why is it that after drinking coffe i get heartburn?

Answer 1

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The following characteristics of coffee have an adverse effect on the upper GI tract:

* Coffee Decreases Pressure in the Lower Esophageal Sphincter
o Coffee has been shown to decrease pressure in the lower esophageal sphincter, contributing to gastroesophageal reflux. This suggests that coffee can either cause or exacerbate heartburn in susceptible individuals.9, 10, 11
o The type of coffee bean roasting method used does not reduce the tendency of coffee to produce gastroesophageal reflux. Sensitive individuals, even when consuming coffee produced through different roasting processes, while fasting or after a meal, experienced heartburn, regurgitation and dyspepsia.12
o Coffee consumption has been associated with greater incidence of heartburn than drinking other fluids such as water.13
o Both caffeinated and decaffeinated coffee exacerbate gastroesophaeal reflux, and coffee creates more reflux than caffeine added to water, suggesting that other components of coffee contribute to its aggravating effect.14

* The Acidity of Coffee Irritates the Stomach
o Coffee is highly acidic and it can stimulate the hypersecretion of gastric acids. Decaffeinated coffee has been shown to increase acidity to a greater degree than either regular coffee or caffeine alone.15 Both caffeine and coffee stimulate gastric acid secretion and decaffeinated coffee raises serum gastrin levels.16, 17 A study comparing the ability of decaffeinated coffee with that of a high protein meal to increase gastric acid secretion and gastrin levels found that decaffeinated coffee was a more powerful stimulant of acid secretion and gastrin release than the high protein.18
o Coffee tends to speed up the process of gastric emptying, which may result in highly acidic stomach contents passing into the small intestine more rapidly than normal. This may lead to injury of the intestinal tissue.19
o There is a clear relationship between reduction of stomach acid and heartburn relief.20

* Coffee Is a Risk Factor Associated with Ulcer Susceptibility
o Coffee is linked to ulcer susceptibility. Both caffeinated and decaffeinated coffees have an acid-stimulating effect, and therefore it is recommended that people with ulcers restrict not only caffeinated but also decaffeinated coffee intake.21

* Coffee Elevates Stress Hormones
o Caffeine in coffee elevates the stress hormones cortisol, epinephrine (also known as adrenaline) and norepinephrine.22, 23, 24, 25 These hormones are responsible for increased heart rate, increased blood pressure, and a sense of "emergency alert". Blood is diverted from the digestive system which can cause indigestion. The circulation of oxygen to the brain and extremities is decreased and the immune system is suppressed.
o The purpose of the body's "fight or flight" response initiated by the release of cortisol, epinephrine and norepinephrine is to provide the body with a temporary energy boost for intense physical activity. With today's sedentary lifestyle, the continual state of increased stress resulting from caffeine consumption may affect symptoms of heartburn and GERD. Although the relationship between stress and symptoms of gastroesophageal reflux is still unclear, evidence suggests that anxiety, along with exhaustion resulting from sustained stress, are both associated with exacerbation of heartburn and esophageal reflux.29

* Coffee Supresses Immune System Function
o Immune system suppression caused by chronic increased levels of stress hormones induced by caffeine intake can create a situation in which the bacteria Helicobacter pylori can thrive in the stomach. Infection by H. pylori is implicated in ulcers.

* Caffeine Interferes with GABA Metabolism
o GABA (Gamma-aminobutyric acid) is a neurotransmitter that is naturally produced in the brain and nervous system as well as the GI tract. It plays an important role in mood and stress management and it exerts a calming effect on the GI tract.
o Caffeine has been found to interfere with binding of GABA to GABA receptors, preventing it from performing its calming function.26 Studies suggest that stimulation of GABA receptors may be beneficial for people with reflux arising from low lower oesophageal sphincter pressure.27, 28 In addition to its direct effect on the GI tract, GABA’s role in stress management is also compromised in the presence of caffeine. This is significant as psychological stress has been shown to be an exacerbating factor in heartburn and ulcers.29

Recommendation:

Individuals who suffer from or are susceptible to problems with the upper gastrointestinal tract, would do well to avoid coffee as it has been demonstrated to be a contributing factor associated with increased incidence of gastritis, ulcers, acid reflux and GERD. Dietary changes that include weaning off of coffee and all other sources of caffeine can help relieve symptoms of these disorders.30 Nutrition professionals can support gastrointestinal patients by guiding them through the process of substituting a non-caffeinated, alkaline herbal coffee that brews and tastes just like coffee.

Answer 2

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Answer 3

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Answer 4

This book is probably the most informative and practical guide on the subject of acid reflux and heartburn that I have ever read https://tr.im/acidrefluxnaturally
I was prescribed Lansoprazole which was brilliant but after two years of aching joints, extreme muscle pain which the doc gave me cortisone jags for, with some research I discovered the drug Lansoprazole was causing these rare side effects but it was I who diagnosed it NOT my doctor, I came off the drug 2 months ago, changed my diet and discovered just eating an apple stops any acid reflux, I eat an apple before bed, brilliant no acid, any time I feel the slightest sign of reflux I simply eat an apple. Apple juice is not that good nor is anything else I have tried including honey at stopping reflux.

Answer 5

Some will tell you it's the acid, this is a falicy. It's actually the oils in coffee that rise on top of your stomach contents.
Your stomach acids aren't breaking them down quickly enough so they rise up and you get heartburn.

If you smoke, stop!
If you have heartburn more than three times a week, see your doctor!

Answer 6

So..
I'm a medical researcher. It is widely agreed among physicians and medical paraprofessionals, that initial diagnosis, mostly by using a typical acid reflux symptoms questionnaire, is necessary to ensure the most effective and quick treatment for this condition. Approx 70% of the acid reflux diagnostics that are based on the presence of typical symptoms are accurate. Since acid reflux, also called GERD (gastroesophageal reflux disease), can cause patients a great deal of discomfort and result in severe complications, it is highly important to know how to identify its symptoms in order to quickly diagnose and treat it.

If you know you have acid reflux you can try this natural program http://www.goobypls.com/r/rd.asp?gid=568
Have a nice day

Answer 7

I have that problem as well, doctor says it is the caffeine. He gave me so acid reflux meds and now I can drink coffee with no problem. There is a new coffee blend that's supposed to be less irritating to the stomach, bought some, but haven't tried it yet.

Answer 8

it's the acid in it. I get heartburn after drinking more than 2 cups of coffee.

Answer 9

Coffee is very acidic and strong, you might have a condition, I'd suggest talking to your Dr. about it, though it is normal, it may also be a sign of acid reflux, get it checked. Limit your intake to a cup a day, or drink green tea, as well as chamomille, chamomille soothes the stomach.

Answer 10

If you know you're going to get sick if you eat/drink something with coffee, why do you do it? Coffee is very acidic. Most people don't know that. That could cause those symptoms. In the future, if it hurts don't do it....pretty basic stuff.

Answer 11

Well, you just do, that's the answer. Try taking Prilosec as directed. You have gastric reflux and coffee makes you quite aware of it. You probably have reflux with other things that you just don't notice. Causes damage to your esophagus if it continues.