Is Soup Good for GERD? What to Eat & Avoid

Gastroesophageal Reflux Disease (GERD) is a common digestive condition where stomach acid frequently flows back into the esophagus, the tube connecting the mouth to the stomach. This backward flow can irritate the esophageal lining, leading to symptoms such as heartburn, regurgitation, and chest discomfort. Diet plays a significant role in managing GERD symptoms, as certain foods can trigger or worsen episodes.

How Soup Can Affect GERD

Soup, due to its typically liquid or semi-liquid consistency, can be easier to digest compared to solid foods. This characteristic may reduce the pressure on the lower esophageal sphincter (LES), the muscle that prevents stomach contents from flowing back into the esophagus. Broth-based soups often have a high water content, which can help dilute stomach acid, potentially making it less irritating if reflux occurs. However, consuming soup that is too hot can sometimes aggravate GERD symptoms, as can eating too quickly. The caloric density of soup also matters; while typically perceived as light, some soups can be high in calories, which, if contributing to weight gain, can worsen GERD.

Soup Ingredients to Favor

Lean proteins, such as skinless chicken or turkey, are generally well-tolerated and provide necessary nutrients without excessive fat that can relax the LES. Root vegetables like carrots, potatoes, sweet potatoes, and pumpkin are excellent choices as they are typically low in acid and offer digestible fiber. Mild green vegetables like celery, spinach, asparagus, broccoli, and kale can also be included, as they are low in fat and acid. Using low-sodium chicken or vegetable broths forms a gentle base, avoiding common irritants found in many commercial options. Mild herbs such as parsley, thyme, and oregano can enhance flavor without causing irritation, and ginger is noted for its anti-inflammatory properties and ability to encourage gastric emptying.

Soup Ingredients to Limit

High-acid components like tomatoes and citrus fruits (e.g., lemon, lime, orange) can directly irritate the esophageal lining and increase stomach acidity. Soups made with these ingredients, such as tomato-based soups, are often problematic for individuals with GERD. High-fat ingredients, including cream, full-fat dairy products, fatty meats (like beef or bacon), and excessive oils, can relax the LES and slow down digestion, leading to prolonged exposure of the esophagus to stomach acid. Spicy elements, such as hot peppers, and strong aromatics like garlic and onions, can also trigger or worsen symptoms by irritating the esophagus or relaxing the LES. Peppermint is another ingredient to avoid, as it can relax the LES, increasing the likelihood of reflux.

Tips for Preparing GERD-Friendly Soups

Opt for cooking methods that avoid added fats, such as simmering or slow cooking, rather than frying ingredients. For example, instead of sautéing vegetables in a lot of oil, they can be steamed or roasted with minimal oil before adding to the broth. Blending soups to a smooth consistency can make them even easier to digest, reducing the need for the stomach to work as hard. Controlling portion sizes and eating slowly are important, as large meals can increase pressure on the stomach and LES, and slow eating aids digestion. Making soups at home provides complete control over ingredients, allowing individuals to exclude known triggers and include only those components that are well-tolerated.