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Judith

My doubt and confusion about not eating fruit during malaria treatment was cleared. Thanks

Nsekpong Solomon David

hi, I am gradually recovering from malaria/typhoid and I felt like taking
“5 alive” juice, but the thing is…a couple of it down into my tummy feels good yet suddenly, a nauseous sensation comes with it. what could be the cause?

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What To Eat & Avoid During Malaria?

By Dr. Vishesh Bharucha +2 more

Join Health Talk by PharmEasy on WhatsApp

Introduction

Malaria is a protozoan disease caused by Plasmodium species and is transmitted by the female Anopheles mosquito1. It is common during the monsoon season due to a rise in mosquito breeding. The disease can lead to systemic symptoms and metabolic stress, which can suppress immunity and increase nutritional needs.  

Malaria typically presents with symptoms such as cyclical fever with chills, headache, muscle aches, vomiting, and fatigue1. The Anopheles mosquito transmits the Plasmodium parasite through its bite, introducing the parasite into the bloodstream of a healthy individual. To treat malaria, there is no specific diet, but one needs to ensure good supportive nutritional care to help the body fight the disease. A diet for malaria should focus on boosting the immune system without causing harm to other organs like the kidney, liver or digestive system. In this blog, we will discuss what you should eat and what to avoid during malaria, to help manage symptoms better and reduce risk of complications.  

what to eat in malaria

Foods to Eat in Malaria

1. Eat Nutritious Foods

carrot

When the patient has malaria, the body’s metabolic rate increases due to fever. This means that the body’s nutritional requirements increase and also the need to intake calories. 

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A high-carbohydrate diet can be good. Grains are a rich source but prefer rice over wheat and millets. Rice can be digested easily and can release energy faster. Fresh fruits and vegetables can also be great for malaria patients. According to studies3, vitamin A2 and vitamin C rich fruits and vegetables like beetroot, carrot, papaya, sweet lime, grapes, berries, lemon, orange, along with zinc, can help to boost the immunity, lower some symptoms and reduce risk of complications in patients suffering from malaria. 

2. Iron-Rich Foods for Recovery

Spinach
Image Source: freepik.com

Malaria can lead to a temporary drop in haemoglobin levels due to the destruction of red blood cells11. Therefore, iron replenishment is an important part of recovery. Including iron-rich foods in your diet may help to restore energy levels and support faster recovery from weakness and fatigue.

Include foods such as:

  • Spinach, amaranth (chaulai), and moringa leaves12
  • Lentils, chickpeas, and kidney beans12
  • Jaggery (in moderation) and dates12
  • Pumpkin seeds, sesame seeds, and nuts12
  • Eggs, fish, and lean meats (if non-vegetarian)12

Tip: Pair iron-rich foods with vitamin C-rich foods such as oranges, amla, guava, tomatoes, or lemons to improve iron absorption.

3. Nuts and Seeds 

nuts

When you have malaria, you need to incorporate more phytonutrients into your diet that help to tackle antioxidative stress caused by an infection4. Nuts and seeds provide essential fatty acids, antioxidants, and protein. These nutrients help reduce oxidative stress and support healing. Choose unsalted, plain varieties and avoid commercially processed snacks.  

I would like to share a helpful tip for dealing with malaria. Red palm oil contains antioxidants that might protect your body’s cells. It may reduce tissue damage and manage oxidative stress caused by malaria and other factors8. Always remember to consume it in moderation and consult with a healthcare professional for comprehensive malaria management.

Dr. Siddharth Gupta, B.A.M.S, M.D (Ayu)
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4. Increase Fluid Intake and Maintain Hydration 

increase fluid intake

Adequate hydration is essential to compensate for fluid loss due to vomiting and dehydration5. Oral rehydration solutions, fresh fruit juices, coconut water, and soups can be included. All water consumed should be boiled or filtered. Herbal remedies like ajwain water may help with bloating6, but should be used cautiously and not replace medical treatment.  

While drinking water, make sure it is boiled or sterilized. Doctors usually recommend a daily fluid intake of at least 3 to 3.5 litres, if not more. Fluids will help in washing out the toxins from the body via urine and stools and help you get well sooner. 

5. Eat a Liver-Friendly Diet

Image Source: freepik.com

Since many antimalarial medications can place temporary stress on the liver, a liver-friendly diet can support detoxification and reduce metabolic burden during treatment and focus on early recovery13. Focus on light and freshly cooked meals such as khichdi, dal-rice, and vegetable soups and include fresh fruits like papaya, apple and citrus fruits in the diet. It is also important to stay adequately hydrated and avoid excessive consumption of alcohol during illness and recovery.

6. Increase Protein Intake

hard boiled eggs protein source

Protein is essential for tissue repair and immune function. Include well-cooked pulses, eggs, chicken, and dairy in your diet. If gastrointestinal symptoms are present, start with soups and broths. Some traditional foods like curd, lassi, and buttermilk is highly beneficial, but your doctor can guide you best on this. 

7. Eat Fat in Moderation 

fat foods

Limit fried or greasy foods, as they can worsen nausea or diarrhoea. Small amounts of healthy fats such as omega-3s from flaxseed, fish or walnuts are beneficial. They work well in reducing inflammation in the body7. Avoid trans fats and excessive dairy cream.  

According to my knowledge, the seeds of the fever nut plant might be a helpful remedy for malaria10. They possess special properties that may help fight against the malaria-causing parasites. Additionally, these seeds also have anti-inflammatory effects!

Dr. Smita Barode, B.A.M.S, M.S.

Also Read: Excellent Health Benefits Of Sugarcane Juice

Foods to Avoid in Malaria

what to eat and avoid during malaria

Avoid very high-fibre foods like green leafy vegetables, fruits with thick skin, and whole grain cereals, which may cause bloating or be hard to digest during acute illness. Refrain from high-fat, fried, or processed foods (e.g., chips, pastries, fast food). Also, refrain from having food that is spicy or acidic, like pickles and sauces. These can cause stomach problems and heartburn. Avoid intake of coffee, tea, cocoa, cola, or any other caffeinated beverages.

It is important to work on vitamin loss by drinking electrolytes5. Eating soups, stews, or drinking fruit juices or dal water, coconut water, etc., is important. Vitamin C and A-rich foods such as papaya, beetroots, and other citrus foods, etc., with vitamin B complex are important for a malaria patient. 

I believe that it’s crucial to take precautions against mosquito bites to protect yourself from malaria. Applying mosquito repellent to exposed skin might be very helpful. Additionally, using mosquito nets over beds is highly recommended, especially while sleeping9. By following these simple steps, you may significantly lower your risk of contracting malaria. 

Dr. Rajeev Singh, BAMS

Post Malaria Recovery

malaria recovery meal plan

Even after fever and acute symptoms subside, the body continues to recover from internal inflammation14, nutrient depletion, and anaemia11. This recovery phase is important for restoring energy levels, rebuilding immunity, and preventing relapse or prolonged weakness. A gradual return to a balanced diet is recommended instead of immediately resuming a normal heavy diet.

The following 2-week meal plan may help your body to recover at its normal pace.

Week 1

During the first week after the fever reduces, the digestive system remains sensitive. The focus should be on light, easily digestible foods. 

  • Breakfast: Moong dal porridge / poha / soft upma
  • Lunch: Rice + moong dal + boiled or lightly cooked vegetables
  • Dinner: Khichdi with a small amount of ghee or vegetable soup with rice
  • Snacks: Banana, coconut water, apple puree, or light fruit juices

Avoid heavy spices, fried foods, and raw salads during this phase.

Week 2

In the second week, appetite and energy usually improve. This phase focuses on rebuilding strength and correcting nutritional deficiencies.

  • Breakfast: Eggs/idlis and sambar/oats with fruits and nuts
  • Lunch: Roti + dal + seasonal vegetables + curd (if tolerated)
  • Dinner: Light chicken/fish or paneer + rice/roti + soup
  • Snacks: Nuts, sprouts, fruits

This gradual progression may help to restore haemoglobin levels, muscle strength, and overall immunity without overburdening digestion.

Also Read: 18 Best Foods to Ease Your Cough and Cold

Monitoring Recovery After Malaria

After the acute symptoms of malaria subside and dietary recovery begins, it is important to monitor the body’s response to treatment. Malaria can cause temporary anaemia, weakness, and metabolic imbalance, and follow-up testing helps ensure complete recovery.

Routine evaluation is usually recommended if fatigue, weakness, or low-grade fever persists after treatment.

  • Complete Blood Count (CBC): This test helps assess haemoglobin levels, red blood cell count, and overall recovery from malaria-associated anaemia. It also provides insight into general immune and nutritional status after infection.
  • Malaria Parasite Test (MP): This is used to detect the presence of malaria parasites in the blood and may confirm whether the infection has been fully cleared.
  • Malaria Parasite Detection Assay (MPDA): A more sensitive test that can identify low levels of malaria infection and may be recommended in selected situations based on clinical assessment.

Note: Follow-up testing should be guided by your doctor based on your symptoms, malaria type, treatment received, and overall recovery. 

Conclusion

Malaria, a parasite infection caused by mosquito bites, can adversely affect your immune system. Following the right diet during malaria can help in dealing with symptoms and avoiding risk of complications. This comprehensive list of foods to eat and avoid can help you meet the body’s unique demands during this infection. But remember, while nutritional care is essential, medical therapy must be followed as recommended by doctor. Moreover, prevention of mosquito bites through repellents, nets, and protective clothing remains the cornerstone of malaria control. 

Also Read: Food for Dengue – What To Eat And What To Avoid!

Frequently Asked Questions (FAQs)

How to recover fast from malaria?

To recover quickly, you must strictly finish your prescribed course of antimalarial medications, even if you start feeling better early. Pair this with absolute bed rest and high fluid intake such as water, coconut water, and fresh juices.

Can I drink milk in malaria?

Yes, milk is generally safe to drink during malaria unless your doctor advises otherwise. It provides protein and other nutrients that can help support recovery. However, it should not replace fluids such as water or oral rehydration solutions if dehydration is a concern.

Can I eat eggs in malaria?

Yes, eggs are a good source of high-quality protein and can be included in a malaria recovery diet. They are easy to digest when cooked properly and may help support the body’s healing process. Choose boiled, poached, or lightly cooked eggs rather than heavily fried preparations.

Which fruit is better for malaria?

Fruits rich in vitamins, minerals, and water content can be beneficial during malaria recovery. Options such as oranges, sweet lime, papaya, pomegranate, watermelon, and bananas can help provide hydration and essential nutrients. A variety of fruits is generally better than relying on a single fruit.

What to drink to stop malaria?

No drink can cure or stop malaria. Malaria requires treatment with prescribed antimalarial medications. However, drinking plenty of water, oral rehydration solutions, soups, and fresh fluids can help prevent dehydration and support recovery during treatment.

Can I eat a cucumber while treating malaria?

Yes, cucumber is generally safe to eat while being treated for malaria. Its high water content may help with hydration, especially if you have a fever. Make sure it is washed thoroughly before consumption to reduce the risk of foodborne infections.

References

  1. Buck E, Finnigan NA [Internet]. Malaria. [Updated 2023 Jul 31]. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551711/  
  2. Zeba, A.N., Sorgho, H., Rouamba, N. et al. Major reduction of malaria morbidity with combined vitamin A and zinc supplementation in young children in Burkina Faso: a randomized double blind trial. Nutr J 7, 7 (2008). Available from: https://doi.org/10.1186/1475-2891-7-7.
  3. Ekeh FN, Ekechukwu NE, Chukwuma CF, et al. Mixed vitamin C and zinc diet supplements co-administered with artemether drug improved haematological profile and survival of mice infected with Plasmodium berghei. Food Sci Hum Wellness. 2019 Sep;8(3):275–82. doi:10.1016/j.fshw.2019.05.003. Available from: https://www.sciencedirect.com/science/article/pii/S2213453018301605  
  4. Plirat W, Chaniad P, Phuwajaroanpong A, Septama AW, Punsawad C. Phytochemical, Antimalarial, and Acute Oral Toxicity Properties of Selected Crude Extracts of Prabchompoothaweep Remedy in Plasmodium berghei-Infected Mice. Trop Med Infect Dis. 2022 Nov 23;7(12):395. doi: 10.3390/tropicalmed7120395. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC9785619/  
  5. World Health Organization. Management of severe malaria: a practical handbook. 3rd ed. Geneva: World Health Organization. 2012 [cited 2025 May 2]. Available from: https://iris.who.int/bitstream/handle/10665/79317/9789241548526_eng.pdf?sequence=1  
  6. Boskabady MH, Alitaneh S, Alavinezhad A. Carum copticum L.: a herbal medicine with various pharmacological effects. Biomed Res Int. 2014;2014:569087. doi: 10.1155/2014/569087. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4096002/  
  7. Silva AR, Moraes BPT, Gonçalves-de-Albuquerque CF. Mediterranean Diet: Lipids, Inflammation, and Malaria Infection. Int J Mol Sci. 2020 Jun 24;21(12):4489. doi: 10.3390/ijms21124489. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7350014/  
  8. Adeleke TD, Adejumobi OA, Akinola FF, Salau OA, Uthman-Izobo OS. Potential role of red palm oil supplemented diet on oxidative stress enzymes in Plasmodium berghei induced malaria. bioRxiv. 2021 Mar 18. doi:10.1101/2021.03.18.435769. Available from: https://www.biorxiv.org/content/10.1101/2021.03.18.435769v1
  9. Centers for Disease Control and Prevention. Preventing mosquito bites. [Internet]. Atlanta: CDC; 2024 Aug 28 [cited 2025 May 12]. Available from: https://www.cdc.gov/mosquitoes/prevention/index.html
  10. Gyatso T, Hakim C. Essentials of Tibetan Traditional Medicine. Berkeley (CA): North Atlantic Books; 2010. p. 250. Available from: https://books.google.co.in/books?id=WTtWIqX2n6cC&pg=PA250
  11. White NJ. What causes malaria anemia? Blood. 2022;139(15):2268-2269. doi:10.1182/blood.2021015055. PMID: 35420692. Available from: https://ashpublications.org/blood/article/139/15/2268/484622/What-causes-malaria-anemia
  12. Taneja DK, Rai SK, Yadav K. Evaluation of promotion of iron-rich foods for the prevention of nutritional anemia in India. Indian J Public Health. 2020;64(3):236-241. doi:10.4103/IJPH.IJPH_65_20. Available from: https://www.researchgate.net/publication/344423128_Evaluation_of_promotion_of_iron-rich_foods_for_the_prevention_of_nutritional_anemia_in_India
  13. Megabiaw F, Eshetu T, Kassahun Z, Aemero M. Liver enzymes and lipid profile of malaria patients before and after antimalarial drug treatment at Dembia Primary Hospital and Teda Health Center, Northwest Ethiopia. Res Rep Trop Med. 2022;13:11-23. doi:10.2147/RRTM.S351268. PMID: 35370434; PMCID: PMC8974243. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8974243/
  14. Ty MC, Zuniga M, Götz A, Kayal S, Sahu PK, Mohanty A, et al. Malaria inflammation by xanthine oxidase-produced reactive oxygen species. EMBO Mol Med. 2019;11(8):e9903. doi:10.15252/emmm.201809903. PMID: 31265218; PMCID: PMC6685105. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6685105/

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof. 

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