Feed a Cold, Starve a Fever: Myth, Science, and Recovery
Demystifying the classic saying—explore its origins, medical insights, and best practices for supporting your immune system during illness.

Feed a Cold, Starve a Fever: Fact, Fiction, and How to Support Recovery
Generations have repeated the advice: “Feed a cold, starve a fever.” This phrase, deeply rooted in popular wisdom, has prompted countless people to change eating habits at the first sign of illness. But how much of this adage is based on medical fact, and what do modern experts actually recommend when you’re feeling under the weather? This comprehensive guide tackles the history, scientific understanding, and best practices for nutrition and care during colds and fevers.
Origin and Meaning of the Saying
The origins of “feed a cold, starve a fever” stretch back centuries, with traces in both folk medicine and early medical theory. The phrase likely dates as far back as the time of Hippocrates, the ancient Greek physician, when fever was thought to be a disease in its own right and starving the patient was considered a remedy. By the 16th century, John Withals had included, “Fasting is a great remedie of feuer” in his dictionary, cementing the idea in casual advice.
- Old Beliefs: Colds, seen as illnesses of the cold (low temperatures), could be ‘warmed’ by food; fevers, as illnesses of heat, were thought to be cooled by withholding it.
- Misinterpretations: Some interpreted the saying literally, while others saw it as a warning—if you overeat when you have a cold, you might bring on a fever that requires fasting.
Regardless of its initial intent, the adage continues to influence how people respond to colds and fevers today—even though scientific evidence paints a different picture.
Colds vs. Fevers: What Modern Medicine Knows
To address whether and how eating or fasting might impact a cold or fever, it’s essential first to understand what colds and fevers are:
- The Common Cold: Triggered by viruses (most often rhinoviruses), colds primarily cause congestion, sneezing, sore throat, and mild fatigue. Fever is rare in adults with a cold but more common in children.
- Fever: Fever is not a disease itself but a symptom. It is the body’s natural response to fighting off infections, characterized by a temporary rise in core body temperature, which helps the immune system function more efficiently and slows down the invading pathogens.
While colds and fevers often go hand-in-hand with the flu and other infections, they are not identical—and nutritional needs may differ based on the underlying cause and how your body responds.
How the Body Responds During Illness
- Colds: Increase respiratory secretions (mucus), which leads to greater fluid loss. Appetite is often maintained, though taste and smell might be dulled.
- Fevers: Raise body temperature, increase metabolism, and cause more rapid fluid loss through sweating. Appetite is commonly reduced but not absent in all cases.
Nutrition, Hydration, and Immune Function
Research over the past few decades has focused not on whether eating or fasting cures illness, but on how nutrition and hydration support the immune system while it does its work. While the old saying persists, here is what science and doctors now recommend:
The Value of Eating When Sick
- Eating provides energy for your immune system, which is working harder to fight infection. When you’re ill, your body’s metabolic rate rises and it needs more calories to support this increased activity.
- A small study in 2002 suggested that eating can positively influence immune responses by increasing the production of certain infection-fighting immune cells (Th1 and Th2 T-cells), although the evidence is still preliminary.
- Nutritious foods—even in small amounts—help maintain strength and stamina during recovery. Key nutrients such as proteins, vitamins (particularly A, C, E), zinc, and omega-3 fatty acids play vital roles in immune defense and cell repair.
Why Hydration is Crucial
- Dehydration is a common risk during both colds and fevers. The body loses water through runny noses, sweating, and rapid breathing.
- Staying hydrated helps thin mucus, alleviate throat discomfort, and maintain all vital processes—including immune cell function.
- Water, hot tea with honey, broths, electrolyte drinks, or even diluted juice are effective. Aim for fluids that keep urine a light, pale yellow color.
Is There Ever a Reason to “Starve”?
According to medical experts, there’s no scientific benefit to intentionally starving yourself during a fever—or at any stage of infection. While you might feel less hungry due to nausea or general malaise, it’s important to try gentle, bland foods if you can tolerate them. Foods like toast, rice, bananas, applesauce, and clear broths are gentle on the stomach when appetite is low.
When Appetite is Lost: Strategies to Stay Nourished
Loss of appetite is a common response to feeling unwell, especially during a fever. Here are practical steps to gently fuel your body when eating seems difficult:
- Eat Small, Frequent Meals: Instead of aiming for three regular meals, try smaller portions several times a day—crackers, yogurt, soup, or smoothies can be easier to manage.
- Prioritize Protein and Nutrients: Lean meats, eggs, nut butters, legumes, and dairy provide protein; fruits and vegetables contribute antioxidants and hydration.
- Soups and Broths: Not only do these relieve congestion, but chicken soup and its plant-based alternatives offer protein, vitamins, and fluids—supporting recovery and easing symptoms.
- Rest and Fluids First: If you truly can’t tolerate food, focus on fluids first—juice, watered-down electrolyte drinks, and ice chips—as these help prevent dehydration and keep energy levels steady.
Chicken Soup: A Timeless Remedy?
Many cultures encourage chicken soup for recovery from colds and flu. Is this just comfort, or does it have added benefits?
- Scientific Investigations: Studies show that chicken soup can help ease congestion and provide important nutrients and hydration. Its warm temperature soothes sore throats and may even have mild anti-inflammatory effects.
- Plant-Based Alternatives: Vegetable broths or soups are just as effective for hydration and can be packed with vitamins—good options for vegetarians and vegans.
What to Avoid When You’re Sick
- Caffeinated and Alcoholic Drinks: While moderate tea or coffee is acceptable for many, high caffeine and any alcohol can increase fluid loss and worsen dehydration.
- Greasy and Rich Foods: Heavy, spicy, or very fatty meals may upset already sensitive stomachs.
Practical Tips: What to Do When You Have a Cold or Fever
- Listen to Your Body: Don’t force yourself to eat huge meals, but don’t avoid eating if you feel up to it.
- Balance Nutrition: Focus on nutrient-dense foods—whole grains, lean protein, fruits, vegetables, and healthy fats.
- Hydrate Continuously: Track urine color and drink throughout the day rather than all at once.
- Rest is Critical: Give your body time to repair and mount an effective immune response.
- Over-the-Counter Remedies: Medications like acetaminophen or ibuprofen can ease aches and bring down fevers, but always consult your healthcare provider if unsure.
Misconceptions and Modern Medical Advice
The main takeaway from contemporary research and clinical practice is simple: There is no evidence that you should starve a fever, and little evidence that anyone recovers faster from a cold because they eat more. Instead, focus on what your body tells you. Eating—when you can—supports immunity, and drinking fluids always helps.
Doctors now often say:
- “Feed a cold, feed a fever—feed both.” The body needs extra energy and hydration anytime it battles infection.
- Hydration trumps all. Dehydration can land people in the hospital during flu season, so fluids come first.
Frequently Asked Questions (FAQs)
Is there any danger in eating with a fever?
No. Eating with a fever does not make the illness worse, and withholding food does not “starve” the virus or bacteria. If appetite is low, focus on gentle foods and fluids.
Does eating help you recover from a cold?
Eating helps maintain your energy, supports immune function, and delivers key nutrients for healing. However, specific foods by themselves won’t cure a cold—rest and hydration are most important.
What foods are best during a cold or fever?
Choose easy-to-digest, nutrient-rich foods: clear broths, chicken or veggie soups, oatmeal, bananas, applesauce, whole grain toast, scrambled eggs, and cooked vegetables are good options. Avoid heavily processed or high-fat meals during acute illness.
What should I drink if I have a cold or fever?
Prioritize water, diluted juice, decaffeinated herbal teas, and electrolyte drinks. Hot fluids can soothe nasal passages and sore throats. Avoid or limit caffeine and alcohol.
Can you prevent illness by eating or fasting?
There is no evidence that eating or fasting can prevent colds, flu, or fevers; however, a well-balanced, varied diet promotes general immune health year-round.
When should I see a doctor?
- High, persistent fever (over 103°F/39.4°C)
- Signs of dehydration: little or no urination, dizziness, confusion
- Severe or worsening symptoms: chest pain, trouble breathing, uncontrolled coughing
- Young children, older adults, or anyone with chronic health issues should seek care sooner if sick
Key Takeaways
- The phrase “feed a cold, starve a fever” is not backed by science.
- Eating and drinking are important for both colds and fevers. Listen to your hunger thirst cues, and focus on fluids first if appetite is reduced.
- Rest and hydration are top priorities. Nutritious food helps, but so does time for recovery.
Summary Table: Nutrition and Care During Colds vs. Fevers
Symptom | Typical Nutrition Advice | Priority Actions |
---|---|---|
Cold | Eat as appetite allows, prioritize nutrient-rich foods | Hydrate, rest, relieve symptoms with over-the-counter remedies |
Fever | Small, bland meals if tolerance is low; don’t force food | Hydrate aggressively, monitor for complications, rest |
References
- This article synthesizes reputable medical sources, including research published on PubMed (2002), guidance from Johns Hopkins Medicine, and evidence reviewed by clinical experts in nutrition and infectious diseases.
References
- https://intermountainhealthcare.org/blogs/the-truth-about-feeding-a-cold-and-starving-a-fever
- https://en.wikipedia.org/wiki/Feed_a_cold,_starve_a_fever
- https://pubmed.ncbi.nlm.nih.gov/11777851/
- https://www.iflscience.com/feed-a-cold-starve-a-fever-whats-the-science-behind-the-saying-72539
- https://pmc.ncbi.nlm.nih.gov/articles/PMC119893/
- https://www.science.org/doi/pdf/10.1126/science.70.1825.610.a
- https://simhcottumwa.org/how-to-reduce-fever-in-adults-according-to-a-doctor/
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