Coffee and GERD: Can You Still Enjoy Your Morning Cup?
If you love coffee, you’re not alone—I’m passionate about my morning brew, too. But if you’re living with GERD (gastroesophageal reflux disease), you may have heard the advice: “I can’t drink coffee with GERD.” Let’s clarify why coffee earns this reputation and explore ways you can enjoy it without triggering reflux.
Why Coffee Was Once Considered a GERD Trigger
The main concern with coffee is its caffeine content. Caffeine can weaken the lower esophageal sphincter (LES)—the muscle that keeps stomach acid from flowing back into the esophagus. When the LES pressure decreases, acid reflux symptoms are more likely to occur.
While this makes sense, research is mixed:
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Some studies suggest that coffee does not significantly increase the risk of GERD.
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Others show that individuals respond differently, meaning coffee may be a trigger for some but not for others.
As a result, the American College of Gastroenterology no longer recommends the routine elimination of coffee for GERD patients. Instead, they suggest focusing on identifying individual triggers.
Finding Out if Coffee Fits Into Your Lifestyle
If you have GERD and want to keep coffee in your routine, consider these strategies:
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Limit caffeine intake – A standard 8-oz. cup of black coffee contains approximately 95 mg of caffeine. Compare this with an eight-ounce cup of decaf, which contains only 2–4 mg.
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Limit your caffeine intake to under 400 mg per day (unless advised otherwise by your healthcare provider). Be sure to account for other sources, such as tea, soda, or energy drinks.
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Experiment with decaf – Many people find that they can still enjoy the flavor of coffee with a reduced risk of symptoms.
Low-Acid Coffee: A Gentler Option for GERD
Another option is switching to low-acid coffee. Many people with GERD report less heartburn with these varieties. Here’s why:
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Low-acid coffees have a slightly higher pH, making them less acidic.
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Roasting methods and darker roasts can also reduce acid content.
Popular Low-Acid Coffee Brands to Try
The Bottom Line on Coffee and GERD
Coffee may not be a universal trigger for GERD, but it can be for some individuals. The best approach is to:
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Track your symptoms after drinking coffee
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Adjust serving sizes and timing.
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Explore decaf or low-acid alternatives.
This way, you can make an informed decision about whether your favorite morning ritual fits comfortably into your GERD-friendly lifestyle.
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Iriondo-DeHond, A., Uranga, J. A., Del Castillo, M. D., & Abalo, R. (2020). Effects of Coffee and Its Components on the Gastrointestinal Tract and the Brain-Gut Axis. Nutrients, 13(1), 88. https://doi.org/10.3390/nu13010088
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Kim, J., Oh, S. W., Myung, S. K., Kwon, H., Lee, C., Yun, J. M., Lee, H. K., & Korean Meta-analysis (KORMA) Study Group (2014). Association between coffee intake and gastroesophageal reflux disease: a meta-analysis. Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus, 27(4), 311–317. https://doi.org/10.1111/dote.12099
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New Treatment Guidelines on Gastroesophageal Reflux Disease (GERD). The American College of Gastroenterology. (2013, March 5). https://journals.lww.com/ajg/fulltext/2022/01000/acg_clinical_guideline_for_the_diagnosis_and.14.aspx
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Wei, T. Y., Hsueh, P. H., Wen, S. H., Chen, C. L., & Wang, C. C. (2019). The role of tea and coffee in the development of gastroesophageal reflux disease. Tzu chi medical journal, 31(3), 169–176. https://doi.org/10.4103/tcmj.tcmj_48_18
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