Debunking The Top Five Myths about Acid Reflux

Nick Belden, DC
3 min readAug 25, 2023
Photo by Fernando Andrade on Unsplash

Ah, acid reflux — that all too familiar sensation that sends discomfort surging through our chests and leaves us questioning every culinary choice we've ever made. But let's clear the air and debunk some common myths surrounding this misunderstood condition. Here are the top five myths about acid reflux, unraveled for your enlightenment:

Myth 1: It's All About Excessive Stomach Acid

One prevailing misconception is that acid reflux results from excessive stomach acid. In reality, it's not the quantity of acid but rather its unwelcome location that causes the trouble. While the stomach can handle its acid for proper digestion, the esophagus isn't built to withstand such exposure. An imbalanced gut microbiome often drives this misplacement — the complex ecosystem of organisms in our digestive system.

Imagine your gut as a garden, teeming with an array of flora and some persistent weeds. Just as an overgrowth of weeds can choke the life out of a garden, an imbalance in your microbiome can lead to excessive gas production. This gas can exert pressure on the stomach, forcing the lower esophageal sphincter to open and triggering the backward flow of stomach contents. It's not just about excess acid; it's about nurturing your gut garden to maintain a harmonious balance.

Myth 2: Chocolate is the Culprit

You've likely heard chocolate worsens acid reflux symptoms, but that's only a piece of the puzzle. It's akin to attributing foot pain solely to walking without considering the thumb tack lodged in your foot. While chocolate might exacerbate symptoms, it's not the root cause. The actual triggers are tied to the microbial imbalance we discussed earlier. Milk chocolate, laden with sugar, can further feed these problematic microbes. However, cacao might be less detrimental in its purer forms, like dark chocolate or cacao powder. Remember, it's about addressing the underlying issues, not just avoiding your favorite treats.

Myth 3: Coffee — A Brew of Acid Reflux

Coffee and its caffeine content often get a bad rap in the acid reflux narrative. But the blame isn't solely on caffeine. Coffee's impact lies in its ability to affect the tone of that lower esophageal sphincter — the gatekeeper between the stomach and the esophagus. This can lead to prolonged openings, allowing stomach contents to venture where they shouldn't. If you're a coffee lover combating reflux, consider adjusting your routine. Have your caffeine and meals at separate times, allowing your digestive system to work its magic before introducing the stimulating effects of coffee.

Myth 4: The Fiery Side of Spicy Foods

For acid reflux sufferers, spicy foods are often on the "avoid" list. Yet, it's not that straightforward. While these foods might trigger discomfort, they could also restore your gut's balance. Fermented delights like kimchi and peppers can be allies in this endeavor. As you work on realigning your microbial harmony, temporarily reducing your spicy food intake might be wise. Remember, this is a temporary measure — you don't have to banish spice from your life forever.

Myth 5: Apple Cider Vinegar — Burning Fallacy

Some wellness circles advocate consuming apple cider vinegar until you feel the burn, claiming it's a sign of effectiveness. Let's dispel this misconception immediately. That burning sensation isn't a badge of progress; it's a signal of irritation. Instead of chasing discomfort, focus on actual improvements. If your strategy involves acidity, look for tangible relief from symptoms like post-meal reflux, early fullness, or swallowing troubles.

In the journey to conquer acid reflux, understanding its onset timeline and intersection with your life events, nutrition, and lifestyle habits is pivotal. But don't tread this path alone. Partner with a holistic and integrative healthcare provider who comprehends the intricacies of digestive physiology. Their expertise will guide you toward solutions tailored to your unique needs.

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Nick Belden, DC

I help health conscious people regain trust in their gut and hormones. Functional Medicine Practitioner. Insta: @dr.nickbelden. Podcast Host: Gut Check Radio