You may have always assumed that acidic beverages like fruit juices, soft drinks and alcohol are bad for your digestive tract, but you may need to think again. Acidic drinks appear to do little or no damage to the protective lining of the esophagus, stomach and small intestine, according to a new review of decades' worth of studies.
It turns out that our gastrointestinal system is actually well equipped to resist acidity. "The lining of the GI tract is regularly exposed to acid from gastric secretions; therefore, it possesses numerous physical, chemical, and biological mechanisms of protection," Dr. Ronald Kleinman, a pediatric gastroenterologist at Massachusetts General Hospital, wrote in the July issue of the Journal of Food Science.
Among these protective mechanisms:
- The slimy but helpful layer of mucus that lines the GI tract contains, of all things, bicarbonate - that longtime favorite remedy of heartburn sufferers
- Cell membranes along the GI lining are hard to penetrate
- The stomach is designed with valve-like sphincters to contain the most concentrated acid
The GI system is designed to handle substances stronger than the most acidic beverages, which include lemon juice, lime juice, cranberry juice and grenadine syrup, according to Dr. Kleinman. "Furthermore, the history of safe consumption of these products provides additional evidence that consumption of low pH beverages does not result in lasting damage to the epithelium [lining] of the GI tract," he wrote.
Even in those cases where acidic drinks have a negative effect, "there is no evidence that damage is irreversible. Permanent damage from routine exposure to acidic beverages in humans would not be expected because of repair mechanisms that are available," according to the researcher.
These remarkable repair mechanisms include a process called restitution, where nearby healthy cells rush to the injured area, and proliferation, where new cells spring up to replace old ones.
The study concluded that moderate consumption of acidic drinks shouldn't harm the lining of the GI tract.
Conditions where acid is a concern
That doesn't mean you should start sucking on lemons. And if you have certain conditions, such as peptic ulcers, heartburn or gastroesophageal reflux disease (GERD), you may have to limit acidic drinks and foods.
People with ulcers, for example, are often advised to try a bland diet and to identify and avoid troublesome foods, often things that are spicy, acidic, fried or fatty. Consumption of certain foods, including acidic items such as citrus, tomatoes, carbonated drinks and alcohol, can contribute to heartburn and gastric reflux.
Be sure to check with your doctor if you have concerns. For most people, though, that morning glass of orange juice shouldn't be a problem.