Why Seltzer Water Can Cause Diarrhea

Seltzer water, essentially water infused with carbon dioxide gas, has become a popular choice for many seeking a refreshing, bubbly beverage. While widely enjoyed, some individuals report experiencing digestive issues, including diarrhea, after consuming it. This concern prompts a closer look into how seltzer water interacts with the human digestive system and what specific components might contribute to such discomfort.

Carbonation and Digestive Discomfort

Carbonation involves dissolving carbon dioxide gas into water under pressure. When consumed, these dissolved gas bubbles enter the digestive tract. Some gas is expelled through burping, but excess can remain in the stomach and intestines.

This accumulation of gas can lead to common symptoms such as bloating, a feeling of fullness, and increased flatulence. While uncomfortable and sometimes mistaken for broader digestive upset, carbon dioxide gas itself does not directly cause liquid stool or diarrhea. The discomfort stems from the physical presence of gas within the gastrointestinal system, which can be particularly noticeable for individuals with pre-existing conditions like irritable bowel syndrome (IBS).

Artificial Sweeteners and Additives

Many flavored seltzer waters contain artificial sweeteners, such as sucralose or aspartame, or sugar alcohols like sorbitol, xylitol, erythritol, and mannitol. These provide sweetness without adding calories. However, sugar alcohols can cause a laxative effect, especially when consumed in larger quantities.

Sugar alcohols are poorly absorbed in the small intestine. When they reach the large intestine, they increase the osmotic pressure within the colon, drawing water into the bowel. This increased water softens stools and accelerates bowel movements, directly leading to looser stools or diarrhea. Other additives in seltzer waters may also trigger digestive upset in sensitive individuals.

Acidity and Individual Sensitivity

Seltzer water is mildly acidic due to the formation of carbonic acid when carbon dioxide dissolves in water. Its pH typically ranges between 3 and 4, making it more acidic than plain water (pH 7). This mild acidity, though less than sodas or fruit juices, can interact with the digestive lining.

For sensitive individuals, especially those with irritable bowel syndrome (IBS) or gastroesophageal reflux disease (GERD), this mild acidity might cause irritation. This irritation can lead to changes in bowel habits, including looser stools or increased frequency. This irritation primarily affects the gut lining, differing from the osmotic effect of sugar alcohols.

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