- LES Relaxation: Alcohol directly causes the LES muscle to relax, making it easy for acid to splash back up.
- Increased Acid Production: Alcohol stimulates the stomach to produce more acid, creating a larger volume of irritant.
- Slowed Stomach Emptying: Alcohol slows the digestive process, keeping acid in the stomach longer, increasing the opportunity for reflux.
- Mucosal Damage: Alcohol can directly irritate and damage the esophageal lining, making it more sensitive to the burn.
- The Problem: The crisp, sharp taste of many white wines comes from their higher acid content. This extra acid, combined with the LES relaxation caused by the alcohol, is a double whammy for heartburn sufferers.
- The Problem: Beer presents two major issues:
- Carbonation (The Bubbles): The bubbles create gas in the stomach, increasing internal pressure. This pressure actively pushes stomach acid up past the relaxed LES.
- Acidity & ABV: Beer is inherently acidic, and strong, high-ABV brews relax the LES more effectively.
- The Problem: Concentrated spirits like whiskey, gin, and vodka (consumed neat or as shots) are highly potent (high ABV). This concentration is intensely irritating to the stomach lining and is the most effective at relaxing the LES.
- The Problem: Mixed drinks often combine the worst triggers:
- Acidic Juices: Cocktails relying on citrus (margaritas, screwdrivers, daiquiris) compound the problem by adding high external acid.
- Carbonated Mixers: Sodas and tonic water add gas pressure.
- Other Triggers: Be mindful of added ingredients like peppermint, chocolate, or coffee liqueurs.
If you are set on having an alcoholic drink, choosing options with a lower ABV and lower acidity is your safest bet.
Wine: Red Wine (in moderation)Generally, red wine is less acidic than white wine, making it the lesser of two evils.
Beer: Light Beer (low ABV)Lower ABV means less alcohol to relax the LES, and less overall irritation.
Mixers: Plain Water, Herbal Infusions, Light Juices (Apple, Pear, Cranberry)Non-acidic and non-carbonated, they dilute the alcohol without
adding gastric pressure or extra acid.
Digestifs: A small serving of an herbal digestif like Amaro (Averna, Montenegro) after a meal can sometimes aid digestion by stimulating enzymes, though the alcohol content still requires caution.
- Dilute Heavily: Never drink spirits straight. Diluting them with water or non-acidic mixers reduces the alcohol concentration and irritation.
- Stay Upright: Do not recline or lie down after drinking. Gravity is your ally in keeping acid in the stomach.
- Sip Slowly: Give your body time to process the alcohol. Limit yourself to one drink per hour.
- Watch the Snacks: Avoid pairing drinks with common reflux triggers like spicy, fatty, or fried foods.
- Stay Hydrated: Always drink water alongside your alcoholic beverage to help dilute stomach acid.
Published
November 10, 2025
Monday at 5:58 PM
Reading Time
4 minutes
~795 words