Studies have shown that moderate alcohol intake may even cause reflux symptoms in healthy individuals 23 , Controlled studies also show that drinking wine or beer increases reflux symptoms, compared to drinking plain water 25 , Excessive alcohol intake can worsen acid reflux symptoms. If you experience heartburn, limiting your alcohol intake might help ease some of your pain.
Studies show that coffee temporarily weakens the lower esophageal sphincter, increasing the risk of acid reflux Some evidence points towards caffeine as a possible culprit. Similar to coffee, caffeine weakens the lower esophageal sphincter Additionally, drinking decaffeinated coffee has been shown to reduce reflux compared to regular coffee 29 , However, one study that gave participants caffeine in water was unable to detect any effects of caffeine on reflux, even though coffee itself worsened the symptoms.
The processing and preparation of coffee might also be involved Nevertheless, although several studies suggest that coffee may worsen acid reflux, the evidence is not entirely conclusive. One study found no adverse effects when acid reflux patients consumed coffee right after meals, compared to an equal amount of warm water. However, coffee increased the duration of reflux episodes between meals Additionally, an analysis of observational studies found no significant effects of coffee intake on the self-reported symptoms of GERD.
Yet, when the signs of acid reflux were investigated with a small camera, coffee consumption was linked with greater acid damage in the esophagus Whether coffee intake worsens acid reflux may depend on the individual. If coffee gives you heartburn, simply avoid it or limit your intake. Evidence suggests that coffee makes acid reflux and heartburn worse. If you feel like coffee increases your symptoms, you should consider limiting your intake.
A few studies show that chewing gum reduces acidity in the esophagus 33 , 34 , Gum that contains bicarbonate appears to be especially effective These findings indicate that chewing gum — and the associated increase in saliva production — may help clear the esophagus of acid.
More frequent belching might suggest that more gas is being produced due to the high amounts of fermentable fiber in onions 20 , Whatever the reason, if you feel like eating raw onion makes your symptoms worse, you should avoid it. One observational study found that carbonated soft drinks were associated with increased acid reflux symptoms Also, controlled studies show that drinking carbonated water or cola temporarily weakens the lower esophageal sphincter, compared to drinking plain water 40 , The main reason is the carbon dioxide gas in carbonated beverages, which causes people to belch more often — an effect that can increase the amount of acid escaping into the esophagus Carbonated beverages temporarily increase the frequency of belching, which may promote acid reflux.
If they worsen your symptoms, try drinking less or avoiding them altogether. Orange juice with a neutral pH also appears to aggravate symptoms Most patients with acid reflux report that drinking citrus juice makes their symptoms worse. Researchers believe citrus juice irritates the lining of the esophagus.
GERD patients are sometimes advised to avoid or limit their consumption of chocolate. However, the evidence for this recommendation is weak.
You may be referred to a doctor who specializes in disorders of the digestive system gastroenterologist. In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions during your appointment.
Your doctor is likely to ask you a number of questions. Being ready to answer them may make time to go over points you want to spend more time on. You may be asked:. Try lifestyle changes to control your symptoms until you see your doctor.
For instance, avoid foods that trigger your heartburn and avoid eating at least two hours before bedtime. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
This content does not have an English version. This content does not have an Arabic version. Diagnosis Endoscopy Open pop-up dialog box Close. Endoscopy An endoscopy procedure involves inserting a long, flexible tube endoscope down your throat and into your esophagus. More Information Upper endoscopy X-ray. Email address. Manage body weight : People who are overweight or obese may find that reducing body weight can help. A diet and exercise weight-loss program can help to reduce symptoms of acid reflux.
Each person reacts to these changes differently, however, so it is important to speak with a healthcare provider before losing too much weight. Raise the head of the bed : Raising the head of the bed can allow gravity to reduce heartburn symptoms. Placing blocks under the top bedposts that raise the bed by between 6 and 8 inches may work. Another option is inserting foam wedges between the mattress and box spring to raise the angle of the head of the bed.
Pillows are not effective in reducing heartburn symptoms. A doctor may recommend antacids, acid reducers, including famotidine, or acid blockers, such as lansoprazole and omeprazole. Various antacids are available to purchase online. Use herbal preparations : The use of certain herbal preparations may also be useful. Some recommended options for treating the symptoms of GERD include:.
It is important for people to speak with their doctor about potential side effects and drug interactions before starting any herbal supplements. Various herbal remedies are available online. Try acupuncture : Although there is limited evidence to support its use, acupuncture may be beneficial in relieving the symptoms of heartburn in some people.
Relax : Stress and tension can cause a wide range of unwanted side effects, including heartburn. Many people experience occasional heartburn or acid reflux. Thankfully, there are certain foods that are known to reduce, relieve, and help heartburn.
If you experience acid reflux more than twice a week, you may have a more serious condition called GERD. Schedule an appointment today. Whole grains are grains that retain all parts of the seed bran, germ, and endosperm. Whole grains can be consumed in their whole form or ground. Compared to other grains, they are better sources of fiber, B vitamins, iron, folate, selenium, potassium, magnesium, and other important nutrients.
Whole grains can be complete foods, like popcorn or quinoa, or ingredients in other foods, like whole-wheat flour in bread. The amount of fiber found in whole-grain foods may help absorb stomach acid. Ginger has medicinal properties and anti-inflammatory properties that make it one of the best digestive aids. The low level of acid eases irritation in the gastrointestinal tract.
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