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Home ▸ Blog ▸ The Most Important Thing to Feed Your Child When They Are Sick
Child Feeding
Child Feeding Nutrition Toddlers


THE MOST IMPORTANT THING TO FEED YOUR CHILD WHEN THEY ARE SICK

March 2019

Author:

Jennifer Anderson, MSPH, RDN

About Kids Eat in Color

Created by experts, Kids Eat in Color is the leading resource for families
seeking evidence-based information and strategies on child nutrition and
feeding.

As an Amazon Associate, Kids Eat in Color® earns from qualifying purchases made
through affiliate links.

Author:

Jennifer Anderson, MSPH, RDN

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I’ve lived through 2 kids in daycare. It was fun!

Okay, I’m lying. They were sick all the time! And they were even in a really
tiny daycare. I also grew up in a big family. Which, means, I was sick all the
time as a kid too!

Whether you’re dealing with sick kids from daycare, sick kids from school, or
sick kids from licking the airport floor (I’ve been there too), it’s hard to
watch our babies be so sick.

It’s also hard to know what to feed sick kids. Every culture has its own way of
feeding kids when they are sick. Different doctors may prescribe different
diets. Plus, it really depends what they are sick with. Do they have a fever?
Are they throwing up? Diarrhea fun anyone? What foods even stop diarrhea??

Basically, real healthy food will help your child recover the quickest. I don’t
feed my kids “whatever” just to get them to eat when they are sick. I continue
to make the same food I would normally make, but I include more hydrating foods.
I also don’t pressure them to eat. I stick with the same no-pressure rule that I
always have.

Keep reading for more information about how and what to feed a sick kid.




HYDRATION

This. This is it. I could probably stop right here. No matter if your child has
a fever, a cold, diarrhea, or the stomach flu, hydration is the most important
thing for kids and toddlers when they are sick.

Dehydration can be serious. If you think your child is dehydrated, call your
pediatrician or visit a care provider right away. And of course, call your
doctor if your child has a high fever, extended diarrhea or vomiting, or any
other extended illness. A few signs of dehydration include:

 * Reduced urine
 * No tears
 * Sunken Cheeks
 * Lightheadedness

Let’s try to get as much fluid into the child (and keep it there) to avoid
dehydration.




FRUITS & VEGGIES

If my child has a fever and can still eat, I provide as many water-filled fruits
and veggies as I can. Even if your kids aren’t drinking water, they may be able
to eat food that has a lot of water in it. Think:

 * Watermelon
 * Cucumber
 * Mango
 * Oranges/clementines
 * Pomegranate
 * Kiwi
 * Strawberries

You get the idea. If you need more ideas, the Veggie Exposure Shopping List has
a lot more.

If your kiddo has the stomach flu, fruits and veggies probably aren’t a good
idea. If they have diarrhea, offering a ton of fruit isn’t a good idea either,
better to offer fruits that don’t contribute to diarrhea (more on diarrhea diets
below).




DRINKS

Obviously, if they aren’t eating, drinks are the next thing. If your child is
still breastfeeding, giving breastmilk as often as possible is a great source of
hydration.

A light cool chamomile tea or other non-caffeinated tea with a bit of honey
(after age 1) is an option.

I don’t serve juice in the house regularly, but I keep a case of juice boxes
on-hand for fevers. I pick a juice box that is primarily water with maybe 25-30%
juice. Sometimes my kids just won’t drink water at all. In that case, I bring
out the juice boxes.

The risk of dehydration far far far outweighs the risk of added sugars in a
juice box. I’ve tried flavored waters (with no added juice) for my kids during
fevers. They won’t drink them, unfortunately. They are worth a shot though, with
your kids.

If the child is vomiting or has diarrhea, I go easy on juice boxes. The fructose
from the fruit may make diarrhea worse and the acid from apple, citrus or other
juices, may make kids more likely to throw up (although you can try with tiny
amounts).



In those cases, or in the case that my children are rejecting juice, I go for an
electrolyte replacement drink. There are many of these “sports drinks” and
“electrolyte drinks” out there. Are they okay for kids?

First, a note on sports drinks. Many contain dyes and additives that are
unhelpful or even dangerous for small kids. Make sure you avoid anything with
added caffeine, supplements, or any herbs. It’s also smart to avoid synthetic
dyes in these drinks. They do cause hyperactivity in some kids (not all kids),
and may have other health consequences over time.

You can make your own inexpensive oral rehydration solution using the World
Health Organization updated recipe. It is just as effective as expensive
rehydration drinks and doesn’t contain any unhelpful ingredients and no dyes.

½ teaspoon salt
6 teaspoons sugar
1 liter water

That’s it! Shake it up and enjoy. Or, like my kids, spit it out. I think it
tastes okay, and it’s saved the lives of millions of kids around the world. My
kids don’t go for it though. I do always try it first, however, because the day
they accept it is the day my life gets a lot easier!



Other fluid options:

 * Coconut water
 * Pedialyte
 * Chicken broth or bone broth
 * Water-based ice pops
 * Homemade juice ice pops
 * Ice chips
 * Congee (rice water)

I will also add, I’ve definitely run over to the local convenience store and
bought a dye-laden “ade” in a fancy squirt bottle. My son wouldn’t drink any of
the options that I had in the house. He was dangerously dehydrated and that was
my last option.

It did the trick, however, and he drank the enormous bottle in no time. So,
priorities. Whatever you need to do to keep them hydrated is the best option!

Be sure to that ice chips and electrolyte drinks are part of your child’s
vomiting or diarrhea diet.




MEALS FOR SICK KIDS

The best foods to feed kids when they are sick are balanced, nutrient-dense
meals. Stick to their favorite standard healthy meals when creating their
diarrhea diet.

Kids often have a low appetite when they are sick. This is not a good time to
force them to eat anything or to buy them French fries, just to get them to eat.
My children usually lose a little bit of weight when they get sick, just like I
do.

That’s okay. I find they usually spend the next 2-3 weeks eating more than
usual, as their body recovers. I make sure I make extra hearty nutrient-filled
meals (like these ones) so that they can regain what they lost.



I know this can be nerve wracking if your child already has issues with gaining
enough weight. I’ve been there. It’s hard to see them lose the 2 pounds that you
worked so hard to help them gain. Forcing them to eat when they are sick though,
isn’t going to help them in the long run.

If your child has had a really low appetite for a long time or you are concerned
about the amount of weight they are losing while they are sick, it’s a great
idea to talk to your pediatrician. They can help you figure out what to do from
a medical stand point.




DIARRHEA


IS THE BRAT DIET STILL A THING?

The BRAT diet for diarrhea is one classic and often suggested diarrhea diet. It
consists of: bananas, rice, applesauce, and toast (BRAT). This diet is no longer
recommended by the American Academy of Pediaterics. The reason is, it’s low in
nutrients, fiber, fat and protein. That makes diarrhea last longer than a normal
diet does!

It used to be thought that the gut needed to rest to recover from diarrhea or an
upset stomach. Now we know better. Children who drink oral rehydration solution
to resolve dehydration and eat a balanced diet recover quicker from diarrhea.
Nutrients, fiber, fat, and protein help the gut recover from illness.

So, basically, first get the dehydration corrected. Then continue to offer
nutritious and balanced meals to children. Continue to also offer rehydration
solutions based on how much fluid they are losing.



About Kids Eat in Color

Created by experts, Kids Eat in Color is the leading resource for families
seeking evidence-based information and strategies on child nutrition and
feeding.


beverage hydration immune system kids sick kids toddlers

Jennifer Anderson, MSPH, RDN

Jennifer Anderson is a registered dietitian and has a masters of science in
public health from Johns Hopkins School of Public Health. In 2019, she founded
Kids Eat in Color®, a public health resource that improves child and family
nutrition and mental health. Prior to starting Kids Eat in Color® she
coordinated youth nutrition programs at a food bank, performed research in
inner-city food deserts, and consulted for the USDA national office SNAP-Ed
program. Her academic background is in public health nutrition, cultural
anthropology, and economics.


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