Can Colds and Flu Make Your Acid Reflux Worse?

Photo by Kelly Sikkema on Unsplash

If you suffer from acid reflux, you may have noticed that your symptoms seem to flare up when you're battling a cold or the flu. Just when you’re already feeling under the weather, heartburn, indigestion, and a burning sensation in your chest can make things even worse. But is there a real connection between being sick and having acid reflux, or is it just a coincidence?

Colds and flu can significantly impact digestion and worsen reflux symptoms. From constant coughing and postnasal drip to common cold medications and dietary changes, many things can increase acid production and discomfort. If you find yourself reaching for antacids while also fighting off a stuffy nose or sore throat, you’re not alone.

Understanding how colds and flu can aggravate acid reflux is key to managing both conditions effectively. In this article, we’ll explore why this happens and share practical tips to keep your reflux in check while you recover.

How Colds and Flu Worsen Acid Reflux

Increased Coughing

Persistent coughing is a common symptom of colds and flu. However, frequent coughing can put pressure on the abdomen, which pushes stomach acid back into the esophagus, leading to heartburn and discomfort.

Postnasal Drip Irritation

When you're sick, excess mucus can drip down the back of your throat, irritating the esophagus. This irritation can trigger or worsen acid reflux symptoms, making you feel even more uncomfortable.

Medications That Affect Digestion

Many over-the-counter cold and flu medications, such as ibuprofen, aspirin, and some decongestants, can relax the lower esophageal sphincter (LES) or irritate the stomach lining. This increases the chances of acid reflux and heartburn. If you have reflux, consider choosing acetaminophen (Tylenol) instead of NSAIDs like ibuprofen.

Reflux-Friendly Medication Alternatives

• Instead of ibuprofen or aspirin, choose acetaminophen (Tylenol) for pain relief.

• Opt for alcohol-free cough syrups to avoid irritation.

• Avoid caffeinated decongestants, which can stimulate acid production.
  

How the Immune System Affects Digestion

When your body is fighting a virus, digestion often slows down because more energy is being directed to the immune system. This delayed digestion can lead to bloating, increased pressure on the stomach, and acid reflux. If your digestive system feels sluggish when you're sick, it’s best to eat smaller, lighter meals to reduce strain on your stomach.

Lying Down More Often

When you're sick, you naturally want to rest more. However, lying down too soon after eating or without proper elevation can worsen reflux. Stomach acid can easily travel up the esophagus when you're in a reclined position, leading to nighttime heartburn.

Dietary Changes

When you have a cold, you may turn to comforting foods and drinks like citrus juices, teas with mint or menthol, or cough drops. Unfortunately, these can trigger reflux symptoms. Acidic and minty foods relax the LES, allowing stomach acid to flow back into the esophagus.

Tips for Managing Acid Reflux While Sick

✔ Stay Hydrated – Drink plenty of water or herbal teas (such as chamomile or ginger) to thin mucus and support digestion. Avoid acidic, caffeinated, or carbonated beverages.

✔ Use a Humidifier – Keeping the air moist can reduce postnasal drip irritation and coughing.

✔ Choose Reflux-Friendly Medications – Avoid NSAIDs like ibuprofen and opt for acetaminophen instead. Look for alcohol-free cough syrups and decongestants that don’t contain caffeine.

✔ Elevate Your Head While Sleeping – Use extra pillows or a wedge pillow to keep acid from creeping up your esophagus while you rest.

✔ Eat Small, Gentle Meals – Stick to non-acidic, mild foods such as oatmeal, bananas, and broth-based soups. Avoid heavy, spicy, or greasy meals.

Natural Remedies for Acid Reflux and Cold Relief

If you prefer a natural approach to managing reflux while sick, here are some effective remedies:

• Ginger Tea – Helps with nausea, reduces inflammation, and soothes the throat without triggering reflux.

• Manuka Honey – Has antibacterial properties and coats the throat to reduce irritation from postnasal drip.

• Slippery Elm Tea – Forms a protective barrier in the esophagus, reducing heartburn discomfort.

• Fennel Seeds – Helps reduce bloating and digestive discomfort.

• Bananas – Naturally low in acid and can help coat the stomach.

• Oatmeal with Honey – Easy to digest and gentle on the stomach.

• Bone Broth or Chicken Soup – Provides nourishment while being easy on digestion.
  

Frequently Asked Questions (FAQ)

Can I take antacids with cold medicine?

Yes, but be mindful of interactions. Some cold medications already contain ingredients that neutralize acid, so always check labels or consult your doctor.

Is it okay to drink hot lemon water when I have acid reflux?

No. Lemon is highly acidic and can worsen reflux symptoms. Stick to non-acidic herbal teas instead.

How long will reflux symptoms last after being sick?

If your reflux was triggered by illness, it should subside within a few days of recovering. However, if symptoms persist, it may be worth consulting a healthcare provider.

Final Thoughts & Call to Action

Managing acid reflux while dealing with a cold or flu can feel overwhelming, but small adjustments can make a big difference. Choosing the right foods, medications, and home remedies can help keep reflux symptoms under control so you can focus on feeling better.

💬 Have you noticed your reflux getting worse when you're sick? What remedies work best for you? Share your experience in the comments!