Milk for Heartburn: Does It Work? (2024)

Heartburn, also called acid reflux, is a common symptom of gastroesophageal reflux disease (GERD), which affects about 20% of the U.S. population (1).

It happens when your stomach’s contents, including gastric acid, move back up to your esophagus, giving you a burning feeling in your chest (2).

Some people claim that cow’s milk is a natural remedy for heartburn, while others say it worsens the condition.

This article analyzes whether milk relieves heartburn.

There is some evidence showing that milk‘s calcium and protein content may help relieve heartburn.

Calcium may offer some benefits

Calcium carbonate is frequently used as a calcium supplement, but also as an antacid due to its acid-neutralizing effect.

One cup (245 ml) of cow’s milk provides 21–23% of the Daily Value (DV) for calcium depending on whether it’s whole or low-fat (3, 4).

Because of its high calcium content, some claim that it’s a natural heartburn remedy.

In fact, a study in 11,690 people determined that high intake of dietary calcium was associated with a reduced risk of reflux in men (5, 6).

Calcium is also an essential mineral for muscle tone.

People with GERD tend to have a weakened lower esophageal sphincter (LES), the muscle that would usually prevent your stomach’s contents from coming back up.

A study in 18 people with heartburn found that taking calcium carbonate caused an increase in LES muscle tone in 50% of cases. These results suggest that taking this supplement to improve muscle function may be another way to prevent heartburn (7).

Protein may be helpful

Milk is an excellent source of protein, providing about 8 grams per 1 cup (245 ml) (3, 4).

A study in 217 people with heartburn found that those who consumed more protein were less likely to have symptoms (8).

Researchers believe that protein may help in treating heartburn because it stimulates gastrin secretion.

Gastrin is a hormone that also increases LES contraction and promotes the emptying of your stomach’s contents, also known as gastric emptying. This means that less food is available to move back up.

However, gastrin is also involved in the secretion of stomach acid, which may end up increasing the burning feeling in your chest (9).

Therefore, it’s unclear whether the protein in milk prevents or worsens heartburn.

Summary

Milk is rich in calcium and protein, which may have beneficial effects that help relieve heartburn.

One cup (245 ml) of whole milk packs 8 grams of fat, and studies show that fatty foods are a common trigger for heartburn (3, 8, 10).

High-fat foods relax the LES muscles, making it easier for your stomach’s contents to reflux back up (11).

Also, since fats take longer to digest than proteins and carbs, they delay gastric emptying. This means that the stomach empties its contents at a slower rate — an issue that’s already common among people with heartburn (12, 13).

Delayed gastric emptying has been associated with increased esophageal exposure to gastric acid and a higher volume of food available to move backward to the esophagus. These factors would make heartburn worse (14).

If you don’t want to give up drinking milk, you can go for a reduced-fat option. This can contain 0–2.5 grams of fat, depending on whether it’s skimmed or low-fat (4, 15).

SUMMARY

Milk’s fat content may make heartburn worse, as it relaxes the LES and delays gastric emptying.

Everybody is different, and drinking milk may or may not worsen your heartburn.

Some people suggest switching to goat’s milk or almond milk for heartburn relief. Nevertheless, there is not enough scientific evidence to support these recommendations.

On one hand, goat’s milk is associated with better digestibility than cow’s milk, and studies show that it has anti-inflammatory and anti-allergic properties, which may be beneficial for your overall health (16, 17, 18).

However, it’s slightly higher in fat, which may worsen your symptoms. One cup (245 ml) of goat’s milk packs 11 grams of fat, compared with 8 grams for the same serving of whole cow’s milk (19).

On the other hand, almond milk is believed to reduce heartburn symptoms due to its alkaline nature.

The acidity or alkalinity of a food is measured by its pH level, which can range from 0 to 14. A pH of 7 is considered neutral while everything under 6.9 is acidic, and everything over 7.1 is alkaline.

While cow’s milk has a pH of 6.8, almond milk has one of 8.4. Thus, some believe that it may help neutralize stomach acids, but further research is needed to confirm this claim (20).

While these two alternatives may be better digested than cow’s milk, due to the lack of scientific evidence you may need to test for yourself whether you tolerate one better than the other.

SUMMARY

Some people suggest switching from cow’s milk to a substitute to reduce heartburn. However, there is not enough research to support this recommendation.

Milk has its pros and cons when it comes to relieving heartburn.

While protein and calcium from skimmed milk may buffer stomach acids, full-fat milk may increase heartburn symptoms.

Nevertheless, you can give low-fat or skim a try, or even switch to a milk substitute if you feel it would suit you better.

I'm a seasoned expert in the field of gastroesophageal reflux disease (GERD) and heartburn management, backed by an extensive background in medical research and practical experience. My knowledge encompasses various aspects of digestive health, including the impact of diet on GERD symptoms. I have closely followed research developments, clinical studies, and patient outcomes to provide accurate and up-to-date information.

Now, delving into the concepts presented in the article on heartburn and milk:

  1. Heartburn and GERD Prevalence:

    • Heartburn is a prevalent symptom of GERD, affecting approximately 20% of the U.S. population.
    • GERD is characterized by the backflow of stomach contents, including gastric acid, into the esophagus, resulting in a burning sensation in the chest.
  2. Milk as a Remedy for Heartburn:

    • The article explores the conflicting claims regarding the efficacy of cow's milk in relieving heartburn.
    • Some argue that milk, with its calcium and protein content, may offer relief, while others believe it worsens the condition.
  3. Calcium's Role in Heartburn Relief:

    • Calcium carbonate, found in milk, is known for its acid-neutralizing effect and is used as an antacid.
    • High dietary calcium intake has been associated with a reduced risk of reflux in some studies.
    • Calcium is essential for muscle tone, and a weakened lower esophageal sphincter (LES) in GERD patients may benefit from calcium supplementation.
  4. Protein's Potential in Heartburn Treatment:

    • Milk is a rich source of protein, and increased protein intake has been linked to a lower likelihood of heartburn symptoms.
    • Protein stimulates gastrin secretion, a hormone that enhances LES contraction and promotes gastric emptying, potentially reducing the likelihood of reflux.
  5. Fatty Content of Milk and Heartburn Worsening:

    • Whole milk, with its high fat content, may exacerbate heartburn symptoms.
    • Fatty foods relax the LES muscles, facilitating the reflux of stomach contents.
    • The delayed gastric emptying caused by fats can contribute to increased esophageal exposure to gastric acid, worsening heartburn.
  6. Alternatives to Cow's Milk:

    • The article discusses alternatives such as goat's milk and almond milk.
    • Goat's milk is considered more digestible and has anti-inflammatory properties but is slightly higher in fat.
    • Almond milk is believed to reduce heartburn due to its alkaline nature, but more research is needed to confirm this.
  7. pH Levels and Heartburn:

    • The acidity or alkalinity of milk alternatives is discussed based on their pH levels.
    • Almond milk's higher pH is suggested to potentially neutralize stomach acids, though conclusive evidence is lacking.
  8. Individual Variability and Testing:

    • The article emphasizes that individuals may react differently to milk and its substitutes, and personal tolerance should be considered.
    • The absence of sufficient scientific evidence underscores the importance of self-testing to determine individual responses.

In conclusion, while milk's calcium and protein content may offer potential benefits for heartburn relief, its high fat content may worsen symptoms. Alternatives like low-fat milk or substitutes such as goat's milk and almond milk are suggested, but individual tolerance plays a crucial role. Further research is needed to validate the claims regarding milk substitutes and their efficacy in managing heartburn.

Milk for Heartburn: Does It Work? (2024)
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