Can Edibles Cause Acid Reflux and Heartburn?

Edibles, or cannabis-infused food and drink products, are a common method of consuming cannabis. Processed through the digestive system, their effects differ from inhaled cannabis. Acid reflux, often felt as heartburn, occurs when stomach acid flows back into the esophagus, causing a burning sensation. This happens when the lower esophageal sphincter (LES), a muscle acting as a valve between the stomach and esophagus, does not close properly, allowing acid to escape.

Potential Ways Edibles Influence Acid Reflux

Edibles can influence acid reflux through various mechanisms, including the physiological effects of cannabinoids. Cannabinoids like THC and CBD interact with the body’s endocannabinoid system, which regulates gastrointestinal functions such as gastric acid secretion and motility. THC, the psychoactive compound, can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus and cause reflux symptoms. Some studies also indicate that THC can delay gastric emptying, meaning food stays in the stomach longer, potentially exacerbating reflux.

Ingredients in edibles can also contribute to acid reflux. Many are high in fat and sugar, such as chocolates and baked goods, which are known triggers. These rich ingredients can slow digestion and increase stomach acid production, putting pressure on the LES. The “munchies” effect can lead to overeating or consuming larger quantities of reflux-triggering foods, especially late at night, which can worsen symptoms. The overall effect of edibles on acid reflux can vary significantly from person to person, with some individuals reporting relief and others experiencing increased symptoms.

Recognizing Symptoms and Immediate Steps

Recognizing acid reflux symptoms after consuming edibles is important for timely management. Heartburn, a burning pain felt in the chest, is the most common symptom. Other symptoms include regurgitation, where stomach contents flow back into the throat, leaving a sour or bitter taste. Individuals may also experience chest pain, throat irritation, difficulty swallowing, chronic cough, hoarseness, or wheezing.

If acid reflux symptoms occur after consuming edibles, immediate steps can help alleviate discomfort. Drinking water can dilute stomach acid and soothe the esophagus. Maintaining an upright position and avoiding lying down, especially for a few hours after eating, helps keep stomach acid in its proper place. Over-the-counter antacids provide quick relief by neutralizing stomach acid. Avoid consuming more edibles or other known reflux triggers if symptoms persist.

Preventative Measures and Long-Term Considerations

To minimize acid reflux risk when consuming edibles, several preventative measures can be adopted. Start with a low dose, gradually assessing the body’s reaction to determine tolerance and reduce adverse effects. Pay attention to edible ingredients; choosing products with lower fat and sugar content or avoiding specific personal triggers like chocolate can make a difference. Consume edibles well before bedtime to prevent symptoms while lying down.

Practice portion control and avoid overeating, especially with increased appetite from edibles, to prevent stomach overload and reflux. Staying hydrated by drinking plenty of water supports digestive health. If acid reflux symptoms are persistent, severe, interfere with daily life or sleep, or include difficulty swallowing, unexplained weight loss, or chronic cough, consult a healthcare professional. This is important if symptoms do not improve after two weeks of over-the-counter medications.