The ketogenic diet is a popular, low-carbohydrate method of eating that can lead to weight loss, heart health, mental clarity, and clear skin. However, it can also cause some unpleasant side effects, including gastrointestinal issues. One common issue is keto poop, which can manifest as constipation or diarrhea. In rare cases, it can also cause steatorrhea, a condition where there is too much fat in the stool, leading to sticky poop that remains on the toilet bowl after flushing. This occurs when the body doesn't digest all the fat that it is consuming, resulting in an upset stomach and urgent bowel movements. While keto poop is usually temporary, it can be unpleasant and stressful for those experiencing it.
Characteristics | Values |
---|---|
Occurrence | Temporary, usually occurs when starting keto |
Cause | The body is adapting to a new low-fat, high-carb diet |
Solutions | Drinking more water, eating more vegetables, taking supplements (lipase, digestive enzymes, or electrolytes) |
Concerns | If symptoms persist longer than a few days, consult a doctor |
What You'll Learn
Keto can cause constipation
The ketogenic diet is a low-carbohydrate method of eating that can lead to gastrointestinal issues, including constipation. Constipation is a common side effect of starting keto, and there are several reasons why this might happen.
Firstly, the keto diet often involves cutting out high-fibre foods such as whole grains, higher-carb vegetables, legumes, and beans. Fibre is essential for adding bulk to stools and keeping things moving regularly. When you don't get enough fibre, you can become constipated.
Secondly, dehydration can be a factor. When you start keto, you can lose a lot of water weight, and if you don't replace this water, it can lead to constipation. Dry and hard stools are a sign of dehydration.
Thirdly, an imbalance of electrolytes can contribute to constipation. When you stop eating carbs, your kidneys start to expel sodium, magnesium, and potassium instead of holding onto them. These electrolytes are important for pulling water into your intestines, which softens stools and makes them easier to pass.
To combat constipation on the keto diet, it is recommended to eat more low-carb, high-fibre vegetables such as broccoli, cauliflower, bok choy, kale, and berries. Drinking plenty of water is also important to stay hydrated. To improve your electrolyte balance, make sure to salt your food, eat plenty of vegetables, and consider taking a magnesium supplement.
Constipation on the keto diet is usually temporary, and by making these adjustments, you can help regulate your digestion. However, if constipation persists or is causing pain or discomfort, it is important to consult a doctor.
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Diarrhea is also a common side effect
To manage keto diarrhea, it is recommended to take lipase, an enzyme that breaks down fats, during the first week of the diet. Increasing fiber intake by consuming more low-carb vegetables can also help regulate digestion. Additionally, if using medium-chain triglycerides (MCTs) for energy and ketone production, it is advised to start with small amounts and gradually increase the dosage, as MCTs can cause urgent diarrhea in large quantities.
If diarrhea persists for more than a few days, it is recommended to consult a doctor and consider reverting to a previous diet. Chronic diarrhea may indicate steatorrhea, which is when there is too much fat in the stool and can lead to malabsorption, nutrient deficiency, or dehydration.
While the keto diet offers various benefits, such as weight loss and improved heart health, it is important to monitor any digestive issues and make adjustments as needed. For some individuals, the side effects of keto may outweigh the benefits, and it may not be the best diet choice, especially for those with chronic conditions like IBS.
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Poop may be yellow or smelly
The colour and smell of your poop can be indicative of your health. Yellow or foul-smelling stool is a side effect of a low-carb, high-fat, high-protein diet, such as keto. According to the Mayo Clinic, this is due to excess fat in your stool.
While yellow or foul-smelling poop is not dangerous, it does indicate that your intestines are not absorbing enough nutrients or your liver is not producing enough bile to break down the fat in your diet. If your poop does not return to a normal colour after a few days, it is recommended that you consult a doctor.
Anecdotally, some people on the keto diet have reported more pungent bowel movements. This is because eating a lot of high-fat foods makes stool move more slowly through the gastrointestinal tract. As a result, the stool sits in your system for longer and can putrefy more easily, especially if you are eating lots of protein.
If you are experiencing constipation, it is important to stay hydrated. Dehydration is one of the biggest contributors to constipation. Drinking water doesn't have to be excessive, but it is important to pay attention to your body's signals of dehydration, such as headaches, fatigue, dark or smelly urine, and thirst.
To summarise, yellow or smelly poop on the keto diet is usually not a cause for concern, but if it persists for more than a few days, it is recommended to consult a doctor.
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Dehydration and lack of fibre can cause constipation
Constipation is a common side effect of starting a keto diet, and it can be caused by a few different factors, including dehydration and a lack of fibre in the diet.
When you start a keto diet, you often cut out a lot of high-fibre foods like whole grains, higher-carb veggies, legumes, and beans. As a result, you may end up deficient in fibre. Fibre adds bulk to your stool and helps keep your bowel movements regular. So, when you don't get enough of it, you can become constipated.
One way to combat this is to increase your intake of low-carb, high-fibre foods like avocados (about 10 grams of fibre per cup), raspberries (about 8 grams per cup), broccoli, cauliflower, bok choy, fennel, kale, collards, and cabbage.
Dehydration is another common contributor to constipation. When you start a keto diet, you can lose a lot of water weight initially, and if you don't replace this water, it can lead to constipation. Dry and hard stools are a sign of dehydration, and increasing your water intake can help alleviate this issue.
Additionally, a very low-carb diet can change the way your body handles electrolytes, leading to deficiencies or imbalances. Electrolytes like sodium, potassium, and magnesium are important for muscle contraction, including those that help move food through your gut. Consuming more foods and fluids high in electrolytes can help minimize constipation.
So, if you're experiencing constipation on a keto diet, make sure you're staying hydrated, getting enough electrolytes, and consuming enough fibre through low-carb, high-fibre foods.
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Electrolyte imbalance can cause constipation
Electrolytes are certain nutrients or chemicals that play a crucial role in our body's functioning, from regulating heartbeat to allowing muscles to contract so we can move. An imbalance in these electrolytes can cause a variety of serious symptoms, including digestive issues like constipation.
Electrolytes are certain nutrients or chemicals present in our bodies that have many important functions, such as regulating heartbeat and allowing muscles to contract so we can move. They get their name from the fact that they carry an electric charge when dissolved in water, and this electric charge is essential for nerve reactions and the transmission of signals from one nerve to another.
An electrolyte imbalance can be caused by various factors, including short-term illnesses, medications, dehydration, and underlying chronic disorders. Some common causes include fluid loss due to vomiting, diarrhea, sweating, or high fever; a poor diet low in essential nutrients; trouble absorbing nutrients due to intestinal issues; hormonal imbalances; and certain medications.
The major electrolytes in our bodies include calcium, magnesium, potassium, sodium, phosphate, and chloride, and they all have specific roles in maintaining bodily functions. For example, potassium helps keep blood pressure stable and regulates heart contractions, while magnesium is needed for proper heart rhythms, nerve functioning, and digestion. An imbalance in these electrolytes can lead to constipation in the following ways:
- Low potassium can cause constipation as it affects the contraction of intestinal muscles.
- Low magnesium is associated with low potassium and can, therefore, contribute to constipation.
- Low calcium is not a direct cause of constipation, but it is often accompanied by low magnesium levels, which can lead to constipation.
- High calcium levels, on the other hand, can lead to constipation, as well as bone fractures, kidney stones, vomiting, and fatigue.
If you suspect an electrolyte imbalance, it is important to identify the underlying cause. This could be due to a poor diet high in processed foods or a lack of certain electrolytes like magnesium or potassium. Here are some ways to address an electrolyte imbalance:
- Focus on a diet rich in whole, unpackaged foods, especially leafy greens, cruciferous vegetables, starchy vegetables, bananas, and avocados, which provide potassium and magnesium.
- Monitor your sodium intake, as too much sodium can lead to water retention and complications with balancing other electrolytes.
- Drink enough water to prevent dehydration and restore electrolytes. The amount of water needed varies depending on factors such as diet, age, physical activity level, and body size.
- Check your medications, as antibiotics, diuretics, hormonal pills, blood pressure medications, and cancer treatments can impact electrolyte levels.
- Refuel with electrolytes after exercise, as they are essential for rehydration and replenishing electrolyte stores.
- Consider taking supplements like magnesium, which can help replenish stores and prevent magnesium deficiency, which can contribute to anxiety, trouble sleeping, and muscle cramps.
In summary, an electrolyte imbalance can cause constipation due to the essential roles that electrolytes play in our body's functioning, including nerve signaling and muscle contractions. Addressing the underlying causes of the imbalance and making dietary and lifestyle changes can help alleviate constipation and improve overall health.
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Frequently asked questions
Keto is a low-carbohydrate, high-fat/protein diet.
Keto can cause constipation or diarrhoea, especially when transitioning from a low-fat, high-carb diet. This is due to a sudden change in the frequency of bowel habits, a lack of fibre, dehydration, and an electrolyte imbalance.
Drink plenty of water, eat more vegetables, and increase your intake of electrolytes such as sodium, potassium, and magnesium.
Introduce the diet slowly, eat more low-carb vegetables, and consider taking a lipase supplement to aid in fat digestion.
Yes, other possible side effects of keto include strange cravings, bad breath, kidney stones, and changes in the colour and smell of your poop.