Heartburn may indicate too little acid…not too much

With so many of my clients taking prilosec, nexium, or antacids, I thought I would address the issue of acid imbalance in the stomach.

Though some do have too much acid that comes back up on them after certain foods, more often than not, I find bloating, acid reflux and indigestion are actually a result of not enough acid in the stomach.  Now I know that sounds strange, but stomach acid is necessary for proper digestion.

When there isn’t enough acid in the stomach, food is not broken down efficiently leaving it ferment in the stomach creating gas and bloating.  Unfortunately, many try to correct their digestive problems by adding an antacid or prescription for acid.  However, this will actually inhibit digestion further and make the problem worse.    Low stomach acid can also lead to chronic nutrient deficiencies, as the body’s ability to absorb vitamins, amino acids, and minerals becomes severely compromised.  This is especially true with certain calcium supplements, as calcium needs a lot of acid to be broken down.

I would also like to point out that stomach acid should not be confused with pH in the body.  For example, lemons and apple cider vinegar are acidic foods, but they secrete an alkaline ash actually making the body pH less acidic.

I frequently have clients taking medications to treat acid reflux, or simply living off of Tums that are still experiencing digestive problems and reflux.  Here is a fairly simple test I give them that you can do if you are battling these issues:

·       Try incorporating 1 teaspoon of apple cider vinegar before your meal and 1 tsp after your meal.  Many notice a significant improvement in digestion and relief from gas, bloating and acid reflux.  If you notice no change in digestive discomfort, then try incorporating another teaspoon or so of the vinegar.  Avoid large amounts of water or other liquids during the meal, as this will dilute the acid.

·       If consuming vinegar doesn’t sound like something you want to try (or taste), you can supplement with a pill form of hydrochloric acid.

·       If you notice an increase in acid reflux and heartburn, stop adding the vinegar or acid pills. You may actually have too much acid and adding more will not be beneficial for you.  You can take a little baking soda or antacid pill to neutralize your discomfort.

There are some individuals that should avoid acid foods and supplements such as those taking certain medications, with ulcers, or kidney and liver disease, so always consult your doctor first.

–Nicole Gould, RD LD