Does Buttermilk Cause Constipation or Relieve It?

Buttermilk is a fermented dairy beverage that has two common forms. Traditional buttermilk is the thin liquid remaining after churning butter out of cultured cream, but this is rarely found today. The product most people find in stores is cultured buttermilk, made by adding specific lactic acid bacteria to pasteurized low-fat or skim milk. This process gives the drink its characteristic tangy flavor and thick texture, fundamentally changing its properties from regular milk. This transformation is central to understanding its effect on the gastrointestinal system.

Is Buttermilk Constipating

Buttermilk generally does not cause constipation; in fact, it is often utilized as a traditional remedy to promote digestive regularity. The idea that it might be constipating likely stems from the common association of dairy products with digestive slowing. However, the fermentation process drastically alters the dairy properties that typically cause issues. Incorporating this fermented drink into the diet can help maintain a more balanced and active digestive tract.

How Buttermilk Aids Digestion

The secret to buttermilk’s digestive benefits lies in the addition of specific bacterial cultures, such as Lactococcus lactis, during its production. These live microorganisms are probiotics that help replenish and diversify the gut flora. A balanced community of beneficial bacteria is associated with improved gut motility, which is the movement of contents through the intestines. Consuming buttermilk supports this internal ecosystem, promoting an environment less prone to sluggishness.

The fermentation process also addresses a major dairy-related digestive issue: lactose intolerance. The lactic acid bacteria actively consume the milk sugar lactose, converting it into lactic acid. This conversion significantly lowers the total lactose content compared to unfermented milk. For people with mild to moderate lactose sensitivity, this pre-digestion makes buttermilk easier to tolerate, reducing symptoms like gas and bloating.

The lactic acid itself contributes to the digestive process. The acid helps in breaking down food and may soothe the stomach lining. The overall effect of the reduced lactose and the presence of live cultures supports efficient digestion and absorption of nutrients. This dual action is why buttermilk is considered a digestive aid.

When Buttermilk Might Cause Discomfort

While buttermilk is generally beneficial for digestion, it can cause discomfort in specific circumstances. Individuals with severe lactose intolerance may still react to the remaining lactose, causing symptoms like bloating, gas, or diarrhea. Buttermilk is not completely lactose-free, so tolerance depends on the severity of one’s lactase deficiency. Digestive issues can also arise from overconsumption or from added ingredients in commercial products, such as high levels of added sodium or sugar. In rare cases, the sudden introduction of a high number of probiotics can temporarily disrupt a sensitive gut, leading to temporary symptoms like diarrhea.