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Quinoa can cause severe gut pain, dietician Medlin warns

Dietician Sophie Medlin has warned that quinoa can cause severe digestive pain, bloating and diarrhoea due to saponin compounds on its outer coating.

Quinoa can cause severe gut pain, dietician Medlin warnsGetty Images

Dietician Sophie Medlin has warned that eating quinoa can trigger distressing and debilitating gut pain due to chemical compounds on the seed's outer coating.

The salad bowl staple contains natural chemicals called saponins, which create a bubbly foam in the digestive tract and can cause a slow burn reaction in people with sensitive systems.

Symptoms reported by sufferers range from bloating, gas and cramps to urgent diarrhoea, with some individuals experiencing severe digestive distress.

Quinoa, pronounced keen-wah, is an Andean seed crop native to South America that has grown into a global wellness favourite over the past decade. It is championed by doctors and health gurus, including American actress and Goop founder Gwyneth Paltrow, who adds it to most recipes and even mixes a quinoa-based whiskey with maple syrup and lemon.



On social media forums such as Reddit, hundreds of commenters have described severe post-quinoa reactions. Some users reported that they violently throw up after eating the seed, while others said the pain was so severe they felt as though they were dying.

Medlin explained that the issue stems from the outer layer of the seed, which contains concentrated levels of saponins.

"Quinoa is a seed that contains compounds called saponins on its outer coating," Medlin said. "Some people find that they cause digestive irritation, so it's worth giving it a rinse before you cook and eat it."

Digestive risks of saponins

Saponins are bitter-tasting plant chemicals that naturally protect crops against insects, fungi and birds during cultivation. They are present in several common vegetables and legumes, including potatoes, asparagus, aubergines, spinach, chickpeas, soybeans and lentils.

However, quinoa contains far higher quantities than other foods. While plants like chickpeas contain only small traces of saponins, the outer surface of a quinoa seed consists of almost pure saponin.

A quinoa bowl has become synonymous with healthy eating over the last decade

If saponins reach a certain level in the gut, the compounds interact with the fatty cells that line the intestinal wall, irritating it and causing unpleasant digestive symptoms.

Medlin noted that consumer processing varies between suppliers. "a lot of supermarkets rinse quinoa before they package it, and this can wash away much of the saponin," Medlin said. However, pre-rinsing is not standard across all brands, and shoppers cannot tell from packaging whether a product has been washed.

Nutritional profile and protein content

Despite the digestive risks, quinoa remains popular for its nutritional profile, delivering around 200 calories per serving alongside high levels of fibre, folate, iron, potassium and magnesium compared to rival grains.



However, experts note that its protein content is sometimes overstated. A single serving supplies approximately eight grams of protein, which helps satisfy appetite and support muscle growth. While this exceeds the protein content of rice and oats, it provides 5g to 7g less protein than an equivalent portion of chickpeas and less than half of the recommended intake for a main meal.

By comparison, a standard chicken sandwich contains between 20g and 30g of protein, while two eggs supply roughly 14g.

"Quinoa is often praised as being a "complete" plant protein," Medlin said. "This means it has all of the nine essential amino acids the body needs, unlike others. 'But you still get a relatively small amount of protein from quinoa, so it's important to add other foods to hit our requirements."

Essential amino acids are organic compounds required for vital bodily processes that humans cannot synthesize internally and must obtain through food. Medlin noted that quinoa remains a useful lunch addition for vegetarians and vegans who struggle to consume complete protein.

"It can be really useful for people who have a vegetarian or vegan diet and struggle to get protein in, especially the type with all of their essential amino acids," Medlin said.

Fibre levels and blood sugar control

Quinoa contains higher fibre levels than white rice, brown rice and oats, though slightly less than brown pasta. Health experts are urging British adults to boost fibre intake to combat rising rates of serious health conditions, including bowel cancer in younger populations.

In a 2021 interview, Gwyneth Paltrow said she is partial to a special type of whiskey made from quinoa, which she mixes with maple syrup and lemon

Studies indicate that only about four per cent of the UK population meets the recommended daily fibre target of 30g. Research shows that adding 10g of fibre to a daily diet lowers the risk of bowel cancer by at least 10 per cent, while also reducing cholesterol to protect against cardiovascular disease.

Because quinoa retains its outer layers during harvesting, it has a lower glycaemic index than white rice, resulting in a slower and more gradual effect on blood sugar levels.

"Also, since quinoa retains its outer layers, it has a lower glycaemic index than white rice, which means it has a slower and more gradual effect on blood sugars," Medlin said.

In one study, 207 people with worryingly high blood sugar levels were tracked to see if adding 100g of whole grains such as brown rice or oats, or quinoa, to their daily diet would lower long-term blood sugar levels on average. While both whole grain and quinoa groups experienced reduced blood sugar spikes compared to those who made no diet changes, quinoa outperformed whole grains considerably in preventing dramatic blood sugar spikes.

Managing blood sugar fluctuation is critical for preventing type 2 diabetes, a metabolic condition that has seen a particular rise among young women in the UK.

Portion control and preparation advice

For people experiencing bloating, gas and pain after eating quinoa, Medlin advised that symptoms do not mean the food must be eliminated from the diet.

"Often the symptoms are related to portion," Medlin said. "So if some people feel they're very bloated after eating it, they might want to reduce their portions and increase it gradually."

The seed is particularly beneficial for the estimated one in 100 people in the UK living with coeliac disease, an autoimmune condition triggered by gluten. Quinoa is one of the few high-fibre foods that is relatively high in protein and naturally gluten free.

Overall, Medlin recommended using quinoa not as a replacement for other grain-like foods, but as an addition.

"If you need to increase your fibre intake, quinoa is useful because it's really easy to add into dishes, or sprinkle into salads, plus it's very quick and simple to cook," Medlin said.

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