Natural Remedies for Acid Reflux

What is Acid Reflux?

Acid reflux (gastroesophageal reflux) occurs when stomach acid flows back into the esophagus, causing heartburn and other symptoms. Chronic acid reflux (GERD) affects the quality of life and can lead to complications if untreated.

Prevalence: GERD affects approximately 20% of the US population. Occasional acid reflux is even more common, with most adults experiencing it at some point.

Evidence-Based Remedies

Deglycyrrhizinated Licorice (DGL)

Moderate Evidence

DGL is a form of licorice root with the glycyrrhizin removed to avoid blood pressure side effects. It may help coat and soothe the esophageal lining and stimulate mucus production.

Suggested Dosage

380-400mg chewable tablets, 20 minutes before meals, 3 times daily

Safety Warnings

Regular (non-DGL) licorice can raise blood pressure and cause potassium depletion. Ensure you use the DGL form. May interact with certain medications.

Slippery Elm

Preliminary Evidence

The inner bark of slippery elm contains mucilage, which forms a soothing coating over the esophageal lining, potentially reducing irritation from stomach acid.

Suggested Dosage

400-500mg capsules 3 times daily, or 1 tablespoon powder mixed in water before meals

Safety Warnings

May slow absorption of other medications. Take at least 2 hours apart from other medications.

Ginger

Moderate Evidence

Ginger has gastroprotective properties and may accelerate gastric emptying, reducing the likelihood of acid backing up into the esophagus.

Suggested Dosage

1-2g fresh ginger or 250mg supplement before meals

Safety Warnings

Excessive amounts may actually worsen reflux. Stick to moderate doses. May interact with blood thinners.

Dietary Modifications

Strong Evidence

Avoiding trigger foods (spicy, fatty, acidic, caffeinated), eating smaller meals, not lying down after eating, and elevating the head of the bed are foundational approaches.

Suggested Dosage

Ongoing lifestyle changes: eat 3 hours before bed, smaller portions, identify triggers

Safety Warnings

Dietary changes alone may not be sufficient for moderate to severe GERD. Do not discontinue prescribed medications without medical advice.

Frequently Asked Questions

Is apple cider vinegar good for acid reflux?

Despite popular claims, there is limited scientific evidence supporting apple cider vinegar for acid reflux. In some cases, the acidity may actually worsen symptoms. If you want to try it, dilute 1 tablespoon in 8 ounces of water and drink before meals, but discontinue if symptoms worsen.

Can stress cause acid reflux?

Stress does not directly cause acid reflux, but it can exacerbate symptoms. Stress increases stomach acid production, slows digestion, and may lead to behaviors that trigger reflux (overeating, alcohol, poor food choices). Stress management techniques may help reduce flare-ups.

What is the best sleeping position for acid reflux?

Sleeping on your left side and elevating the head of your bed by 6-8 inches (using a wedge pillow or bed risers) can significantly reduce nighttime reflux. Gravity helps keep stomach acid from flowing into the esophagus in this position.

Related Conditions

Natural Remedies for Bloating

Bloating is a feeling of fullness, tightness, or swelling in the abdomen often accompanied by gas. While usually not serious, chronic bloating can indicate digestive issues that benefit from natural remedies and dietary changes.

Natural Remedies for Nausea

Nausea is an uneasy feeling in the stomach that often precedes vomiting. It can be caused by motion sickness, pregnancy, medications, food poisoning, or many other conditions. Natural remedies can be particularly helpful for mild to moderate nausea.