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Gluten And Acid Reflux

A recent research study linked peptic disease (heartburn, GERD, stomach ulcer) to gluten exposure in patients with gluten sensitivity. This simply means that gluten and acid reflux are linked.

The authors of this study recommend that all patients with non-infectious peptic disease be screened for celiac disease.

Source: Scand J Gastroenterol. 2009;44(12):1424-8.

Gastric Reflux is A Common Symptom of Gluten Exposure

Gluten and acid reflux are commonly linked and are highly correlated. I commonly see patients with a conglomeration of gastric symptoms that are directly caused by gluten exposure. They have questions like, “Why does bread give me heartburn every time I eat it?” or “Why do I have reflux all of the time?”. They have no idea that this could be related to gluten exposure. Reflux, heartburn, ulcer disease, Barrett’s esophagus, and even hernia are some of the more common diseases I have seen go into remission with the implementation of a TRUE gluten free diet.

Make Sure Your Doctor Orders the Right Tests

As stated before, gluten and acid reflux are highly correlated in most cases, so it is extremely important to be aware of what tests will give you the most accurate results. It is common for physicians to rule out infection (primarily H. pylori) in these patients, but gluten intolerance is very rarely investigated and it should be. The results of this study suggest that patients with gastric disease be screened for celiac disease. The problem with this recommendation is that celiac blood tests and biopsies are extremely inaccurate and have a high degree of false negatives. The other problem is that many people have non-celiac gluten sensitivity. Therefore, testing them for celiac disease is a complete waste of time and extremely misleading. That is why I recommend genetic testing. The results cannot be skewed by diet and are not accompanied with the flaws of celiac blood and biopsy testing.

Drugs That Block Stomach Acid Have Dangerous Consequences

It is important to remember that taking heavy doses of anti-acids and prescription reflux medications are not the answer. Taking these drugs every day only serves to neutralize or reduce stomach acid. Reduction of stomach acid is a major problem as it increases the risk for:
  • Infection
  • Osteoporosis (ironically, gluten also causes bone loss)
  • Vitamin and Mineral deficiencies (calcium, B-12, folic acid, iron, zinc, and more – also common in those with gluten sensitivity issues)
  • Protein and fat malabsorption as well as indigestion.

The chronic use of these medications works against your natural physiology.It does not treat the actual cause of disease, but merely reduces the symptoms (sometimes), thus creating a false sense of “healthy security”. See the diagram below for nutritional deficiencies and consequences of taking acid blocking medications:

What are the Consequences of these Deficiencies?

  • Vitamin A – suppression of the immune system, skin inflammation, gastric inflammation, lung inflammation, acid reflux, and infertility
  • Protein Deficiency – immune suppression, anemia, inability to heal, blood sugar abnormalities, weight gain, cancer
  • Calcium Deficiency – bone loss, hormone disruption, blood clotting problems, muscle cramping, high blood pressure, gum disease
  • Iron Deficiency – anemia, increased risk for viral and bacterial infections, fatigue
  • Vitamin B12 – nerve damage, increased risk for cancer, heart disease, bone loss, anemia, depression
  • Zinc Deficiency – reduced immune function, slow healing, easy bruising, lowered antioxidant status, acidic pH, diabetes, heart disease
  • Folate (Folic Acid) – intestinal cancer and polyps, mood disorders (depression, anxiety), cancer, heart disease, bone loss

Why would anyone want to trade the problems above just to reduce symptoms of heartburn? Does it not make better sense to try and determine the cause of the heartburn? We bathe our intestines with food 3 or more times a day. Shouldn’t we start looking at the diet first to see what foods cause reflux? When did common sense go out the window? The symptoms those with gluten intolerance suffer often time resembles those who suffer from GERD or acid reflux. Below is a list of foods that cause acid reflux:

  • grain
  • wine and other alcoholic beverages
  • dairy
  • eggs
  • soy
  • coffee and tea

An acid reflux diet is a great place to start when you’re looking for relief. There are many more, and it should be stated that different people react differently to different foods. The bottom line is this – if you have acid reflux, have your doctor test for food allergies as part of his investigation into the cause of your problem. Don’t accept a drug-based treatment without a solution since gluten and acid reflux are highly correlated.

Are you struggling with gluten and acid reflux problems? Are you trying to figure out if you have gluten sensitivity? Take our sensitivity test to see if your symptoms are gluten intolerance. Please do me a favor. If going gluten-free eliminated or reduced your gastric problems, please share with us below in the Leave a Reply Box. Your story may help encourage someone else to go gluten-free.

Wishing you excellent health,

Dr. Osborne – The Gluten Free Warrior

 

93 Responses

  1. Exactly the same for me. I had daily and almost constant nausea and would wake up each night wanting to vomit. I had every test imaginable and everything came back negative. I have hashimotos hypothyroidism so I read about cutting out gluten. I tried it and within three days all of the nausea went away. I now only get nausea if I eat gluten by mistake, even small amounts in non-gluten free oats. Thank you for raising this issue for other sufferers and making it more widely understood!

  2. If your doctor puts you on omeprazole or other meds for heartburn or tells you that your stomach produces too much acid, find another doctor! Ditch the gluten, and stick with it. I woke up one day with heartburn and had it every day for 4 months. I learned about gluten intolerance and gut health and gave up gluten completely. It took me three months to cure myself but that’s better than being on omeprazole for the rest of my life. Do some research and take a good look at what you’re eating. It takes discipline but feeling good is a great motivator. Good Luck!

  3. Hello

    I should start by saying my whole life I’ve been “generally unwell”

    I am very fit and very active but I seem to be lethargic all the time and have this… Feeling of shakey ess every day of my life. At one point my doctor asked if I normally shake I said yes his response _ OK so that’s normal.

    October 2018 I thought enough is enough my weight never improves my health is horrendous etc and I was referred to a dietician at the age of 29. No such luck as kept getting put to end of list.

    In 2019 I become seriously unwell. I had sickness everyday for about 60 days lost one stone in weight which is not great for someone who was lready underweight. I got then put on omeprazole. Problem solved. No shakes. No sickness and or Diarrhoea and… I felt less lethargic. 2 months later I was taken off this to test the doctor theory that it was just reflux. Very quickly all my symptoms returned. Sickness. Shakes. Nausea. Fatigue. Here we go again… So naturally the doctore put me on omeprazole again but this time no such luck nothing worked I was still ill and within 10 days I lost 15 lbs… (I had gained some weight in between testing the omeprazole theories. Doctor had no idea kept putting it back although.. Said covid stopped everything. A friend suggested gluten free diet. I asked my GP to test me for this but was told I was getting way ahead of myself and they had to test my blood for infection first before doing anything. Seemed silly as I’ve had my blood tested three times in 6 months. So I did gluten free for 14 days and I have never ever felt better. Spoke with my dietician who then told me my iron levels etc in my last bloods were very low – despite GP telling me the results were ‘normal’ I have had the heli cobactor test which was normal and told my GP I felt fine wen off gluten. So now they’ve suggested I have coeliac…. Had my test Friday of first week in July and waiting results. Regardless of these results I’ve been off gluten and feel much better than ever in life and I don’t have any shakes….. ***I do not recommend anyone come off gluten until they’ve had advice from a dietician or a doctor – this is my personal experience but always follow your doctor advice***

    1. Bernadette,
      Thank you for sharing your story! So happy that you are feeling better after discovering the gluten free diet!
      All the best,
      Dr. O

  4. I’ve been diagnosed with esophagus hernia and GRED. My doctor had me take Omeprazol for over 4 years and more recently put me on Duloxatine. Recently, my wife assisted on doing a genetic testing, which apparently is not available in US so we had to do this in Germany (at least we could find any). It turns out I was intolerant to gluten. I’m now on a gluten free died for two weeks and already feel much better.

    We are from Europe and emigrated to US mainly for the better healthcare and we’re finding this not to be true more and more. The paradox and perhaps the answer is that healthcare is EXPENSIVE in US and it probably makes sense to keep the protocols the way they are.

  5. After many years of taking antacids after meals and having heartburn and reflux, as well as tests to determine the cause of it all, I was chatting with friends and family who suggested it could be due to gluten intolerance. I have just started to remove all gluten from my diet and I totally feel so much better already. I only wish I knew about this years ago, I could have saved myself so much pain. It has bee. Great to read that other people are coming to the same conclusions and really terrific to read the information and comments on this site, thankyou

  6. Reading this page in the middle of the night because I ate some gluten and got reflux.

    There was a delicious looking pizza and I thought “just one slice would be ok?” (I had two).

    I started to put the connection together this year, that wheat was the trigger for me.

    I would much rather be sleeping right now, than sitting up waiting for acid to subside.

  7. Yes! I have had GERD for years and needed PPIs to manage. I decided to remove gluten from my diet due to some skin issues I was experiencing, and noticed that I no longer needed PPIs. I’ve been gluten free for months, and haven’t needed any medication to manage my GERD. It’s gone.

  8. I have been on a very strict gluten free diet for almost a decade, but still struggle with consistent acid issues. My dr prescribed me odanestron to deal with the nausea, but it never stops the hot sharp pain in my stomach and guts, and I often throw up yellow. My Dr hasn’t prescribed anything else, and I am afraid of what I am able to take. Only Mint industries makes gf medication in Canada and their list is short, everything else is always a gamble. The constant pain has made me feel scared all the time, but my dr is determined that when I fix my eating my stomach will fix, but I can’t eat when I’m always in such pain. I don’t know how to make it stop.

  9. I removed gluten 100% from my diet for almost 5 1/2 weeks. My first bite of gluten was Mac & Cheese, and it gave me INSTANT heartburn, headache, and a bit of bloating.

    I have introduced gluten back into my diet since I grew up on it, and I constantly feel nauseous each and every day. I am working with my doctor to test for gluten/celiac as well as my heartburn issues.

  10. Dr Osborn, i was diagnosed with gastric and reflux disease and i was given somac and nexium but these medication doesn’t work for me, please help me to get rid of my reflux disease.thank you

  11. I took gluten out of my diet after a friend suggested it might be the problem. I had gone to many doctors and had many uncomfortable GI tests and all came back with not problem. I was not sleeping had pain in my sternum and esophageal spasms. I was even regurgitating while I was sleeping. Getting rid of gluten stopped most of the problems. I am still trying to figure out the acid issue that keeps me up most night. Do you have any suggestions? I do not take any medications.

  12. I think I am narrowing down my heartburn to gluten. About 4 years ago I went gluten free for 6 weeks to see if it would help with my chronic headache based on advice from my naturopath. It didn’t help with the headache but when I introduced gluten again I got minor bloating the following day so I decided to stay off gluten. Occasionally I would have a little gluten without any problems. A couple years later on a long camping trip I decided to forgo the gluten free diet and a few weeks later I had major bloating. It wasn’t really painful but certainly noticeable. So then I went low carb and my bloating transitioned to GERD. My GI tested me for celiac which came back negative but of course prescribed prilosec. I’ve tried different supplements and eliminating certain foods to no avail. It seems now that I have finally linked it to gluten. I was gluten free for a few weeks and had only minor periodic bouts of heartburn. Then I accidentally ate the equivalent of a couple Sunchips (second ingredient is whole wheat) and noticed heartburn three days later and it lasted about a week. Then gluten free again for a couple weeks with no heartburn and then I accidentally had granola with whole wheat in it. Again, about 3 days later I get heartburn. I have taken a licorice supplement and that seems to help with my symptoms. I plan to go at least a month or so and then try a bit of something that’s not whole wheat to see if that makes a difference. If it does, then I’ll try my einkorn flour to see if that also causes heartburn. I’ll update as I find out more.

  13. When I stopped eating gluten, my two years of gradually worsening heartburn, acid reflex and irregular bowl movement gone within 24 hours. This is before I read this article and I thought to myself that this really can’t be true, if I had gluten sensitivity I would have know it well before age 45 and the impact is on intestine and not stomach. I have experimented with many other food with no real improvement in last two years. The only thing that I have noticed was if I eat 2 or 3 bread base meals a day my symptoms are far more sever than usual. So when I all my symptoms are completely gone in last two weeks after I stopped eating gluten , I googled the link between GERT and Gluten and come across this article. I am glad that my experience is not a random coincident and at list some research linked that two. Also very interesting to see many other people added their comments and confirming similar experience.

  14. I found out that I was gluten intolerant quite by accident. I decided it was time to lose some weight. I had success with the Adkins diet in the 90’s so I tried it again. Not only did I lose over 35 pounds I also stopped having the heartburn I had suffered with and took medication for for 30 years. I no longer need the meds and I feel so much better.

  15. I suffer with burning in my upper tummy when I burp it burns in my chest and have ibs coul cutting wheat out help get rid of my symtoms

  16. In reading all the comments, at least I don’t feel so alone! I was a premature baby. Spent first month of my life in the hospital. I developed PCOS when I was 16. It was never fully diagnosed until I had a total hysterectomy a few years ago. The PCOS caused me to gain weight, which resulted in diabetes type II. Then I was diagnosed as being allergic to corn. Then breast cancer. Suffered anemia during that. Recently I have experienced anemia again. Was requested to take upper endoscopy and colonoscopy. No bleeding in stomach, but my gastroesophageal flap is deformed. I have an hiatal hernia. Found one polyp in my colon. Still waiting for lab results to show if a have celiac disease. I’m kind of tired of all this. I expect when I try to find food that meets the requirements to reduce diabetes, celiac disease, avoid corn and other foods I refuse to eat, there won’t be much in the way of foods to eat. At least I can’t blame the broken bones and plates and pins on this. I can blame that on the chemo. It’s getting difficult to find the energy to keep living.

  17. Oh my god! I have had reflux and chronic heartburn for 15 years and never knew why! I tried cutting out everything – except BREAD!

    I chanced upon this and stopped eating bread a couple of weeks ago. Not a SINGLE episode. That’s been it all this time. Wow.

  18. For years I have had acid reflux, gets, indigestion, gas, vomiting. Sleeping became a problem with herd and vomiting during the night. I always suspected wheat. The above symptoms got worse until I decided to firmly avoid wheat. I immediately stopped getting all the above side effects and immediately stopped taking antacids that I had been taking daily. I haven’t looked back.

  19. I was in pain for many years, really bad heart-burns and it was getting worse and worse to the point I was afraid to drive because of the intensity of the pain. I saw a few doctors, some gave me anti-acid pills which didn’t do much and luckily for me I didn’t take them for too long although the doctor prescribed them for one year! I am gluten-free for the past 4 years and I am pain-free. I couldn’t believe how well I felt right after 2 weeks of gluten-free diet but it took more than 6 months for all the symptoms to subside. I hope my story will help other people that suffer from gluten-intolerance that doctors were not able to properly identify.

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