Why Does Tomato Sauce Cause Acid Reflux?

Malic and citric acids, both of which can cause the stomach to create too much gastric acid, are abundant in tomatoes and tomato-based products. Tomatoes can cause your stomach’s acid to rise to a point where it pushes back up your esophagus. The acidity of tomatoes cannot be sufficiently reduced by cooking them to prevent acid reflux, so the next time you make pizza sauce, consider making some fresh pesto instead, and try to reduce (or completely eliminate) tomatoes from your diet.

How can you stop tomato sauce heartburn?

Because of their many uses, tomatoes may greatly enhance the flavors of many of your favorite dishes.

For those of us who have a decreased tolerance for acidic foods as we age, lowering the acid content in our favorite foods can help make the meal a bit easier.

Here are several tips for reducing tomato sauce acidity as well as one of my favorite straightforward, low-acid pasta dishes.

  • Avoid tomatoes in cans. Because a higher acid content is typically a desired attribute for the canning/preservation process, tomatoes that are preserved in cans or jars tend to have more acidity than fresh, ripe tomatoes.
  • Choose only ripe tomatoes; the acidity of a tomato increases with firmness. For the same reason, buy seasonal tomatoes. One of the tomato types with the most sweetness is Sun Gold or Sweet 100’s.
  • During the cooking period, add a potato. A potato should be peeled, sliced in half, and added to your sauce. After 20 to 30 minutes, remove the potato. Because it has absorbed some of the acid, the potato will taste like vinegar or pickles when it has finished cooking.
  • To help balance the acid in your tomato sauce, add 1/4 teaspoon of baking soda.
  • 8-ounce container of fresh, chilled fettuccine
  • Olive oil extra virgin, 2 tablespoons
  • 8 plum tomatoes, sliced and blanched
  • 0.5 teaspoons of salt
  • 1 cup of torn fresh basil leaves
  • freshly ground black pepper, one-fourth of a teaspoon
  • 1 cup of quartered, freshly blanched, or chopped, oil-packed artichokes (not canned)
  • Baking soda, 1/4 teaspoon


  • With a paring knife, score 8 ripe plum tomatoes by forming a small cross on the bottom and discarding the core. Place the tomatoes in boiling water for 20 to 30 seconds to blanch them. With the use of tongs, remove the tomatoes from the hot water and place them in a dish of icy water. Peel off the loose skin and throw it away.
  • Slice the peeled tomatoes into about 1-inch pieces.
  • The tomatoes should be simmered for around 10 minutes at medium heat in a skillet with little extra virgin olive oil. For the next stage to go more smoothly, the tomatoes need to be properly warmed.
  • Shortly turn off the heat under the pot, then stir in the baking soda. To balance the acidity of the tomatoes, the baking soda will react with them. When you add the baking soda, you could see a fizzing or bubbling effect; wait for this to stop before continuing.
  • Return the pan to the heat and add the chopped artichokes and fresh basil when the baking soda reaction has ceased.

With acid reflux, is tomato sauce safe to eat?

There are many people for whom very particular foods make the symptoms of gastroesophageal reflux disease, or GERD, worse. Although Macon is known for its delicious southern cuisine, certain of the ingredients are practically off-limits when it comes to preventing reflux. These forbidden favorites include foods that are spicy, contain garlic, onions, or coffee, but the tomato takes the top spot.

Acidic foods are problematic for heartburn and acid reflux, which should come as no surprise. Tomatoes are a fruit that is delicious and juicy, but they are also rather acidic. They really include both of the primary acids—citric and malic—that are known to cause heartburn. Even when used as the sole ingredient in a meal, tomatoes can cause severe heartburn and acid reflux due to their high acidity. This means that even if you don’t eat tomatoes directly, if they were included in a sauce or marinade of any kind, you can have heartburn and acid reflux.

Eliminating tomatoes from your diet in addition to your GERD treatment plan may help to lessen the intensity or frequency of your heartburn and acid reflux. It is challenging to fully eliminate tomatoes from your diet because they are used into so many foods (such baked beans, barbecue sauce, and chili, to name just a few Southern favorites). The good news is that many people who experience heartburn find relief by merely consuming less tomato.

You can substitute a variety of other interesting fruits and vegetables for tomatoes in your diet. To add some taste and color to your dinner without using tomatoes, try adding cucumbers, olives, or radishes to your salad. While barbecue dry rubs are frequently also tomato-free, sometimes a sweet and sour barbecue sauce is a preferable substitute for basting your meat when you’re wanting to avoid tomatoes.

Skip the tomato sauce and enjoy your spaghetti with olive oil, garlic, and lemon sauce if you’re looking to have a plate of pasta. Other spices that can greatly enhance the flavor of your food without triggering GERD symptoms include basil, rosemary, and oregano.

One way to live a healthier lifestyle and possibly lessen the frequency of GERD symptoms is to consume fewer tomatoes. Even though cutting out tomatoes won’t completely get rid of heartburn and acid reflux, it can greatly enhance your quality of life by decreasing how often you experience these symptoms, especially if you make the dietary change in conjunction with your GERD treatment plan and under the guidance of your GERD surgeon.

Does tomato sauce worsen heartburn?

Tomatoes and heartburn Tomatoes may be loaded with beneficial compounds like lycopene, but Chutkan warns that they are also very acidic and may give people who are prone to heartburn indigestion.

Do tomatoes in cans cause heartburn?

Heartburn and other gastroesophageal reflux disease (GERD) symptoms can be lessened by taking antacid medications, but treating your GERD symptoms through nutrition is crucial. Start by taking a look at your diet and noting which items cause you to have acid reflux. For instance, many individuals are aware that meals with a high acid content, such as tomatoes, should be avoided, but they may not be aware that foods with a high fat content might also cause symptoms. Peruse this list of foods that typically cause GERD symptoms in most people to start identifying the things that cause your acid reflux.

Although tomatoes are excellent for the heart, they can also cause heartburn due to their high acid content. Avoid eating fresh tomatoes if you want to control your acid reflux, and be aware that canned tomatoes, tomato juice, and other tomato products are also among the worst foods for GERD. Having said that, you could discover that you can consume tiny amounts of various tomato products without experiencing heartburn. Try varying your tomato intake to determine the tolerance level your body has for them.

If you need a big cup (or two) of coffee to get you through the morning, your habit might be causing GERD symptoms. Of course, caffeine isn’t exclusively found in coffee and other drinks. You should also refrain from drinking coffee, cola, and chocolate if you want to manage your acid reflux illness. Try switching to decaffeinated drinks instead of caffeinated ones as an alternative. Avoid the high-fat coffee drinks at the neighborhood brewpub as well. In addition to caffeine, mixed coffee drinks like frappuccinos and lattes also include extra fat, which can exacerbate GERD symptoms.

Even non-caffeinated drinks can cause heartburn and other symptoms of acid reflux. By itself, carbonation can stir up stomach acids and give you a harsh aftertaste. Take heart if you’re feeling hopeless about quitting your soda pop habit. The replacement of sodas with non-carbonated liquids such as flavored waters, decaffeinated teas, and other beverages will improve your general nutrition and prevent heartburn at the same time. Sodas have no nutritional benefit for your body.

While whole milk and other full-fat dairy products were often utilized as typical home remedies for heartburn, we now know that they can aggravate the symptoms of GERD. Try to stay away from full-fat or reduced-fat milk and opt for fat-free skim milk to help control your acid reflux. Similarly, replace full-fat varieties of cheese, yogurt, and cottage cheese with low-fat counterparts. You can also completely avoid dairy by switching to soy or another non-dairy milk (such as almond, coconut, pea, or oat milk), which many GERD sufferers discover does not worsen symptoms.

Many GERD sufferers might be unaware that fatty foods make their symptoms worse. Fried foods, such as chicken nuggets from fast food restaurants, and naturally high-fat foods can seriously aggravate heartburn. Bacon, lunch meats, butter, mayonnaise, sour cream, gravy, and anything deep-fried should all be avoided (or at least consumed in moderation). Avocados and rich salad dressings like blue cheese are also on this list. Instead, pick low-fat or fat-free dressings whenever possible, and substitute a healthy margarine for butter.

You should avoid eating large quantities of citrus fruits like oranges, lemons, limes, tangerines, and grapefruit since they contain a lot of acid, which can exacerbate GERD symptoms. Additionally, you should avoid eating pineapple because it includes specific enzymes that could aggravate your acid reflux. You should abstain from eating these fresh fruits, as well as the canned or frozen kind and citrus juices. Eat multiple helpings of non-citrus fruits, such as apples and grapes, each day as an alternative. These will provide essential nutrients and fiber without giving you the stomach flu.

Spearmint and peppermint can make your GERD symptoms worse despite the cooling zing they can bring to foods and drinks. Additionally, since fat and chocolate both cause acid reflux, consuming mint along with any form of cream, such as mint chocolate chocolates, might be problematic. Check the labels of your herbal tea to be sure it doesn’t include mint, and generally stay away from this flavoring. Since you don’t swallow the toothpaste, mint should be OK.

If you enjoy Tex-Mex food, get ready to put down the jalapenos and go away. Garlic and onions are among the spicy foods that can cause severe heartburn. Additionally, not just southern food might make your GERD worse. Acid reflux can be exacerbated by sour curries, peppery Asian cuisine, and any other meal that contains spicy peppers, chiles, onions, or garlic. If you don’t think you can completely give up spicy food, try eating it less frequently or in smaller amounts to see if you can reach a level that would satisfy your appetite without causing your stomach to become overly acidic.

High-fiber foods

Fibrous foods make you feel full, which lowers your risk of overeating, which can worsen heartburn. So, fill up on these foods’ beneficial fiber:

  • Oatmeal, couscous, and brown rice are examples of whole grains.
  • Sweet potatoes, carrots, and beets are examples of root vegetables.
  • green foods including green beans, broccoli, and asparagus.

Alkaline foods

Foods are pH-scale-dependent in some way (an indicator of acid levels). Low pH foods are acidic and more prone to cause reflux than those with a higher pH. Higher pH values are alkaline and can help counteract highly acidic stomach contents. Alkaline meals consist of:

  • Bananas
  • Melons
  • Cauliflower
  • Fennel
  • Nuts

Watery foods

Consuming foods high in water might weaken and dilute gastric acid. Select foods like:

  • Celery
  • Cucumber
  • Lettuce
  • Watermelon
  • soups made with broth
  • flavored tea

Which sauce helps with acid reflux?

People who experience heartburn are typically aware of the substances that cause it, from caffeine to fried foods. To commemorate National Personal Chef’s Day, which falls on July 16th, it’s a good idea to try new meals that can reduce heartburn. To indulge yourself, try some easy DIY recipes or even hire a personal chef to prepare some delicious, heartburn-free meals!

Here are some foods and substances you can include in your diet to try to stop the excruciating discomfort of acid reflux:

A natural anti-inflammatory is GINGER. It has been used for generations as a safe natural sedative for digestive problems. Try chewing some raw ginger or, for a milder flavor, steep some ginger in hot water to make tea.

OATMEAL: Oatmeal is a great way to start the day because it is high in fiber and low in fat. Add some bananas on top to naturally neutralize gastric acid.

BEANS: another fantastic food source that is rich in protein and fiber. Beans are a fantastic meat substitute because they don’t cause heartburn and are quite satisfying.

APPLESAUCE: It can be challenging to avoid using butter and oil in food, but doing so increases your risk of developing heartburn. This issue can be avoided by using applesauce in place of butter and oils. Applesauce will increase the fiber in your diet while lowering the fat content.

We all occasionally yearn for a hearty serving of pasta. PASTA WITHOUT TOMATO SAUCE. However, traditional tomato sauce drenched pasta will keep you up all night. Instead, opt for a broth sauce that is thinner, and switching to whole-wheat pasta will improve your intake of fiber.

You can have a tranquil lunch with fewer chances of heartburn if you replace your meals with these top 5 items. Make an appointment with Dr. Darido right away if you have already tried these suggestions and are still experiencing persistent heartburn.

Does water relieve indigestion?

While some beverages might not induce acid reflux symptoms, others might help you feel better if you do.

In addition to sipping liquids rather than guzzling them down quickly, try the beverage options below. This can lessen the symptoms of acid reflux. A 2019 case study found that taking numerous sips of water can aid in the esophagus’s ability to flush acid.

Acidic juices, sodas, and coffee all have the potential to worsen or raise the risk of reflux symptoms. What should you thus sip instead? There are numerous solutions that most likely won’t cause your reflux and might perhaps aid with symptom reduction.

Can excessive water consumption lead to acid reflux?

Refractory acid reflux is the term for acid reflux that persists despite treatment in some persons. Water and many other forms of food and drink can cause symptoms in these people, according to Dr. Abemayor.

However, you don’t need need refractory heartburn to have symptoms after drinking water. According to theory, heartburn can be brought on by anything that makes the stomach start to function.

So, water may aggravate heartburn in certain persons. And practically anything can aggravate heartburn if consumed with a full stomach and then lying down, according to Dr. Abemayor. A full stomach makes it more probable for acid to be pushed out, and lying down makes it simpler for acid to exit the stomach.