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Almost all H2 blockers don’t work well after 2 – 6 weeks because the stomach adapts, and they become much less effective. Once your heartburn improves, stop the medication. You can start with these for heartburn relief.
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H2 blockers (also known as histamine-2 antagonists) are a class medications that decrease stomach acid and include popular drugs like famotidine (Pepcid), ranitidine (Zantac), and cimetidine (Tagamet). Why? Coffee is acidic, with a low pH of 4. Whether decaf or regular coffee, coffee is a heartburn trigger. Experiments in healthy individuals have shown that cola and carbonated water both allow food to return to the esophagus from the stomach to the same extent.Ĭoffee. Surprise! Carbonated water is just as bad as coke. Carbonated drinks and sodas make nighttime heartburn symptoms much more likely.Ĭarbonated water. Whether caffeinated or caffeine-free, it doesn’t matter. Carbonation causes the esophagus to become more acidic. Whew! When it comes to alcohol, watch out for three things: how much you drink, carbonation, and alcohol content (how strong the drink is). Alcohol causes heartburn symptoms in four ways: by keeping acidic content in the stomach longer, by stimulating the stomach to make more acid, by impairing the esophagus from keeping food down, and by making it easier for acid to rise up into the esophagus from the stomach.
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Like I mentioned, alcohol content isn’t good for heartburn. Clear alcohols like vodka and gin contain fewer congeners than darker drinks like brandy, whisky, and rum. Darker alcoholic drinks contain more naturally occurring compounds called congeners, which can increase stomach irritation and heartburn symptoms. There is evidence that people who drink liquor have more heartburn than beer drinkers. But, compared to other alcohol beverages, beer has a relatively lower alcohol content-and that’s good in the world of heartburn. Beer is very acidic, and it’s carbonated. White wine is more acidic than red wine, so it may cause more heartburn.īeer. If you are going to drink alcohol, know these tidbits: Remember, milk has a “neutral” pH, so it’s just as acidic as it is alkaline. Winners here are milk, eggs, and Swiss cheese. Most folks know of ketchup’s relationship to heartburn because of the tomatoes, but mustard is also makes symptoms worse.ĭairy. Tomato paste, tomato juice, and canned tomatoes are more acidic than whole, raw tomatoes, so it’s possible that some forms of tomato may not trigger acid reflux for you. Chocolate-specifically dark chocolate more than milk chocolate-can cause stomach acid to rise up into the esophagus, causing acid reflux and heartburn. Peppermint in any form, shape, or size is a known cause of heartburn.Ĭhocolate. Oil can make heartburn symptoms worse and foods drenched in oil like french fries, fried chicken or fish, and doughnuts are no exception. Especially for these people, limiting these foods has been shown to improve symptoms.įried foods. While there may be many food villains out there, folks with severe heartburn symptoms tend to have heartburn because they are more likely to eat or drink things on this list. Most freshwater fish, shrimp, salmon and herring have low acidity with a high pH (higher than 6). Chicken and roast turkey both have a low acidity and are fairly lean, so those are good options. The winners in the fruit category are cantaloupe, dates, watermelon, and honeydew melon. Acidic fruits like oranges and pineapples are bad for heartburn. Neutral foods include kale, yellow squash, asparagus, and corn. A neutral pH, around a pH of 6, is good-it’s neither strongly acidic nor alkaline.
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Rice, couscous, potatoes and crackers are a great place to start if you’ve been struggling with heartburn symptoms.