Why Does Mayo Hurt My Stomach? Common Causes

Mayonnaise is a widely used condiment, but its ingredients and composition can lead to digestive issues for many. Many individuals experience stomach discomfort after consuming it. Understanding potential triggers helps identify why mayo might cause stomach upset.

Ingredient-Specific Sensitivities

Stomach discomfort after eating mayonnaise often relates to egg sensitivities. Mayonnaise contains egg yolks, and some individuals have an egg allergy or intolerance. An egg allergy involves an immune system response, identifying egg proteins as harmful. Symptoms range from mild (hives, skin rashes) to severe (swelling, difficulty breathing, stomach cramps, vomiting, diarrhea). Reactions usually occur quickly, sometimes within minutes.

Conversely, an egg intolerance primarily involves the digestive system, not an immune response. Individuals may experience nausea, bloating, stomach pain, cramps, and diarrhea, appearing hours after consumption. The body has difficulty digesting certain egg components.

Digestive Responses to Fat and Acidity

Beyond ingredient sensitivities, mayonnaise’s high fat content and acidity contribute to stomach upset. Its high fat slows stomach emptying, leading to fullness, bloating, and indigestion as the digestive system works harder. For those with sensitive digestive systems or fat malabsorption, high-fat meals can cause discomfort or nausea.

Additionally, acidic components in mayonnaise (vinegar or lemon juice) can irritate the stomach lining. This acidity may contribute to heartburn, acid reflux, or general stomach discomfort, especially for those prone to these conditions. While acidity preserves mayonnaise, it can challenge a sensitive stomach.

Food Safety and Spoilage

Food safety and spoilage are significant considerations. Mayonnaise, especially homemade or improperly stored, is susceptible to bacterial growth. Bacteria like Salmonella or Staphylococcus aureus multiply if left unrefrigerated for extended periods, particularly with raw eggs. The USDA recommends discarding mayonnaise left at room temperature for over two hours.

Consuming spoiled mayonnaise can lead to food poisoning, with symptoms including severe nausea, vomiting, abdominal pain, cramps, diarrhea, and sometimes fever or chills. Symptoms manifest within hours to days after ingesting contaminated food. Proper refrigeration and checking expiration dates prevent such illnesses.

Pinpointing Your Trigger

To identify why mayonnaise causes stomach discomfort, observe consumption patterns and symptoms. Keeping a detailed food diary, noting when mayonnaise is eaten, quantity, and subsequent symptoms, can provide clues.

Another strategy is an elimination diet: remove mayonnaise for two to four weeks to see if symptoms improve. Then, carefully reintroduce it while monitoring for reactions to confirm if it is a trigger.

If symptoms are severe, persistent, or an allergy is suspected, seek medical advice from a doctor, allergist, or gastroenterologist for diagnosis and management. Based on the identified trigger, individuals might explore alternatives like low-fat versions, homemade mayonnaise with less acid, or complete avoidance.