoms of gastroenteritis improve, individuals can slowly reintroduce other foods back into their diet.

How long should one follow it?

Following the BRAT diet for more than 48 hours is generally not recommended as it may lead to nutrient deficiencies and potential health complications. However, it is important to note that every individual is different and may require different amounts of time to recover from gastroenteritis. It is best to consult with a healthcare professional before starting or discontinuing any diet, especially if you have pre-existing medical conditions or are taking medication. After following the BRAT diet for the recommended time period, it is recommended to start introducing other bland, easy-to-digest foods gradually. Some examples of these foods include boiled potatoes, boiled chicken or fish, low-fat yogurt, and cooked vegetables such as carrots or zucchini. It is important to continue avoiding foods that may irritate the digestive system such as high-fat, spicy, or acidic foods.

 

What is the progression from BRAT diet to normal foods?

As you start to feel better, you can gradually introduce more normal foods into your diet. It's important to continue avoiding foods that can irritate your stomach, such as spicy or fried foods, high-fiber foods, dairy products, and caffeine. It is also important to stay hydrated by drinking clear fluids, such as water or electrolyte solutions.

 

It's important to note that if your symptoms return or worsen after reintroducing normal foods, you may need to go back to the BRAT diet for a bit longer before trying again. Slowly reintroducing normal foods will help your digestive system adjust and prevent any further discomfort or irritation.

 

It's also important to listen to your body and not rush the process of returning to your regular diet. Depending on the severity of your gastroenteritis, it may take several days or even a week to fully return to your normal diet without experiencing any symptoms.

Which foods should be avoided when having gastroenteritis?

Dairy products such as milk, cheese, and yogurt contain lactose, a type of sugar that is difficult to digest for some people, especially when the digestive system is already compromised. This can cause further irritation to the digestive tract and worsen symptoms of diarrhea, abdominal cramps, and bloating. It is best to avoid dairy products until the symptoms subside.

 

Fresh fruits and vegetables are generally high in fiber, which can be difficult to digest when the digestive system is inflamed. They can also be a source of bacteria and viruses that can further irritate the digestive tract. However, bananas are an exception as they are low in fiber and high in potassium, which can help replenish electrolytes lost through diarrhea and vomiting.

 

Fruit juices and carbonated beverages should also be avoided as they are often high in sugar, which can worsen diarrhea, and can cause further irritation to the digestive tract.

 

Fried and greasy foods are high in fat, which can be difficult to digest and can exacerbate symptoms of diarrhea, nausea, and vomiting. Similarly, spicy foods can irritate the digestive tract and cause discomfort.

It is also important to avoid excessive hydration, as this can lead to more diarrhea. Instead, it is recommended to drink small amounts of clear fluids such as water, and broth to help prevent dehydration.

 

What is the modified BRAT diet and what does it consist of?

The modified BRAT diet is often recommended for individuals who are recovering from gastroenteritis but still need to be cautious about the types of food they consume. Boiled potatoes are a good source of carbohydrates and potassium, which can help replace lost nutrients during diarrhea. Plain pasta is also a good source of carbohydrates and is easy to digest, making it a good option for those experiencing symptoms of gastroenteritis. Steamed vegetables can provide important vitamins and minerals while being gentle on the digestive system.

 

Lean proteins such as chicken, turkey, and fish can also be added to the modified BRAT diet, as they are easy to digest and provide important nutrients such as protein and iron. Clear broths such as chicken or vegetable broth can help provide hydration and electrolytes that may have been lost during diarrhea.

 

It is important to note that the modified BRAT diet should still be followed for a short period of time, typically 24-48 hours, before gradually reintroducing other bland, easy-to-digest foods back into the diet. It is also important to continue to avoid spicy, fatty, and acidic foods until symptoms have completely resolved..

 

Other important information to consider:

 

In addition to the above information, it is also important to note that the BRAT diet should not be used as a sole treatment for gastroenteritis or other digestive issues. While it can help ease symptoms in the short-term, it is not a cure for underlying conditions and may not address the root cause of the problem.

 

Furthermore, if you are experiencing severe symptoms such as dehydration, fever, or bloody stools, it is important to seek medical attention immediately. These symptoms may indicate a more serious condition that requires prompt medical care.

 

It is also worth noting that the BRAT diet may not be appropriate for everyone, particularly those with certain dietary restrictions or medical conditions. If you have any concerns or questions about whether the BRAT diet is right for you, it is recommended to speak with a healthcare provider or registered dietitian for personalized advice.

 

Finally, once you have recovered from gastroenteritis and are ready to transition back to your regular diet, it is important to do so gradually and listen to your body. Avoid heavy, spicy, or fatty foods for a few days, and slowly reintroduce other foods back into your diet. If you experience any digestive discomfort or symptoms, it may be a sign that you are not quite ready to resume your normal diet and may need to continue with the BRAT diet or modified BRAT diet for a few more days.

 

Conclusion

The BRAT diet is a popular and effective temporary measure for managing the symptoms of gastroenteritis. It consists of easily digestible foods such as bananas, rice, applesauce, and toast. While it is important to follow the BRAT diet for a short period of time, it is also crucial to gradually reintroduce normal foods back into the diet.

 

In addition to following the BRAT diet, it is important to maintain good hygiene practices, stay hydrated, and seek medical attention if symptoms persist or worsen. By taking these steps, individuals can effectively manage and prevent gastroenteritis.


Back Strain: Accelerate Your Recovery with These Tips

Musculoskeletal Health with Dr D. 

Back Strain: Treatment Guidelines for Back Strain

Most back strains do not require specific treatment, because they usually recover spontaneously in relatively short period of time. There are, however, certain strategies that may help you recover faster and make the process less painful. For full list of detailed recommendations on optimizing your recovery process please follow this link.

Mobility: swimming and walking

One of the most important things to keep in mind, is that during the acute phase, it is of outmost importance to stay mobile. While short term bed rest may help to relieve some of the pain initially, staying in the bed more than 24-48 hrs leads to worse outcomes and prolongs the recovery time.

While becoming more mobile is important, you will need to initially modify your daily routine to avoid high impact activities, lifting heavy objects and twisting movements. The best way start increasing physical activity is walking for few minutes several times a day and eventually transitioning to recreational swimming in a slow pace. Swimming is excellent exercise for recovery from back injuries. It’s weightless nature eliminates gravity and pressure on the spine and takes the muscles and joints through full range of motion. Both activities will keep the muscles engaged without additional strain, and get them slowly ready for more physically demanding exercises.

Heat

Heat plays important role in the treatment of back pain. It improves local blood circulation which enables the injured tissue to heal faster while decreasing muscle stiffness and pain. Applying heat to the painful area after the initial 48 hrs from the onset of the injury also helps with stretching. Additionally, heat reduces pain and makes movement easier when getting out of the bed in the morning. Heating pad should not be applied directly on the skin. While it can be used  several times a day, it should never be applied for longer than 20 minutes at a time. Never sleep on your heating pad!!

Stretching, Massage and Acupuncture

Gentle stretching of the back muscles after using heating pad is important to slowly start elongating the tight muscles. Never push beyond the level of gentle stretch. If stretching is painful, you need to pull back. Gentle massage around the painful area can be very relaxing and soothing. You do not need to spend money on massage therapist, but if you can afford it, this might be a good time to splurge on couple sessions. Getting a simple massage from your partner at least once a day for the first few days can be equally if not more effective. Alternately, you can try self-acupressure using a tennis ball while leaning against the wall and finding the tender spots in your back. Both massage and acupressure help to promote local blood circulation and loosen up the tight muscles which results in increased mobility and less pain. If acupuncture is available to you, getting few treatment sessions can be very helpful to promote relaxation of the tight muscles, increase local blood circulation and decrease pain. For more information about acupuncture please follow this link.

The role of pain medication

While pain medication will not help you to recover faster, they can help to make the process more bearable. Motrin, naproxen or Alleve can be used in mild to moderate pain, to take the edge off the pain. Stronger pain medication, prescribed by your provider, may be necessary when pain is more severe.

 

Goals for pain management

It is very important to understand, that complete pain relief is neither realistic, nor the goal of pain medication or any treatment modality discussed in this article. Pain is a protective mechanism. It makes us start paying attention to our body and prevents us from causing further damage. Additionally, there is no single best remedy. Patience in combination with several treatment strategies placed in the context of a comprehensive treatment protocol, has been shown to lead to the best and fastest recovery.

 

To learn more about complementary therapies, visit National Center for Complementary and Integrative Health


Chronic Back Pain: Treatment Options for Chronic Back Pain

Treatment Options for Chronic Back Pain

Chronic back pain continues to be one of the most common musculoskeletal complains seen in primary care.  It is estimated that the incidents of chronic back pain will continue to rise given our increasingly more sedentary lifestyle. While research in the areas of pain management and safer surgical procedures continues, both should be viewed as the last resort.

Cure or management of chronic back pain?

When discussing the treatment of chronic back pain, it is important to understand, that there is no reliable “cure” for chronic back pain. That is not to say that once an individual develops chronic back pain, they will have to suffer from the pain for the rest of their life. In fact, most chronic back pain can be successfully managed, to allow the individual to live a normal productive life. It should be understood, however, that the nature of chronic back pain is fluctuating periods of no pain or only minimal discomfort with periods of severe worsening of back pain. These fluctuations generally correspond to the demands of daily life.  It is usually not possible to completely avoid the periods of more intense back pain. The frequency and the severity of these episodes can be, however, controlled to a large extent. Conscientious adherence to daily routine which includes specific exercises, stretching and self-acupressure, along with minimizing the exposure to activities that pose undue stress on the back, has been shown to significantly reduce the episodes of worsening back pain.

 

Common treatment modalities

Numerous treatment options have been developed for the treatment of back pain. They range from conservative noninvasive options, which can be applied by an individual at home, to more invasive treatments requiring a visit to a health care provider. In extreme cases, surgical intervention may be necessary.

Self-Acupressure

Self-acupressure can be applied to the specific trigger points in the affected musculature by the patient at home on daily bases. It can be used as a sole treatment for the management of mild to moderate back pain. Self-acupressure can be also used along with any other modality to reinforce the treatment effect and promote faster recovery. More information about acupressure can be found by clicking on the tab on the left-hand side of this page.

 

Physical Therapy

Physical therapy is frequently used as a part of an overall treatment protocol to treat acute or chronic back pain. The goal of physical therapy is to relieve pain, help the body in the healing process, and restore normal functional pain-free movement. A physical therapist can prescribe specific rehabilitation exercises alone or in combination with dry needling, TENS, heat application, soft tissue release or gentle manipulations.  Physical therapy is generally initiated if the injury is not spontaneously recovering with conservative treatments within 2-6 weeks. In case of severe acute back pain, however, a referral to physical therapy can be initiated right away. For more information click on the tab on the left-hand side.

Acupuncture and Dry Needling

Acupuncture and dry needling are both very safe therapeutic modalities. Dry needling is mostly available to the patients through the department of physical therapy. The carefully selected patients which may benefit from dry needling usually receive a series of dry needling sessions as part of their physical therapy treatment plan.  There are some primary care providers who have been trained in dry needling. They may offer this treatment modality to their patients on limited bases given their busy schedule. Acupuncture is available to patients only from licensed acupuncturists or physicians with training in medical acupuncture. For more information about Acupuncture and Dry Needling please click on the tabs on the left-hand side of this page.

 

Pharmacologic management

Pain medications play an important role in the management of chronic back pain for many patients. Some patients rely on a daily dose of pain medication to control their pain and there is a definite role for pain medication in the management of chronic pain. It is important to point out, however, that the medication should not be relied on as the sole long term strategy to keep chronic pain under control. This passive approach generally leads to further deconditioning, the need for increasing the dosages of medication and inherently to more side effects associated with their daily use.  Appropriate use of pain medication can be, however, an integral part of a comprehensive treatment plan when used under the guidance of a qualified health care provider. In general, the pain medication should be used at the minimal effective dose and for the shortest amount of time, unless directed otherwise by the health care provider.

Surgical procedure

No surgical procedure is risks free. Formation of scar tissue and the need for subsequent surgery are known complications. Surgery should be therefore reserved only for rare cases. These generally include instances where all other treatment options have been exhausted. In these cases either the pain cannot be successfully controlled by any other intervention or there is a significant functional deficit that can be improved by the surgical procedure.

The information provided on these pages is not intended to treat or diagnose any condition and should be viewed solely for the purpose of education. By no means is this information replacing evaluation by a qualified health care provider. For detailed Terms and Conditions, as well the use of cookies by this website, please see the sections “Terms and Conditions” and “Privacy.”

 

For more information on Acupuncture and other complementary therapies visit Alternative, Complementary & Integrative Therapies: Acupuncture/Acupressure