Does apple cider vinegar help with acid reflux?

Apple cider vinegar, a fermented vinegar that people make from crushed apples, is a popular natural remedy for acid reflux and heartburn.

Does apple cider vinegar soothe acid reflux?

Acid reflux occurs when acid from the stomach flows upward. This causes a sour taste in the mouth and a burning sensation in the chest.

There are many anecdotal stories on the Internet to suggest that apple cider vinegar is an effective cure for acid reflux. Proponents say that the acidity of the tonic as well as the beneficial bacteria within can improve digestion and alleviate reflux.

One theory is that many people with acid reflux have too little stomach acid in a condition called hypochlorhydria. People can develop this condition from taking proton pump inhibitors.

These are common medications for acid reflux that can reduce stomach acid to very low levels. So, drinking apple cider vinegar may help these people increase the acidity of the stomach.

Is it safe to use apple cider vinegar for acid reflux?

In general, the risk of using apple cider vinegar for acid reflux is minimal. Many people drink it daily for blood sugar control, weight loss, and more without experiencing adverse effects. That said, no research confirms that it is safe to use in the long-term.

For some people, apple cider vinegar makes heartburn worse. Those who have a very irritated food pipe may experience further burning and irritation after drinking vinegar.

Lifestyle changes that can help people reduce acid reflux symptoms include:

Achieving a healthy weight. People who are overweight or obese are at greater risk of acid reflux, according to the findings of several studies. This may be due to the extra pressure on the stomach, which may push acid up into the food pipe.
Avoiding tobacco use. According to a 2016 review paper, smoking contributes to acid reflux by relaxing the muscle between the esophagus and stomach. This allows acid to rise.
Elevating the head of the bed. The International Foundation for Gastrointestinal Disorders recommend that people with acid reflux use blocks or wedges to raise up the head of their beds. Gravity can help control reflux.
Wearing loose clothing. Tight clothing, especially around the stomach area, can push acid from the stomach into the food pipe.
Practice good eating habits. Practice portion control and eat slowly to encourage healthy digestion. Avoid lying down while eating or within 3 hours of mealtimes.

Avoiding certain foods and drinks may improve the symptoms of acid reflux. Although food triggers vary from one person to another, some foods and drinks that may cause reflux include: