Eating out / McDonald's NZ
How to order at McDonald's NZ
The gentlest way through, on our model
- The main thingHamburger5.8/10
- To drinkBottled water0.0/10
The rough end
- Big Mac— it's the fermentable carbs — the wind side8.8/10
- Orange juice— it's what loosens things off7.3/10
- Thickshake, medium— it's what loosens things off7.2/10
If you're choosing a main
3.0 between the gentlest and the roughest
- HamburgerGentlest here5.8/10
burger bun, burger patty, tomato sauce, mustard, gherkins
Their list268 kcal (their figure)110 g
- Cheeseburger5.8/10
burger bun, burger patty, processed cheese slice, tomato sauce, mustard
Their list315 kcal (their figure)124 g
- Big Mac8.8/10
burger bun, burger patty, processed cheese slice, mayonnaise, iceberg lettuce
Their list215 g
If you're getting a drink
7.3 between the gentlest and the roughest
- Bottled waterGentlest here0.0/10
water
Inferred0 kcal (our estimate)
- Diet Coke, medium4.0/10
diet cola
Inferred8 kcal (our estimate)
- Coke, medium6.8/10
cola
Inferred168 kcal (our estimate)
- Thickshake, medium7.2/10
milkshake
Inferred
- Orange juice7.3/10
orange juice
Inferred141 kcal (our estimate)
What to ask them to change
Things a person can really request at the counter.
- Ask for no onion powderon the hamburgerpublished as 'Water, Dehydrated White Onions' — dried, not fresh
- Ask for no processed cheese sliceon the cheeseburgerthe only difference from the Hamburger
- Ask for no onion powderon the cheeseburger
- Ask for no onion powderon the big macsame dehydrated onion as the other burgers
How sure we are about these
- Inferred from the menu
- This company publishes nutrition and allergens but not a full ingredient list, so the components come from the item's own name. Less certain.
- From their ingredient list
- Scored from the components this company publishes on its own website, at the serve weight they give.
- Bottled water: Nought out of ten is what our model measures — water has nothing in it to ferment, irritate or leave residue. That isn't the same as it being the answer to hydration. With a pouch or an ostomy, plain water is absorbed poorly and drinking a lot of it can pass straight through, taking salt with it and leaving you more short than you started. A drink with some salt and sugar in it is absorbed better. Worth asking your stoma or pouch nurse what suits you.
- Big Mac: The special sauce is scored as mayonnaise. Its own ingredient panel lazy-loads and wasn't captured, so this one is a step less certain than the Hamburger and Cheeseburger.
Sources: Hamburger, Cheeseburger, Big Mac · checked 2026-08-27
Somewhere else
Written and checked from lived experience with a J-pouch. Last updated August 2026. The GASP Score is a modelled estimate, not medical advice — always work alongside your own clinical team.