Orange Juice and Acid Reflux: What You Need to Know

Photo by Greg Rosenke on Unsplash

Orange juice is a popular and refreshing drink, but for those with acid reflux or gastroesophageal reflux disease (GERD), it can be a problem. Here’s why orange juice can trigger acid reflux symptoms and how you might be able to enjoy it more safely.

Why Orange Juice Can Trigger Acid Reflux:

High Acidity

Orange juice is naturally high in citric acid, which makes it highly acidic. For individuals with acid reflux, consuming acidic beverages can irritate the esophagus and increase stomach acid production. This can relax the lower esophageal sphincter (LES), the muscle that prevents stomach acid from flowing back into the esophagus, leading to symptoms like heartburn, chest pain, and regurgitation.

Increased Stomach Acid Production

The high acidity of orange juice may stimulate the stomach to produce more acid. This can increase the likelihood of acid reflux, especially if you drink it on an empty stomach or in large quantities. More stomach acid means more chances of backing up into the esophagus, causing irritation.

Delayed Stomach Emptying

Some research suggests that citrus juices, including orange juice, can slow down gastric emptying (the process by which food leaves the stomach). If food and acid sit in the stomach too long, it may lead to pressure on the LES, increasing the risk of reflux.

Can You Still Enjoy Orange Juice with Acid Reflux?

While traditional orange juice may trigger symptoms, there are a few ways to reduce its impact:

Dilute with Water

To reduce the acidity, try diluting orange juice with water or ice. This will lower the acidity and make it easier on your digestive system.

Limit Portions

If you’re craving orange juice, limit your portion size to a small glass (around 4-6 ounces). This reduces the acid load and the likelihood of triggering reflux.

Drink with Food

Avoid drinking orange juice on an empty stomach. Instead, enjoy it with a meal to help buffer the acidity and minimize the chances of acid reflux. Combining it with food may help neutralize the acid and reduce irritation.

Choose Low-Acidity Options

Look for low-acid orange juice or juice blends. Some brands offer juices with reduced acidity, which might be gentler on the stomach.

Avoid Eating Spicy or Fatty Foods Alongside Orange Juice

If you plan to drink orange juice, avoid pairing it with spicy, fatty, or fried foods, as they are more likely to trigger acid reflux. Opt for a mild meal instead.

Alternatives to Orange Juice:

If orange juice continues to trigger your acid reflux, other beverages may be gentler on your stomach:

Aloe Vera Juice

Known for its soothing properties, aloe vera juice can help calm inflammation and may be less acidic.

Non-Citrus Juices

Consider juices made from apples, pears, or watermelon—they are much lower in acid than citrus juices and are typically easier on the digestive system.

Herbal Teas

Mild herbal teas like ginger or chamomile can provide a soothing alternative without triggering reflux symptoms.

Conclusion:

Orange juice can be a trigger for acid reflux due to its high acidity, which can irritate the esophagus and increase stomach acid production. However, you can still enjoy it in moderation by diluting it, drinking it with food, or choosing lower-acid alternatives. If orange juice consistently causes discomfort, it might be best to opt for other beverages that are gentler on your digestive system.