Most adults in North America report that they drink coffee and other caffeinated beverages on a daily basis. Although most people are able to enjoy coffee without any harmful side effects, people with intestinal problems might need to scale back their coffee habit. Although coffee alone does not cause intestinal problems, it can worsen existing conditions.
Heartburn
Heartburn or acid reflux occurs when stomach acid flows up into the esophagus and causes irritation to the tissue. Many people with reflux find that caffeinated foods and drinks, such as coffee, contribute to their symptoms. You should see your doctor if you experience chronic heartburn that occurs more than twice per week. This might be a sign of gastroesophageal reflux disorder and medications are available to reduce your symptoms. Keeping a food diary can help your health care provider pinpoint foods, such as coffee, that trigger your reflex.
Ulcers
Peptic ulcers are sores that occur in the tissue lining the stomach wall. Coffee and other foods do not cause ulcers. In most cases, ulcers are caused by an infection with the bacteria H. pylori or by long-term use of pain relievers in the nonsteroidal anti-inflammatory drug family; however, if you have an ulcer, drinking coffee might make it worse by stimulating the production of excess stomach acid. If you are diagnosed with an ulcer, you should cut out all coffee, including decaffeinated varieties.
Irritable Bowel Syndrome
Irritable bowel syndrome affects the large intestine and produces cramps, abdominal pain, bloating, gas, diarrhea and constipation. The exact cause of irritable bowel syndrome is not known. Although the large intestine is not damaged by the condition, coping with the symptoms can be difficult and disruptive. Many patients find that certain foods trigger diarrhea or constipation. Eliminating or reducing coffee and other caffeinated foods might help reduce your symptoms.
Cutting Back
Intestinal disturbances might have many underlying causes and you should consult your doctor for a diagnosis. Your health care team also can advise you on whether cutting back on coffee might relieve your symptoms. Be sure to find out what kind of drinks are acceptable substitutes. Some intestinal conditions are aggravated by decaffeinated coffee and by carbonated beverages. Cut back on your coffee intake gradually to avoid headaches and other side effects.
