Does Vinegar Help Nausea? What the Science Says

Nausea is the unpleasant sensation of needing to vomit, commonly linked to causes like indigestion, motion sickness, or illness. For centuries, people have turned to home remedies, often championing the acetic acid in vinegar, typically Apple Cider Vinegar (ACV), as a quick solution for an unsettled stomach. This popular folk remedy suggests that a small dose of diluted vinegar can alleviate the discomfort. This article examines what the current scientific literature says about the effectiveness of this practice.

The Scientific Verdict on Vinegar and Nausea Relief

Direct clinical evidence confirming that ingesting vinegar reduces nausea is currently scarce. Most reports supporting this practice are anecdotal, rooted in traditional medicine rather than rigorous scientific trials. The scientific community lacks robust studies that specifically isolate vinegar as an anti-nausea agent.

Some limited research, however, has indicated a counterintuitive effect. One study investigating vinegar’s impact on appetite suppression found that vinegar ingestion led to significantly higher ratings of nausea, particularly when the mixture was unpalatable. This suggests that the strong, acidic nature of vinegar may actually induce gastric distress rather than relieve it. Any reported relief may be due to the simple act of sipping a warm or flavored liquid, which is known to soothe the stomach, rather than a direct chemical action of the acetic acid.

Proposed Mechanisms of Action in the Digestive Tract

Advocates suggest that vinegar works by influencing the stomach’s chemical environment, primarily through its acidic component, acetic acid. One theory posits that vinegar helps re-establish the stomach’s proper acidity levels. Low stomach acid can cause the lower esophageal sphincter (LES), the valve between the esophagus and the stomach, to relax.

When the LES relaxes, stomach contents can reflux into the esophagus, which frequently triggers feelings of nausea and heartburn. By introducing acetic acid, the stomach’s pH level is theoretically lowered, signaling the LES to tighten and remain closed. This action may prevent the acid reflux that causes the sensation of nausea.

Another proposed mechanism suggests that vinegar can improve digestion by stimulating digestive enzymes. This is thought to help break down food more efficiently, potentially alleviating nausea caused by slow digestion or indigestion. However, some human studies have demonstrated that ACV can actually delay gastric emptying, the rate at which food leaves the stomach. This delayed process can sometimes worsen nausea, especially in individuals with conditions like diabetic gastroparesis.

Safe Preparation and Consumption Guidelines

For individuals who choose to try this folk remedy, safe preparation is necessary to prevent potential side effects. Vinegar, especially Apple Cider Vinegar, contains about 5% to 6% acetic acid, making it highly acidic. Because of this high acidity, it must never be consumed straight, as it can irritate the throat and esophagus.

The vinegar should always be diluted; a common recommendation is one to two tablespoons mixed into at least eight ounces (about 240 milliliters) of water. To protect dental health, it is advisable to use a straw and rinse the mouth thoroughly with plain water immediately after consumption, as the acid can erode tooth enamel. People with existing conditions like stomach ulcers or those taking specific medications, such as diuretics or insulin, should consult a healthcare provider before introducing vinegar into their routine, due to possible interactions or adverse effects.