Baking soda, also known as sodium bicarbonate, is a popular home remedy for heartburn and acid reflux. Its alkaline nature helps neutralize stomach acid, providing fast relief for many people suffering from the burning sensation that rises from the stomach into the chest. It’s inexpensive, readily available, and often considered a safer alternative to prescription medications. But while it might seem like an innocent kitchen staple, regularly using baking soda for acid reflux can come with hidden dangers and side effects that most people are unaware of.
When taken occasionally and in small amounts, baking soda can temporarily relieve mild heartburn. But this doesn’t mean it’s safe for frequent or long-term use. Let’s take a deeper look at the risks associated with using baking soda for acid reflux, the science behind why it works, and safer natural alternatives for managing reflux without compromising your health.
How Baking Soda Works for Acid Reflux Relief
Baking soda is a base, meaning it works to neutralize excess stomach acid. When you dissolve a teaspoon of baking soda in water and drink it, the solution reacts with hydrochloric acid in the stomach, turning it into salt, water, and carbon dioxide. This chemical reaction quickly reduces the burning sensation caused by acid reflux, offering almost immediate relief. However, the same reaction that brings relief can also disrupt the delicate acid balance your digestive system needs to function properly.
1. Short-Term Relief Can Mask Bigger Problems
The most common issue with using baking soda is that it may only offer temporary relief, while masking the underlying cause of acid reflux. Most people experience acid reflux not because their bodies produce too much acid, but because the lower esophageal sphincter (LES)—the valve between the esophagus and stomach—is weak or malfunctioning. Using baking soda regularly doesn’t address this root problem. Instead, it gives a false sense of security while the condition potentially worsens over time.
2. Risk of Metabolic Alkalosis
One of the most serious potential side effects of excessive baking soda intake is a condition called metabolic alkalosis. This occurs when your body becomes too alkaline due to too much bicarbonate in the bloodstream. Symptoms include nausea, muscle twitching, hand tremors, confusion, and prolonged muscle spasms. In extreme cases, metabolic alkalosis can lead to seizures, irregular heartbeat, or even coma. This is especially risky for people with kidney problems who can’t properly filter out the excess sodium and bicarbonate.
3. High Sodium Content and Its Effects
A single teaspoon of baking soda contains about 1,200 mg of sodium—over half of the recommended daily intake for most adults. This makes baking soda a poor choice for those with high blood pressure, heart disease, or kidney issues. Regular consumption can increase fluid retention, raise blood pressure, and strain the cardiovascular system. Even if you feel healthy, a high-sodium intake can silently contribute to long-term damage.
4. Stomach Rupture and Gas Buildup
The carbon dioxide gas produced when baking soda reacts with stomach acid can cause bloating and excessive gas. In rare cases, if someone consumes baking soda and then eats a large meal or drinks excessive liquids, it can lead to a dangerous buildup of gas that might cause a stomach rupture. While this is extremely uncommon, it’s a reminder that even natural remedies can have unexpected consequences when misused.
5. Interaction with Medications
Baking soda can interfere with the absorption and effectiveness of certain medications. These include antibiotics, antifungals, and medications for the heart and nervous system. Because it alters stomach pH levels, baking soda can affect how your body processes these drugs. If you’re taking any prescription medications, it’s essential to speak with a healthcare provider before using baking soda for acid reflux.
6. Rebound Acidity
Frequent use of baking soda can cause your stomach to produce more acid once the effect wears off, creating a cycle of dependency. This rebound effect may result in even more severe heartburn episodes after the initial relief wears off. Over time, this can lead to worsening symptoms and a higher risk of complications such as esophagitis (inflammation of the esophagus).
7. Electrolyte Imbalance
Along with increasing sodium levels, long-term use of baking soda can lead to an imbalance of other electrolytes like potassium and calcium. These imbalances may cause fatigue, muscle cramps, heart irregularities, or even neurological symptoms. This is especially dangerous for older adults or individuals who are already prone to mineral deficiencies.
Safer Natural Alternatives for Acid Reflux Relief
Thankfully, there are safer and more sustainable ways to manage acid reflux naturally:
Apple Cider Vinegar (ACV) – Despite being acidic, ACV may help balance stomach acid for some people when taken in small diluted doses before meals. It supports digestion and may improve LES function.
Aloe Vera Juice – Soothing and cooling, aloe vera juice helps reduce inflammation in the esophagus and stomach lining, providing natural relief from reflux symptoms.
Licorice Root (DGL) – Deglycyrrhizinated licorice supports mucosal lining healing and can help protect the esophagus and stomach lining without altering acid levels.
Slippery Elm – This plant contains mucilage, which coats and soothes the digestive tract, protecting it from acid and reducing discomfort.
Chamomile or Fennel Tea – These herbal teas calm the digestive system, reduce bloating, and promote healthy digestion, making them excellent choices after meals.
Bananas and Oatmeal – These foods are low in acid and can create a protective barrier in the stomach, reducing the chances of reflux.
Lifestyle Tips to Prevent Acid Reflux
Even the best natural remedies won’t help much if you don’t address the habits and behaviors that trigger acid reflux. Here are a few simple changes that can go a long way in managing your symptoms:
-
Eat smaller, more frequent meals instead of large portions
-
Avoid lying down immediately after eating—wait at least 2-3 hours
-
Raise the head of your bed to prevent nighttime reflux
-
Identify and eliminate trigger foods like spicy dishes, fried food, coffee, alcohol, and chocolate
-
Maintain a healthy weight to reduce pressure on the abdomen
-
Avoid tight-fitting clothes around the stomach area
-
Quit smoking, as it weakens the LES and aggravates reflux symptoms
Barbara O’Neill’s Perspective on Natural Remedies for Reflux
Barbara O’Neill, a well-known advocate of natural health and gut healing, strongly encourages individuals to look at the bigger picture when dealing with acid reflux. According to Barbara, “The stomach needs a strong acidic environment to digest food properly. When acid is neutralized too often, the digestive system becomes sluggish, leading to more problems.” She recommends strengthening digestion with natural tools like herbal teas, fermented foods, and proper meal timing, rather than constantly trying to suppress symptoms.
Conclusion
While baking soda can offer quick relief from acid reflux, it is not without its risks. Its use should be limited to occasional and emergency situations, not as a long-term solution. The side effects—ranging from high blood pressure to serious electrolyte imbalances—make it a remedy that must be approached with caution. If you’re struggling with regular heartburn or digestive discomfort, it’s wiser to focus on identifying the cause, adopting lifestyle changes, and using gentle, natural therapies to restore balance. Your body thrives on consistency and care, not quick chemical fixes.