What is the BRAT diet and why is it unsafe? (2024)

The BRAT diet is a low-fibre, bland food diet that was once recommended by doctors in the US to treat an upset stomach. However, it is now believed that this diet has the potential to do more harm than good - and health organisations no longer recommend it.

What is the BRAT diet?

The BRAT diet stands for bananas, rice, applesauce, and toast. It was first developed in the 1920s. Until recently, it was a a popular recommendation by American doctors for treating children with upset stomachs - a general term that describes a painful or uncomfortable stomach that's often caused by indigestion - or problems with your digestive tract.

Now, experts believe that this diet is too restrictive and lacks nutrients.

But why this seemingly random combination of foods? The idea of the BRAT diet is that these foods are gentle on the stomach. "The foods in this diet were previously thought to be simple, plain and bland foods which are easy to digest," explains Kirsten Jackson, a consultant dietitian at The Food Treatment Clinic and British Dietetic Association (BDA) member.

According to the National Institutes of Health (NIH), bland foods are1:

  • Easily digestible.
  • Soft in consistency.
  • Low-fibre.
  • Cooked.
  • Non-spicy.

Experts believed that people with upset stomach illnesses could benefit from a diet consisting solely of bland BRAT diet foods that:

  • Are gentle on your stomach - They are low in protein and fat, two nutrients which can be more difficult to digest when you have a stomach illness.
  • Make your poo firmer - They are low in fibre and are starchy which can help runny poos to bind together more easily2.
  • May reduce nausea - They are relatively bland in taste and smell. Certain people, like those experiencing pregnancy sickness, may find this more tolerable.

Despite the four foods in its name, the BRAT diet can include other bland food options.

BRAT diet food list for adults and children

What is the BRAT diet and why is it unsafe? (1)

When would the BRAT diet be recommended?

"The BRAT diet was recommended when someone was having digestive problems or symptoms," says Jackson. This includes using this low-fibre diet for an upset stomach.

Other stomach-related issues:

  • BRAT diet for stomach flu (gastroenteritis) - Despite being commonly called "stomach flu" this illness is not actually caused by the influenza virus but by various stomach bugs. This can cause pain, vomiting, and diarrhoea.
  • BRAT diet for diarrhoea - Loose, frequent, and unpredictable bowel movements can have a number of causes, including stomach flu, viral infections, anxiety, and drinking too much alcohol..
  • BRAT diet for acid reflux - Stomach acid rises up into the gullet (oesophagus) causing a burning sensation. This might occur when you eat too many high-fat or acidic foods or drink too much alcohol.

Limited evidence

There are no high-quality clinical trials on the effects of the BRAT diet. Instead, the basis for this low-fibre diet is founded on the research of specific bland foods. For example, there's evidence that both banana3 and rice soup4 can help to treat diarrhoea in children.

It follows that there is little to no research into how long you should follow the BRAT diet. Informal guidelines suggest re-introducing your regular diet after around 24 hours. It has never been recommended for prolonged or long-term use.

What is the BRAT diet and why is it unsafe? (2)

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Why is the BRAT diet now considered too risky?

Too restrictive

Experts no longer recommend the BRAT diet for adults and children: "It is extremely restrictive so would lead to nutritional deficiencies," says Jackson.

In other words, the range of nutrients in BRAT diet foods are too limited. Not only can this slow your recovery from stomach illness, but it might also cause other serious health issues related to malnutrition. In extreme cases, there is some evidence that the diet can even result in severe malnutrition in young children5.

Even though bananas and rice are healthy foods, following a diet containing only those foods can affect your body in a negative way. In fact, a lack of nutrients can make diarrhoea worse, and this illness can also make it harder to absorb nutrients in your diet.

As a result, health organisations no longer recommend the BRAT diet, including the American Academy of Pediatrics (AAP) and Centers for Disease Control and Prevention (CDC).

Contain FODMAPs

"We also now know that foods like apple, bread, and bananas contain FODMAPs," adds Jackson. "These are types of carbohydrates which are broken down in the large bowel, causing more gas to be produced and more fluid to be drawn in. In people with digestive problems, this can cause symptoms of pain, bloating, and runny poos."

Better and safer ways to recover from stomach illness

When it comes to eating during stomach problems, the current medical advice is to continue consuming a balanced diet. It's also very important that you drink enough water to prevent dehydration, especially if you have vomiting or diarrhoea symptoms.

You can usually treat stomach-related symptoms at home

What is the BRAT diet and why is it unsafe? (7)

Your pharmacist can suggest further treatment options if symptoms of diarrhoea continue beyond 5-7 days and vomiting beyond 1-2 days. You should also seek their advice if you notice signs of dehydration, such as urine that's dark in colour and strong in smell.

They may recommend:

  • Powders that you mix with liquid that can help to rehydrate you.
  • Medicine that stops diarrhoea for a few hours.

Stomach bugs and viruses that can cause common upset stomach symptoms like diarrhoea, vomiting, and pain can be very contagious. You or your child should stay at home and avoid going into work or school for 48 hours after the symptoms have cleared.

Further reading

  1. Weir and Akhondi: Bland diet.
  2. Ho et al: Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms.
  3. Falcomer et al: Health benefits of green banana consumption: a systematic review.
  4. Kianmehr et al: The effect of G-ORS along with rice soup in the treatment of acute diarrhea in children: a single-blind randomized controlled trial.
  5. Duro and Duggan: The BRAT diet for acute diarrhea in children: should it be used?
What is the BRAT diet and why is it unsafe? (2024)

FAQs

What is the BRAT diet and why? ›

“The BRAT diet acronym stands for bananas, rice, applesauce and toast,” says Lena Beal, M.S., RD, LD, a Piedmont therapeutic dietitian. “Historically, it was used in pediatrics when kids got sick and couldn't tolerate anything. But this diet is helpful for anyone who has nausea, vomiting or diarrhea.”

Why is the BRAT diet not recommended anymore? ›

The banana, rice, applesauce, and toast (BRAT) diet may help treat diarrhea, stomach flu, and other stomach complaints. However, many health professionals no longer recommend it due to the risk of nutrient and calorie deficiencies.

Is the BRAT diet no longer recommended AAP? ›

This bland diet involved eating bananas, rice, applesauce and toast, which is where the name comes from. Although this diet was the gold standard for many years, the American Academy of Pediatrics (AAP) and our Plano pediatricians no longer recommend this diet exclusively.

Can you put peanut butter on toast for a BRAT diet? ›

Peanut butter could be added to the BRAT diet in small amounts. It's easily digested. But a lot of it might cause belly discomfort because it's high in fat.

Can I put butter on my toast for a BRAT diet? ›

Toast is another easily digested, low fiber food that will help to firm up your stool. For added nutrition, you should feel free to spread jam on your toast if you can stomach it. You will probably want to avoid butter and peanut butter, as they are high in fat, which is hard on your stomach.

Is chicken noodle soup ok for a BRAT diet? ›

Clear Liquid/ Bland Diet

Both children and adults need to drink plenty of fluids while they're sick to prevent dehydration. Water is good, but adding broth, a sports drink, or a rehydration solution such as Pedialyte can help replace lost electrolytes. Broth or broth-based soups (chicken noodle, vegetable, etc.)

Is peanut butter toast good for diarrhea? ›

Think options rich in simple carbs, like toast or crackers, which can soothe your bubbly bowels. Just make sure to keep it simple: Even if you normally eat toast with butter or crackers with peanut butter or drizzled with hot sauce, you may want to stick to plain while your gut's in overdrive.

What 12 foods stop diarrhea? ›

One of the most familiar anti-diarrhea strategies is the BRAT diet (which stands for bananas, rice, applesauce, and toast). But there are other foods that are just as useful, including soft-cooked eggs, low-fat yogurt, clear broths, plain pasta, and saline crackers.

Is applesauce ok for diarrhea? ›

Applesauce: Unlike whole, raw apples, applesauce is broken down into an easy-to-digest form, which is a good choice for people with diarrhea.

Are eggs ok on the BRAT diet? ›

Progress to a “regular” diet by adding such things as soft cooked eggs, sherbert, stewed fruits, cooked vegetables, white meat of chicken or turkey. Avoid milk and dairy products for three days. Avoid fried, fatty, greasy and spicy foods. Avoid pork, veal, salmon and sardines.

Is jello good for diarrhea? ›

For Nausea, Vomiting and Diarrhea:

Start with small amounts of clear liquids, such as water, ice, popsicles, sports drinks, clear broth or Jell-O for the first 24 hours.

Is apple juice good for diarrhea? ›

Try a clear liquid diet— water, weak tea, apple juice, clear broth, frozen pops, or plain gelatin — as soon as diarrhea starts or you feel it's going to start. Clear liquids keep the bowels from working too hard and help prevent irritation. Eat small, frequent meals. Your body may find smaller amounts easier to digest.

Is cheese OK on BRAT diet? ›

Aside from the basics of bananas, rice, applesauce, and toast, and potentially the other bland foods mentioned, the BRAT diet pretty much excludes every other food. Foods to avoid on the BRAT diet include the following: Meat, poultry, fish, and other forms of protein. Milk, cheese, yogurt, and other dairy.

Are potatoes OK on BRAT diet? ›

You can add other bland foods to the BRAT diet. For example, you can try saltine crackers, plain potatoes, or clear soup broths. Don't start eating dairy products, sugary, or fatty foods right away. These foods may trigger nausea or lead to more diarrhea.

Is cinnamon applesauce good for an upset stomach? ›

Here's how it works: Mix 1 teaspoon carob powder or cinnamon powder with 1/2 cup applesauce (use half this amount for children). Cinnamon has antimicrobial, demulcent (soothing), and astringent (tissue-tightening) properties to help fight infections, tighten tissue, and stop diarrhea.

What has replaced the BRAT diet? ›

Recent research. The use of cereals, rice and milk as a stop-gap eating plan for stomach upset has been validated as a more effective remedy to manage diarrhea than the BRAT diet by recent research in hospitals in South America and Asia.

Are scrambled eggs on the BRAT diet? ›

Beverages should be clear liquids ( Sprite, 7-Up, Tea, Ginger Ale ). NO DAIRY PRODUCTS. Follow this diet until diarrhea subsides for 24 hours. You may then gradually add soft, bland foods ( Scrambled eggs, noodles, mashed potatoes ) as tolerated.

What causes explosive diarrhea after eating? ›

Diarrhea after eating can stem from various causes, including foodborne illnesses, food intolerances, allergies, as well as underlying conditions like irritable bowel syndrome (IBS), Crohn's disease, or ulcerative colitis.

What foods do you eat on the BRAT diet? ›

The BRAT (bananas, rice, apples, toast) diet is often recommended for patients suffering from diarrhea or the stomach flu. In addition to these foods, you may also consume other mild foods that ease the GI tract such as saltines, oatmeal, or boiled potatoes.

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