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May 26 2005
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The Danger in Having One Last Soda Before Bed

 

Soda PopFor the nearly one in two American adults plagued with heartburn, heeding the following advice might be wise: Steer clear of carbonated soft drinks in the hours before bedtime, as a study found soda consumption was linked with troublesome acid reflux at night.

What's more, acid reflux during the night tends to be more harmful because it is associated more with complications such as narrowing the esophagus, alterations of the esophagus and cancerous changes of the esophagus and esophageal cancer.

Making the Connection

Researchers reviewed data from a large, ongoing Sleep Heart Health Study, focused on investigating the connections between disturbed sleep and cardiovascular health.

Data showed that almost a quarter of the 15,000 patients surveyed reported heartburn problems while sleeping; and those who drank one or more carbonated soft drinks a day increased their risk of developing heartburn at night by almost a third, compared to patients who stayed away from them.

Why do carbonated drinks have such an effect? Two reasons:

  • Most carbonated drinks are extremely acidic.

  • Drinking carbonated beverages forces your body to consume carbon dioxide, which can cause more distension of the stomach and more acid reflux.

In addition to the findings above, the research team also found a 65 percent increased risk of heartburn after bedtime in those who used benzodiazepine sleeping aids such as Ativan, Halcion, Valium and Xanax. Thus, aside from avoiding sodas late in the day, researchers also advise switching sleep medications to help prevent the occurrence of acid reflux.

Chest May 2005;127(5):1658-1666

Forbes May 10, 2005



Dr. MercolaDr. Mercola's Comments:

GERD (gastro-esophageal reflux disease) is an extremely common condition for many Americans, so much so that the medications used to treat it are some of the top sellers on the market.

While it appears that avoiding sodas at night may help the problem, it is not a complete solution.

In fact, there are a number of theories as to the true cause of GERD. However, I can confidently assure you that, just as headaches are not caused by a deficiency in aspirin, a deficiency in proton pump inhibitors (Prilosec and Nexium), H2 Blockers (Tagamet and Zantac) or calcium carbonate (Rolaids and TUMS) is not one of them.

In other words, if you suffer from reflux, heartburn, or even simple bloating after meals, there is a cause behind your symptoms, and these drugs are not addressing it.

It is in your best interest to determine what this cause is, and to take the necessary steps to stop it. If you do not, you may end up either suffering the consequences of using acid-blocking medication, or, even worse, the potential consequences of untreated reflux (esophageal cancer).

Dr. Thomas Cowan, in his article How to Treat GERD, states that there are two main theories behind the cause of this problem. One theory, typically used in conventional medicine, says that there is too much stomach acid being produced, which necessitates the use of acid blockers.

The other theory, which Dr. Cowan ascribes to, is that acid is not the problem, but the solution. As GERD is most commonly seen in the elderly, the very group of people who struggle the most to create stomach acid, the solution is to encourage its production by eating more protein and less carbohydrates. Research into this matter has provided some evidence that this theory may actually be correct.

I, of course, modify this theory slightly by recommending a low-grain diet and using metabolic typing to determine the amount of carbohydrates -- in the form of vegetables -- my patients should be consuming.

Utilizing additional therapeutic options like eliminating sugar and taking daily doses of vitamin D and garlic have made treating GERD one of the easiest issues I help patients resolve in my practice. It is very uncommon for most people not to completely eliminate this problem by following these principles.

One word of caution, though, is that if you are currently taking a proton pump inhibitor like Prilosec or Nexium you simply cannot stop these drugs "cold-turkey." That is one of their main dangers, in that while they relieve your symptoms they actually make the underlying condition worse and cause you to be dependent on them.

I usually advise transitioning to an H2 receptor antagonist like Zantac at bedtime and gradually wean off the Zantac. Zantac is far safer than any of the proton pump inhibitors.

Related Articles:

The Real Dangers of Soda to You and Your Children

How to Recognize and Treat Upset Stomach and Heartburn

Non-Drug Options for GERD

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