Is Coconut Good for Diarrhea?
Partly: for an otherwise healthy adult with mild diarrhea, coconut water can contribute fluid for hydration, but it does not treat diarrhea or replace an oral rehydration solution. A 1993 laboratory analysis of coconut water found that its sodium and glucose balance was unsuitable for use as an oral rehydration solution. If you choose to drink it, use it as an extra fluid rather than a treatment.
When might coconut help with diarrhea?
Coconut water may be tolerable when diarrhea is mild and you can drink and eat normally. Its possible benefit is hydration, not a proven effect on the cause or duration of diarrhea. For food choices that may be easier to tolerate, see the best foods for diarrhea.
Different forms of coconut are not interchangeable. Coconut water is the liquid inside the coconut, while coconut milk, coconut flesh and coconut oil have different nutritional properties. None is an established treatment for diarrhea.
How could coconut affect diarrhea?
Diarrhea causes the body to lose water and salts. Coconut water supplies fluid and contains some electrolytes, but its composition varies. It cannot be relied on to replace the salt and water lost in diarrhea in the right proportions.
An oral rehydration solution, or ORS, is formulated with a balance of glucose and salts that helps the intestine absorb sodium and water. It is the more dependable choice when you need to replace losses from diarrhea. The best drinks for diarrhea guide discusses fluids in this context.
Coconut flesh contains fiber, while coconut milk and coconut oil can be high in fat. Fatty foods may make diarrhea harder to tolerate for some people, so pay attention to whether coconut products worsen your symptoms.
What does the evidence say about coconut and diarrhea?
The cited study measured coconut water composition at different stages of coconut maturity. It found substantial variation in sodium and glucose and concluded that none of the samples had concentrations suitable for use as an oral rehydration solution.
This was a laboratory analysis, not a clinical trial testing whether coconut water improves diarrhea. It does not show that coconut water reduces stool frequency or helps people recover faster. The evidence provided also does not establish that coconut flesh, milk or oil treats diarrhea.
How should you use coconut if you have diarrhea?
If you are an otherwise healthy adult with mild diarrhea and want coconut water, try a small amount and see whether you tolerate it. Choose an unsweetened product and avoid relying on it as your only fluid. Stop drinking it if it seems to make your symptoms worse.
Use a commercially prepared ORS when you need to replace fluid losses, and follow the package directions. If the product requires mixing, use the specified amount of clean water; do not mix it with coconut water or alter the concentration. Seek medical advice if you are unsure how much rehydration you need or are not improving.
Continue eating foods you tolerate rather than relying on coconut alone. For a breastfed infant with diarrhea, continue breastfeeding and seek advice about ORS; coconut water is not a substitute for breast milk, formula or ORS. Do not dilute infant formula to provide extra fluid.
Who should be careful, and when should you get medical help?
Children can become dehydrated quickly. Contact a clinician promptly about diarrhea in an infant or young child, and ask how to use ORS. Pregnant people, older adults, people with weakened immune systems and people with significant medical conditions should also seek advice early rather than relying on coconut.
If you have kidney disease or have been told to limit potassium, ask your clinician before drinking coconut water. Check with a clinician or pharmacist as well if you take medicines that can raise potassium, such as ACE inhibitors, angiotensin receptor blockers or spironolactone. Do not stop a prescribed medicine without medical advice.
Seek urgent medical care for severe dehydration signs such as very little urine, fainting, marked dizziness or confusion; inability to keep fluids down; blood or black stools; severe abdominal pain; or a high fever. Profuse watery diarrhea also needs prompt assessment. If diarrhea persists or is getting worse, contact a clinician even if you have been drinking fluids.
Frequently asked questions
Can I mix oral rehydration powder with coconut water?
No. Mix it with the amount of clean water specified on the package so the solution has the intended concentration.
Is coconut water the same as coconut milk?
No. Coconut water is the liquid inside a coconut; coconut milk is made from coconut flesh and water. They have different compositions and neither is an oral rehydration solution.
Sources
- Negative findings for use of coconut water as an oral rehydration solution in childhood diarrhea. Journal of the American College of Nutrition (1993). PubMed 8463517