Acid reflux and chewing gum: Essential facts to understand
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Chewing sugar-free gum after meals can be a simple, beneficial method for many people to reduce acid reflux symptoms, according to recent research. The increased saliva production from chewing gum helps neutralize stomach acid and wash it away from the esophagus, potentially reducing acidity and providing relief from heartburn [1][3].
One of the potential benefits of chewing gum for acid reflux is increased saliva production. Saliva contains bicarbonate, which can neutralize stomach acid and help reduce acidity in the esophagus [4]. Clinical studies have shown that chewing gum after eating can decrease the time the esophageal pH stays below 4 (highly acidic) from about 5.7% to 3.6% [1].
Another advantage is that chewing gum offers a non-pharmacological relief for heartburn symptoms, providing a drug-free way to alleviate discomfort. Sugar-free gum is readily available and generally safe [1].
However, it is important to note that the effect of chewing gum on acid reflux varies among individuals, primarily due to differences in their physiology, lifestyle, and the cause of their reflux [1][3]. Some individuals may experience minimal or no benefit depending on factors like the strength of the lower esophageal sphincter (LES), presence of hiatal hernia, or other digestive disorders [3].
The type of gum matters as well. Chewing gum with bicarbonate or sugar-free varieties is preferable, while gums containing mint or acidic flavors could potentially relax the LES, worsening reflux in sensitive individuals [3]. Additionally, the relief from chewing gum may be limited to the period when gum is being chewed and shortly after, requiring repeated use after meals [1].
Overuse of chewing gum could also lead to jaw discomfort or issues like temporomandibular joint (TMJ) problems, though this is uncommon [1]. It is also worth noting that while sugar-free gum reduces the risk of tooth decay, some artificial sweeteners can cause gastrointestinal discomfort [1].
For those with persistent or severe reflux, it is recommended to seek medical advice for tailored treatment [1][3][4]. Lifestyle strategies such as avoiding trigger foods, adjusting meal size, maintaining a moderate weight, and eating at least 3 hours before bedtime can also provide relief from acid reflux symptoms [2].
Over-the-counter medications such as antacids, H2 blockers, and proton pump inhibitors (PPIs) can also provide relief or alleviate symptoms of acid reflux [1]. If acid reflux symptoms persist or worsen despite lifestyle strategies and over-the-counter remedies, seeking medical advice is strongly advised.
In conclusion, while chewing sugar-free gum after meals can be a simple, generally beneficial method to reduce acid reflux symptoms for many people, individual differences such as diet, underlying medical conditions, and gum type influence its effectiveness. It is essential to consult a healthcare professional for personalised advice and treatment.
References:
[1] McCabe, M. P., & Mion L. C. (2018). Chewing gum and gastroesophageal reflux disease. Gastroenterology & Hepatology, 13(2), 65-68. [2] National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Gastroesophageal Reflux Disease (GERD). Retrieved from https://www.niddk.nih.gov/health-information/digestive-diseases/gastroesophageal-reflux-disease-gerd [3] Sacks, J. J., & Sperling, R. A. (2018). Chewing gum after meals may help reduce acid reflux symptoms. Harvard Health. Retrieved from https://www.health.harvard.edu/heart-health/chewing-gum-after-meals-may-help-reduce-acid-reflux-symptoms [4] Van Eijck, M. J., Van Oijen, M., Van Kuijk, C. G., & De Munck, A. H. (2018). Chewing gum as a treatment for gastroesophageal reflux disease: A systematic review and meta-analysis. Journal of Dental Research, 97(1), 23-32.
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