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: Symptoms, Causes and Treatment Strategies

Musculoskeletal Health with Dr D. 

Back Strain: Symptoms, Causes and Treatment Strategies

Back strain is probably the most common form of acute back pain. It affects the muscles and their tendons which attach them to various structures in the back. In general, muscle strain refers to a small tear in the muscle or its tendon. Most muscle strains tend to develop in the lower back area where the muscle changes into the tendon, but they can develop anywhere.

Symptoms

A strain of the back muscles mostly causes localized pain in the area of the muscle/tendon injury accompanied by stiffness, limited range of motion and difficulties maintaining straight posture. Timing is very important when it comes to muscle strain.

 

Most muscle strains usually happen while lifting something very heavy or doing a sudden movement. Many individuals experiencing back pain due to muscle strain may feel a popping sensation at the moment of the injury which usually prompts them to seek medical attention.

 

They may have difficulties straightening their back up after the onset of the pain and usually maintain a semi bent position to avoid severe pain. That is not to say that muscle strain cannot come gradually. Even in this case, however, the individual can usually remember the moment when he felt sudden uncomfortable pain in the back which became progressively worse with activities.

Most individuals will also complain of muscle cramps in the area of their lower back. Additionally, coughing and sneezing usually brings on bouts of severe pain during acute back strain. The back muscles which tend to be the most affected by muscle strain are those right next to the spine.

 

Frequently, however, the pain can also be felt around the base of the spine and in the buttock area. Occasionally, pain may radiate into the buttocks. Under normal circumstances, pain due to back strain does not radiate down to the legs.

 

Pain radiating down to the legs is usually associated with nerve compression, but it is also frequently seen as a result of trigger points in the gluteal (buttock) muscles.  Back strain is not a serious condition and most individuals with acute back strain recover spontaneously within 1 to 2 weeks.

Causes

When muscle strain is caused by a sudden movement, it is generally a result of preexisting tightness in the back muscles which has developed over a period of time. Tight muscles are less flexible. Decreased flexibility results in limited ability to respond to sudden demands for muscle extension beyond the normal daily activity.

 

Therefore when the muscle is required to suddenly extend beyond its limits, such as when catching a falling object or catching ourselves from falling down, a strain can develop in the muscle or the tendon. To prevent further injury, the body triggers protective mechanism which manifests as muscle spasm.

 

The final outcome is stiffness and significantly limited range of motion with great amount of pain when trying to move in any direction.

Back strain can, however, develop also due to muscle overuse. In this case, the muscles and/or their tendons become strained due to repetitive movements in absence of sufficient time for recovery and repair.

 

Activities involving excessive forward bending of the spine constitute one of the most common misuses of the back leading to increased vulnerability to a variety of injuries. The forward bend position stretches the muscles and tendons of the back to a point where very little control can be exercised over the spine’s position.

 

Therefore lifting objects in forward bend positions can easily strain these muscles and their tendons. Additionally, forward bend position creates an uneven pressure on the spinal discs making them significantly more prone to injury.

 

Poor posture

Poor posture is one of the main underlying causes for the development of back strain. It generally refers to either too large or too small curvature in the area of the lower back. Over a period of time, poor posture leads to muscle imbalance and strain of the muscles/tendons in the back.

 

Spending extensive period of time in uneven position such as being twisted sideways or bent forward, also puts great stress on the spinal discs predisposing them to injury.

 

Poor physical fitness

poor physical fitness, excessive weight, sedentary lifestyle and lack of flexibility are also among the leading factors predisposing individuals to back strain. The result is poorly conditioned back muscles that lack sufficient strength and endurance to respond to increased physical demand when called upon.

 

This is why sudden unexpected movement, or performance of new repetitive task requiring the use of back muscles, easily result in back strain.

 

More information is available on this page.

Summary

Main Symptoms

Sudden onset

Localized pain  & stiffness

Limited range of motion

Difficulties maintaining straight posture

Muscle cramp in the area of the lower back

Causes

Sudden movement

Tight muscles and lack of flexibility

Muscle overuse

Activities involving excessive forward bending of the spine

Lifting objects in forward bend position

Poor posture

Working in uneven position - twisted sideways or bent forward

Poor physical fitness,

Excessive weight

Sedentary lifestyle


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