The keto diet is a low-carb, high-fat diet that has gained popularity in recent years. While it may help with weight loss and improved blood sugar control, one of its unfortunate side effects is keto diarrhea. This condition is characterised by loose, watery stools and can be caused by several factors, including an increase in fat intake, a decrease in fibre intake, changes in gut bacteria, and the use of artificial sweeteners and sugar alcohols.
Keto diarrhea is not uncommon, as the high-fat content of the diet can be hard to digest, especially when consumed in large amounts. Additionally, the sudden lack of fibre from cutting down on carbohydrates can also lead to diarrhoea. The use of artificial sweeteners and sugar alcohols, which are commonly found in keto-friendly products, can further contribute to digestive issues.
While keto diarrhea tends to resolve with time, it is important to stay well-hydrated and consult a doctor if symptoms persist or become severe.
Characteristics | Values |
---|---|
What is keto slim 7? | A low-carbohydrate, high-fat diet that has gained popularity in recent years. |
How does it work? | By restricting carb intake, the body switches from burning glucose (sugar) to burning fat, including stored body fat and dietary fat. |
What is keto diarrhea? | Diarrhea that occurs due to the switch to the keto diet, ranging from looser bowel movements to full-on diarrhea. |
What causes keto diarrhea? | Increased fat intake, sugar alcohols, artificial sweeteners, changes in gut bacteria, and a sudden lack of fiber. |
How common is keto diarrhea? | It is a common side effect, but not everyone experiences it, and the severity and duration vary. |
Who is at higher risk for keto diarrhea? | People with gastrointestinal disorders, low tolerance to fat-rich foods or dairy, and those who rapidly transition to the keto diet. |
How long does keto diarrhea last? | It usually resolves within a week or two but can be longer if caused by changes in the gut microbiome. |
How to relieve keto diarrhea? | Increase fiber intake, drink more water and electrolytes, add insoluble fiber, and avoid artificial sweeteners and sugar alcohols. |
When to see a doctor? | If keto diarrhea is severe and lasts more than two days, or if you experience symptoms of dehydration. |
What You'll Learn
Keto diet's high fat content
Keto Diets: High-Fat Content
The keto diet is a low-carbohydrate, high-fat diet that has become increasingly popular in recent years. The basic idea behind the keto diet is to restrict carbohydrate intake so that the body switches from burning glucose (sugar) for energy to burning fat, including stored body fat and dietary fat. This shift in metabolism is known as ketosis.
The keto diet typically limits carbohydrates to 20-50 grams per day, with fat making up the bulk of calories—roughly 65% or more. For a 2,000-calorie diet, this amounts to about 144 grams of fat per day.
- Animal proteins such as fish, shellfish, meat, and poultry
- Dairy products like cheese, plain Greek yogurt, cottage cheese, cream, and half-and-half
- Plant-based milk such as soy, almond, and coconut milk (unsweetened)
- Green leafy vegetables
- High-fat vegetables like avocados and olives
- Nuts and seeds
- Dark chocolate and cocoa powder
- Unsweetened coffee and tea
- Unsweetened sparkling water
While the keto diet has gained popularity due to its potential benefits for weight loss and blood sugar control, it's important to note that it may have some drawbacks, including keto diarrhea. This condition is characterized by loose, watery stools and can be caused by an increase in fat intake, a decrease in fiber intake, and changes in gut bacteria.
To prevent and alleviate keto diarrhea, it is recommended to stay well-hydrated, include probiotic-rich foods in your diet, and consider adding insoluble fiber, like psyllium, to your meals. Additionally, it's important to note that not all fats are created equal, and some sources of fat may be healthier than others. Prioritizing plant-based fats and keeping saturated fat intake moderate can be beneficial.
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Lack of fibre
The keto diet is a low-carb, high-fat diet that has become increasingly popular in recent years. The basic idea is to restrict carb intake so that the body switches from burning glucose (sugar) for energy to burning fat, including stored body fat and dietary fat. This shift in metabolism is known as ketosis.
One common side effect of the keto diet is diarrhoea, which can be caused by a sudden lack of fibre. Fibre is important for healthy digestion, as it helps to bulk up stools and prevent diarrhoea. When following the keto diet, people typically eat fewer fruits, legumes, starchy foods, and grains, which are good sources of fibre. This decrease in fibre intake can lead to diarrhoea and other gut-related problems, such as changes to the gut microbiome and inflammation in the gut.
The keto diet can also cause constipation, which is often due to a lack of fibre in the diet. Fibre is crucial for gut motility and function, so when fibre intake is limited, digestive distress can occur.
To relieve diarrhoea caused by a lack of fibre on the keto diet, it is recommended to:
- Increase fibre intake with non-starchy vegetables that are low in carbs, such as greens, cucumber, broccoli, and cabbage.
- Take a probiotic supplement or increase the intake of probiotic-rich foods, such as yogurt, kefir, kimchi, and kombucha.
- Eat fermented foods, such as sauerkraut and kimchi, which can help improve digestion and reduce constipation or diarrhoea.
- Drink plenty of water and sugar-free electrolyte beverages to stay hydrated and replace lost fluids and electrolytes.
- Ease into the keto diet by slowly reducing carbs and increasing fats, rather than making a sudden change, to give the body time to adjust.
It is important to note that chronic diarrhoea can lead to health complications, such as vitamin deficiencies, muscle deterioration, and electrolyte imbalance. If diarrhoea persists or is severe, it is recommended to consult a doctor or healthcare professional.
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Artificial sweeteners and sugar alcohols
Sugar alcohols are not effectively absorbed in the gut and often reach the large intestine undigested, causing an unpleasant laxative effect. The most common sugar alcohols are xylitol, sorbitol, mannitol, maltitol, lactitol, and isomalt. These can cause gas, nausea, and diarrhea if consumed in large quantities.
Artificial sweeteners like sugar alcohols are harder to digest and can cause an upset stomach followed by diarrhea. If you are experiencing keto diarrhea, it is best to avoid products with these sweeteners and opt for natural sweeteners like stevia or monk fruit extract.
Additionally, sugar-free and low-carb products often contain sugar alcohols, which can be a trigger for keto diarrhea. It is best to limit the consumption of these products and opt for whole foods that are naturally keto-friendly, such as meats, healthy fats, and low-carb vegetables.
If you are experiencing diarrhea on the keto diet, it is important to stay hydrated and increase your intake of water and electrolytes. You can also try adding more fiber to your diet, especially soluble fiber, which helps to calm diarrhea by absorbing water. However, be cautious when increasing your fiber intake, as some high-fiber foods can also be high in carbs.
If diarrhea persists, it may be necessary to make further adjustments to your diet or consult a healthcare professional.
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Changes to gut microbiome
The keto diet can cause changes to the gut microbiome, which can lead to diarrhea. The diet's high fat content and low fiber content can be difficult for the body to adjust to, and this may result in malabsorption and diarrhea. Additionally, the reduction in carbohydrates can lead to a decrease in beneficial gut bacteria, such as Bifidobacteria species, which are fueled by fiber. This decrease in healthy bacteria can lead to an increased frequency of diarrhea and other negative side effects.
The keto diet has been shown to influence the gut microbiome, with studies indicating shifts in common gut microbial phyla Actinobacteria, Bacteroidetes, and Firmicutes. These changes may be due to the reduced consumption of carbohydrates and fiber, which are the primary fuel source for gut bacteria. The decrease in Bifidobacteria species was specifically linked to a reduction in carbohydrates rather than fat intake.
The impact of the keto diet on the gut microbiome may also be related to the production of ketone bodies, which are a byproduct of the body's altered metabolism when following a low-carb, high-fat diet. In a study conducted on mice, it was found that exposing the mouse gut to different components of human microbiomes adhering to ketogenic diets reduced the number of Th17 immune cells. Th17 immune cells are critical for fighting off infectious diseases but are also known to promote inflammation in autoimmune diseases.
The changes in the gut microbiome caused by the keto diet could potentially explain its effectiveness in treating epilepsy. In a study on mice, it was found that the anti-seizure benefits of the keto diet were linked to changes in the gut bacteria. When the gut bacteria of mice on a standard diet were replaced with bacteria associated with the keto diet, the second group of mice also became protected against seizures.
However, the long-term effects of the keto diet on the gut microbiome are still unclear, and more research is needed to fully understand the impact of this diet on gut health.
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Food allergies or intolerance
Food allergies and intolerances can have overlapping symptoms, including cramps, upset stomach, diarrhoea, skin rashes, and headaches. However, there are some key differences between the two.
Food allergies involve an inappropriate immune reaction to a seemingly harmless substance, as the body's immune system mistakes a food component as a threat and produces antibodies to fight it. Symptoms of food allergies can appear immediately after eating or several hours later, and can range from mild to severe. The most severe allergic reaction, anaphylactic shock, can be deadly and requires immediate medical attention. Food allergies are not limited to a certain amount of food consumed and can be triggered by even small amounts of the offending food.
Food intolerances, on the other hand, do not involve the body's immune system. They are adverse reactions to a food, likely originating in the gastrointestinal system, and are usually caused by a limited ability or inability to digest or absorb certain foods or their components. Symptoms of food intolerances usually begin about half an hour after eating or drinking the offending food, but may take up to 48 hours to appear. Food intolerances are dose-dependent, meaning that symptoms may not appear if only a small amount of the offending food is consumed.
Lactose intolerance is a common food intolerance, where people are unable to produce sufficient lactase, the enzyme needed to digest the sugar found in milk and dairy products. Other common food intolerances include histamine intolerance and non-celiac gluten intolerance.
While food allergies can be life-threatening, food intolerances are not. However, food intolerances can still cause significant discomfort and inconvenience. It is important to note that food allergies and intolerances can have similar symptoms, so it is always best to consult a doctor or healthcare professional for proper diagnosis and treatment.
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Frequently asked questions
Keto diarrhea is a common side effect of the keto diet, which is a low-carb, high-fat diet. It is characterised by loose, watery stools and can be caused by an increase in fat intake, a decrease in fibre intake, and changes in gut bacteria.
The keto diet can cause diarrhea because it is high in fat and low in carbs. Fat takes longer to break down in the body than carbs or protein, so when you suddenly start eating a lot more fat, your digestive system can struggle to keep up. This can lead to fat being malabsorbed and excreted in your stool, resulting in diarrhoea.
In addition to the high-fat content of the keto diet, artificial sweeteners and sugar alcohols, as well as changes to the gut microbiome, can also cause diarrhea. The keto diet can impact the composition of your gut bacteria, which can lead to poor digestion and diarrhoea.
To prevent keto diarrhea, it is recommended to add more fibre to your diet, drink more water and electrolytes, and avoid artificial sweeteners and sugar alcohols. If you are already experiencing keto diarrhea, you can try adding soluble fibre to your diet, drinking more fluids, and seeing a doctor if symptoms persist.
If your keto diarrhea is severe and lasts more than two days, or if you are experiencing any symptoms of dehydration, it is recommended to see a doctor right away. Chronic diarrhea can lead to health complications such as vitamin deficiencies, muscle deterioration, and electrolyte imbalance.