Why Does Espresso Give Me Diarrhea?

Espresso, a concentrated form of coffee, is a popular beverage enjoyed for its distinct flavor and energizing properties. While it offers a stimulating start to the day for some, others experience digestive discomfort, specifically diarrhea, after consumption. This reaction is not uncommon and can be attributed to several components and their interaction with the digestive system.

Caffeine’s Digestive Impact

Caffeine, a primary active compound in espresso, stimulates the digestive system. It accelerates gut motility, the movement of contents through the intestines. Research indicates caffeine triggers contractions in the colon and intestinal muscles, a process known as peristalsis, acting as a mild laxative for some.

Caffeine also influences the release of digestive hormones such as gastrin, which promotes increased colonic activity. While coffee’s laxative effect is significant, it is not solely due to caffeine; decaffeinated coffee can also stimulate bowel movements, though with less potency. Espresso’s concentrated nature delivers a potent dose of these compounds, which can overwhelm a sensitive digestive system and lead to diarrhea.

Espresso’s Acidity

Espresso, like all coffee, possesses a natural acidity that can contribute to digestive upset. The pH of espresso generally ranges from 4.4 to 5.5. This acidity can irritate the stomach lining and small intestine, potentially leading to increased stomach acid production. Such irritation can trigger accelerated bowel movements, exacerbating the laxative effect. Its inherent acidity remains a factor for individuals with sensitive digestive tracts. Darker roasts of coffee tend to be less acidic than lighter roasts, which might influence their digestive impact.

Individual Sensitivities and Other Factors

Individual reactions to espresso vary considerably due to personal sensitivities and other compounds present. People with pre-existing digestive conditions, such as Irritable Bowel Syndrome (IBS), are often more susceptible to espresso’s gastrointestinal effects.

Beyond caffeine and acidity, espresso contains other bioactive compounds, including diterpenes like cafestol and kahweol. These compounds are naturally found in coffee oils and can influence gut motility and bile acid secretion, particularly in unfiltered coffee preparations. The high concentration of espresso means these compounds are delivered in a smaller, more potent volume, potentially intensifying their effects.

Additionally, what is added to espresso can play a significant role in digestive discomfort. Milk or cream, if consumed by individuals with lactose intolerance, can lead to symptoms like bloating, gas, and diarrhea. Artificial sweeteners commonly used in coffee beverages can also have a laxative effect for some.

Strategies for Comfort

For those who experience digestive discomfort from espresso, several approaches can help mitigate symptoms:

Reducing overall intake or frequency of espresso consumption is a straightforward way to lessen its impact.
Diluting espresso with water, such as in an Americano, or adding milk (if lactose is not an issue) can reduce the concentration of irritants.
Avoid drinking espresso on an empty stomach, as food can help buffer acidity and slow the absorption of stimulating compounds.
Exploring different types of coffee beans or roasts might also be beneficial; some find darker roasts or specially processed low-acid coffees to be less irritating.
Staying well-hydrated by drinking water alongside espresso can help counteract any dehydrating effects.

If symptoms are persistent, severe, or accompanied by other concerning issues, seeking advice from a healthcare professional is advisable.