Keto Workouts: Stomach Pain Causes And Fixes

why does my stomach start hurting while working out keto

Stomach pain is a common side effect of the keto diet, often referred to as the keto flu. This occurs when the body is deprived of carbohydrates and forced to burn fat for energy instead. The transition to burning fat for energy is called ketosis, and it can cause dehydration, which may lead to stomach pain, headaches, and fatigue. In addition, the keto diet can cause bloating, especially during the initial stage, due to a gut flora imbalance, increased MCT oil consumption, and dietary changes. To alleviate stomach pain, it is recommended to stay hydrated, increase salt and fat intake, and slowly introduce high-fibre foods.

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Dehydration

The keto diet also lowers insulin levels, which can lead to water retention and the release of excess fluid from the body. This further contributes to dehydration.

Signs of dehydration include:

  • Increased thirst
  • Dark-colored urine
  • Fatigue
  • Muscle cramps
  • Headaches
  • Constipation
  • Stomach pain

To combat dehydration, it is important to drink plenty of water and stay hydrated. This is especially important during the initial transition phase to a keto diet, known as the "keto flu," which can last from a few days to several weeks.

In addition to water, it is also important to replace electrolytes, as the keto diet can lead to electrolyte loss. Electrolytes such as calcium, magnesium, potassium, and sodium are important for maintaining proper fluid balance and preventing muscle cramps and spasms.

It is also recommended to increase your intake of healthy fats and salt, as these can help with hydration and replacing lost fluids.

By addressing dehydration and ensuring adequate fluid intake, you can help alleviate stomach pain and other symptoms associated with the keto diet.

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Lack of electrolytes

When you start a keto diet, you may experience a loss of electrolytes, which can lead to stomach pain. Electrolytes are essential minerals, including calcium, magnesium, potassium, and sodium, that help regulate nerve and muscle function. A well-formulated keto diet typically includes around 1.5 g of protein per kilogram of body weight. However, it restricts many foods high in potassium, such as fruits, beans, and starchy vegetables.

To ensure you're getting enough electrolytes, focus on consuming a balanced diet that includes potassium-rich, keto-friendly foods. Green leafy vegetables and avocados are excellent sources of potassium and magnesium. Additionally, salting your food to taste can help increase your sodium intake.

It's important to note that the keto diet's restriction of carbohydrates can also contribute to electrolyte imbalances. Carbohydrates provide the body with energy in the form of glucose. When you drastically reduce your carb intake, your body switches to burning ketones from fat for energy. This shift can lead to a decrease in insulin levels, which can affect the body's electrolyte balance.

If you're experiencing stomach pain while on a keto diet, addressing your electrolyte intake may help alleviate your discomfort. Consult with a healthcare professional or a registered dietitian to ensure you're getting adequate electrolytes and maintaining a balanced diet. They may recommend supplements or suggest specific food choices to support your electrolyte needs.

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Excess dietary fat

The transition to burning fat for energy can cause stomach pain for several reasons. Firstly, the liver needs to produce more bile to break down the increased dietary fat. Bile is a natural laxative, so an excess can cause diarrhea. Secondly, the body may struggle to adjust to the high-fat content, leading to gastrointestinal issues such as nausea and bloating.

To alleviate these issues, it is recommended to start slowly and work your way up when it comes to increasing fat consumption. This gives the body time to adapt and build up the capacity to break down larger amounts of fat. Additionally, it is important to prioritize high-quality fats and avoid low-quality fats, as the latter can contribute to stomach pain.

Furthermore, dehydration can be a factor in stomach pain when consuming excess dietary fat on a keto diet. The transition to ketosis involves moving from storing glycogen and carbohydrates (which bind to water) to burning fat and ketones. This shift can lead to a significant loss of water and electrolytes, causing dehydration. Dehydration can result in a range of symptoms, including stomach pain, headaches, and lethargy. To counteract this, it is crucial to increase water intake and ensure adequate hydration.

In summary, when experiencing stomach pain while working out on a keto diet, it is important to consider the role of excess dietary fat. Starting slowly, choosing high-quality fats, and staying hydrated can help alleviate stomach pain associated with the transition to a high-fat, low-carbohydrate diet.

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High protein and low stomach acid

The keto diet is a high-fat, high-protein, and low-carbohydrate diet. It involves restricting your daily carb intake to around 20 to 50 grams, which causes your body to enter a state of ketosis. In this state, your body burns fat for fuel instead of carbohydrates. While the keto diet is considered safe for most people, it is associated with some unpleasant side effects, often referred to as the "keto flu." These side effects include fatigue, muscle cramps, and stomach discomfort, which is typically caused by dehydration.

Now, let's discuss the relationship between high protein intake and low stomach acid:

High-protein diets, such as the keto diet, can be hard on your digestive system, especially if you have low stomach acid. Low stomach acid, also known as hypochlorhydria, is a condition where the stomach does not produce enough hydrochloric acid (HCI) to maintain a strong acidic environment. This acid plays a crucial role in breaking down food, especially proteins, and absorbing essential nutrients like vitamin B12, iron, calcium, and magnesium.

When you consume a high-protein meal, your stomach needs to produce an adequate amount of hydrochloric acid to break down the protein efficiently. If you have low stomach acid, your body may struggle to digest the protein properly, leading to a range of digestive issues. This can result in symptoms such as bloating, belching, and a feeling of fullness soon after eating. In the long term, low stomach acid can lead to nutritional deficiencies and an increased risk of intestinal infections.

To improve digestion and alleviate symptoms associated with low stomach acid, you can try the following:

  • Hydrochloric Acid (HCl) Supplements: HCl supplements can help increase stomach acid levels and improve digestion. However, it is important to consult your healthcare provider before taking any supplements, as the underlying cause of low stomach acid should also be addressed.
  • Eat Protein First: Starting your meal with protein can help stimulate acid production and improve digestion.
  • Drink Fluids Later: Avoid drinking fluids with your meal or immediately after. Instead, wait for at least 30 minutes after finishing your meal to give your stomach time to produce acid and metabolize proteins effectively.
  • Probiotic-Rich Foods: Consume foods like yogurt, miso, and sauerkraut, which are rich in probiotics. Probiotics help boost the population of good gut bacteria, supporting digestion and keeping harmful bacteria in check.
  • Zinc-Rich Foods or Supplements: Zinc is essential for the production of hydrochloric acid. Include zinc-rich foods in your diet, such as nuts, seeds, and fortified breakfast cereals, or consider taking zinc supplements after consulting your healthcare provider.
  • Ginger: Ginger has anti-inflammatory properties and is commonly used to relieve nausea, stomach pain, and indigestion. While there is limited scientific evidence, ginger may help stimulate the production of digestive enzymes and improve digestion.

It is important to note that the above suggestions are general guidelines, and individual experiences may vary. Always consult your healthcare provider before making significant dietary changes or taking any new supplements, especially if you have any underlying health conditions.

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Gut flora imbalance

The food we eat influences the composition of our gut microbiome, so it's no surprise that a strict diet like keto might affect our gut bacteria. Research shows that the keto diet does influence gut bacteria, but it's less clear what these changes mean for our health. Some changes may be beneficial for weight loss or controlling blood sugar. However, scientists don't know the long-term effects of these gut microbiome changes.

The keto diet can cause a decrease in beneficial Bifidobacteria species in the gut, which are linked to improved gut health. This decrease is likely due to reduced fibre intake, which fuels gut bacteria. The keto diet has also been linked to an increase in Desulfovibrio, which is associated with inflammatory bowel disease.

Some people find that their gut issues improve on the keto diet, while others experience continued symptoms. It's important to note that everyone's gut microbiome is unique, and the keto diet may affect people differently. If you're experiencing gut issues on the keto diet, it may be helpful to work with a healthcare professional to find a diet that supports your gut health.

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Frequently asked questions

There are several reasons why your stomach may hurt when working out on a keto diet. One reason could be dehydration, as the keto diet can cause a rapid loss of water weight. In addition, the keto diet can lead to an electrolyte imbalance, which can cause muscle cramps and stomach pain. Furthermore, consuming too much fat or protein too quickly can also lead to stomach pain as your body may not be able to handle the load.

To prevent stomach pain, it is important to stay hydrated and replace lost electrolytes. In addition, start slowly when introducing new foods and increase your intake gradually. This will help your body adjust to the diet and reduce stomach pain.

The keto diet can also cause constipation, headaches, fatigue, and sugar cravings. These side effects are often referred to as the "keto flu" and usually last for a few days to a few weeks. However, if symptoms persist or become severe, it is important to consult a doctor.

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