Manage GERD and Low Stomach Acid: Effective Natural Remedies That Work
If you’ve ever experienced that burning sensation in your chest after a hearty meal or felt like something was “stuck” in your throat, you’re not alone. As someone who’s worked as a Medical Assistant in a Gastroenterology Clinic, I’ve seen countless patients come in, sharing their struggles with symptoms that could point to a condition called GERD (Gastroesophageal Reflux Disease). But what if I told you that GERD isn’t always about having too much stomach acid? In fact, many people with GERD may actually be suffering from low stomach acid. Let’s dive into how low stomach acid can impact your digestive health, and how it might be linked to GERD. It might sound surprising, but understanding this connection is key to managing symptoms and finding relief.
What is GERD and How Does It Relate to Low Stomach Acid?
GERD, or Gastroesophageal Reflux Disease, is a condition where stomach acid flows backward into the esophagus, causing discomfort and irritation. This happens when the lower esophageal sphincter (LES), the muscle that normally keeps the stomach’s contents where they belong, weakens or relaxes at inappropriate times. As a result, stomach acid escapes into the esophagus, leading to the well-known sensation of heartburn.
But here’s the twist—many people mistakenly associate GERD solely with too much stomach acid. However, in my experience working with patients, low stomach acid can also contribute to GERD symptoms. It might seem counterintuitive, but the connection between low stomach acid and GERD is an important concept to grasp. Let’s explore this a bit more.
How Low Stomach Acid Causes GERD
Stomach acid plays a critical role in digestion. It helps break down food, especially proteins, and activates enzymes that are necessary for digestion. When stomach acid levels are low, your body struggles to break down food properly. This incomplete digestion can result in food sitting in the stomach longer than it should, increasing the pressure in the stomach and causing acid to back up into the esophagus. This is when you might start experiencing GERD symptoms, such as heartburn, chest pain, or even regurgitation of food and liquids.
But how does low stomach acid affect the LES, the valve that separates the stomach from the esophagus? Here’s the thing—low stomach acid can cause the LES to function improperly. When the stomach isn’t producing enough acid, it sends signals to the brain that lead to an increase in acid production, causing the LES to weaken. This makes it easier for stomach contents, including acid, to leak into the esophagus, resulting in GERD symptoms. Essentially, it’s a vicious cycle that can worsen without the right treatment.
Common Signs You Might Have Low Stomach Acid
Low stomach acid is more common than you might think, but many people don’t even realize they have it. As someone who’s worked in a gastro clinic, I’ve seen how easy it is to mistake low stomach acid for other digestive issues. Here are some common signs that could indicate low stomach acid:
- Frequent bloating and gas: If you often feel bloated after meals, it could be because your food isn’t being fully digested. This can lead to excess gas production.
- Heartburn or acid reflux: Yes, low stomach acid can actually cause heartburn! When the stomach doesn’t produce enough acid, food sits around and ferments, leading to increased pressure and reflux.
- Indigestion: Feeling overly full or experiencing discomfort after eating, even after small meals, is another sign that your stomach acid levels might be off.
- Undigested food in stools: If you notice undigested food in your stool, it’s a sign that your stomach is not properly breaking down your meals.
- Frequent belching or burping: If you find yourself belching a lot, it could indicate low stomach acid, as your body tries to release the trapped air caused by undigested food.
If you’ve been dealing with any of these symptoms, it could be time to look into whether low stomach acid is contributing to your GERD. It’s something I’ve seen firsthand, and addressing it could help you finally find the relief you’ve been seeking.
What Causes Low Stomach Acid?
So, what causes stomach acid levels to drop in the first place? Several factors could be at play, and understanding them is crucial for treating the root cause of your symptoms. Let’s go through some of the most common contributors.
1. Age
As we get older, our stomach acid production naturally decreases. It’s a normal part of aging, but for some, this drop in stomach acid can lead to digestive issues. If you’re in your 40s or beyond, it might be worth considering low stomach acid as a potential culprit for any digestive discomfort.
2. Stress
Stress is another major player when it comes to low stomach acid. Chronic stress can interfere with the production of stomach acid, as it triggers the release of stress hormones that disrupt the digestive process. This is why many people experience digestive issues, including GERD, during stressful times.
3. Poor Diet
Diet plays a significant role in maintaining healthy stomach acid levels. A diet high in processed foods, sugary snacks, and low in essential nutrients can impair stomach acid production. Additionally, consuming too many acidic foods or caffeine can also interfere with proper acid balance in the stomach.
4. Certain Medications
Ironically, some medications prescribed to treat GERD and acid reflux can actually make the problem worse. Proton pump inhibitors (PPIs) and H2 blockers, for example, are designed to reduce stomach acid, but over time, they can lead to a decrease in stomach acid production, exacerbating the issue.
Understanding these causes is key to managing both low stomach acid and GERD. The good news is, with the right approach, both conditions can be treated effectively. In the next section, we’ll explore how to address low stomach acid and GERD through diet, lifestyle changes, and possible medical treatments.
How to Manage Low Stomach Acid and GERD Naturally
Now that we’ve established how low stomach acid can contribute to GERD, the next step is figuring out how to manage both. Many people turn to medications, but I’ve seen firsthand that lifestyle changes and natural remedies can work wonders when it comes to easing symptoms. As a Medical Assistant, I’ve watched patients achieve significant improvements by addressing their diet, stress levels, and overall digestive health. Let’s dive into some practical, natural ways to manage low stomach acid and GERD.
1. Improve Your Diet for Better Digestion
Diet plays a huge role in managing both GERD and low stomach acid. In fact, it’s one of the first areas to consider when trying to alleviate digestive discomfort. When working with patients in the clinic, I always emphasize the importance of eating the right foods to support healthy digestion. Here are some key dietary changes that can help:
- Eat Smaller, More Frequent Meals: Eating large meals can put extra pressure on your stomach, causing acid reflux. Instead, try eating smaller meals throughout the day to reduce the strain on your digestive system.
- Avoid Trigger Foods: Certain foods can exacerbate GERD symptoms, including spicy foods, citrus fruits, tomatoes, and fatty meals. Pay attention to your body’s reaction to different foods and eliminate those that cause discomfort.
- Incorporate Alkaline Foods: Foods that are more alkaline, such as leafy greens, cucumbers, and bananas, can help balance out the acidity in your stomach. These foods are easy on the digestive system and can help reduce irritation.
- Include Digestive Enzyme-Rich Foods: Foods like ginger, papaya, and pineapple contain natural enzymes that support digestion and can help compensate for low stomach acid.
- Increase Healthy Fats: Healthy fats like those found in avocados, olive oil, and nuts can help improve overall digestion and may help balance stomach acid production.
Incorporating these foods into your diet can help reduce symptoms of GERD and support better stomach acid production. Personally, I’ve found that people who make these changes often experience relief without needing to rely solely on medications.
2. Manage Stress for Better Digestive Health
As I mentioned earlier, stress is a major factor in reducing stomach acid production. I’ve seen it time and again in the clinic—when people are stressed, their digestion suffers. Stress can slow down the body’s ability to produce the necessary digestive enzymes and stomach acid. This is why managing stress is so important when it comes to managing GERD and low stomach acid.
Here are some stress management techniques that can make a big difference:
- Meditation and Mindfulness: Taking a few minutes each day to meditate or practice mindfulness can help calm your nervous system and improve digestion. Even a short session of deep breathing can do wonders.
- Regular Exercise: Exercise helps reduce stress and boosts the production of beneficial digestive enzymes. Aim for activities like yoga, walking, or swimming to get the benefits without overexerting yourself.
- Adequate Sleep: Poor sleep can heighten stress levels, which in turn can affect your digestion. Aim for 7-9 hours of sleep per night to give your body the rest it needs to function optimally.
By incorporating stress-reducing practices into your daily routine, you’ll not only feel better mentally but also see improvements in your digestive health. I’ve personally seen patients who’ve combined stress management with other lifestyle changes and found significant relief from their GERD symptoms.
Supplements That Can Support Low Stomach Acid
If you’re struggling with low stomach acid, supplements can be an excellent addition to your routine. However, it’s always best to talk to your healthcare provider before starting any new supplements, especially if you’re already on medication for GERD or other conditions. In my experience, the right supplements can help support digestion and improve overall stomach acid levels. Here are a few that might help:
1. Betaine HCl with Pepsin
One supplement I’ve seen recommended for those with low stomach acid is Betaine HCl with Pepsin. This supplement can help increase stomach acid production, allowing for better digestion and reduced GERD symptoms. Betaine HCl helps to replace the missing acid in your stomach, while Pepsin aids in the breakdown of proteins.
2. Digestive Enzymes
Digestive enzymes are another useful supplement for improving digestion. These enzymes help break down food in the stomach, reducing the burden on your digestive system. If you’re experiencing bloating or indigestion, digestive enzymes can provide relief by assisting with the breakdown of food, especially proteins and fats.
3. Apple Cider Vinegar
Though a bit unconventional, some people find that apple cider vinegar (ACV) can help balance stomach acid levels. ACV is acidic in nature, which can stimulate the production of stomach acid. A tablespoon of diluted ACV before meals may help improve digestion, although it’s important to monitor how your body reacts to it.
Supplements like these can help support your digestive health, but remember that they are just one piece of the puzzle. A holistic approach—incorporating a balanced diet, stress management, and lifestyle changes—will give you the best chance of managing low stomach acid and GERD effectively.
When to See a Doctor About GERD and Low Stomach Acid
While lifestyle changes and natural remedies can work wonders for managing GERD and low stomach acid, there are times when it’s important to consult a doctor. If your symptoms are severe or persist despite trying lifestyle changes, it may be time to seek professional help. Some signs that you should see a doctor include:
- Chronic Heartburn: If heartburn is a constant issue and isn’t relieved by lifestyle changes or over-the-counter medications, it’s time to talk to a doctor.
- Difficulty Swallowing: If you’re having trouble swallowing food or liquids, this could be a sign of a more serious issue that requires medical attention.
- Unexplained Weight Loss: Unintentional weight loss can be a sign of more serious digestive issues, so it’s important to consult a doctor if this happens.
- Vomiting or Bloody Stool: If you notice any blood in your stool or vomit, it’s critical to seek medical care immediately.
It’s always better to be cautious and get a professional opinion if your symptoms are affecting your quality of life. Early intervention can help prevent more serious complications down the road.
In the next section, we’ll explore some of the medical treatments available for GERD and low stomach acid, so you can understand all of your options. Stay tuned!
Medical Treatments for GERD and Low Stomach Acid
While lifestyle changes, diet modifications, and supplements can be incredibly helpful for managing GERD and low stomach acid, there are times when medical treatments are necessary. In my years of experience as a Medical Assistant, I’ve seen patients who tried every natural remedy under the sun but still couldn’t find relief. When lifestyle changes alone don’t cut it, medical intervention can be crucial. Let’s go over some of the more common medical treatments for GERD and low stomach acid, and how they can help.
1. Proton Pump Inhibitors (PPIs)
Proton pump inhibitors (PPIs) are often prescribed to patients with GERD who need more immediate relief. These medications work by reducing the amount of stomach acid your body produces, which can help alleviate the burning sensation and discomfort associated with GERD. However, they’re not always the best choice for everyone. In fact, I’ve had patients who were prescribed PPIs for long periods and ended up experiencing side effects like nutrient deficiencies, especially in magnesium and calcium.
While PPIs can offer fast relief for GERD symptoms, it’s important to work with your healthcare provider to determine the right dosage and duration for your specific needs. For some individuals, PPIs may be necessary for short-term use, but they should not be relied upon long-term without medical supervision.
2. H2 Blockers
Another class of medications commonly used for GERD is H2 blockers. These work by blocking the histamine receptors in the stomach, which reduces the amount of acid produced. H2 blockers, like ranitidine (Zantac) and famotidine (Pepcid), are typically considered a less aggressive option compared to PPIs and may be appropriate for people who don’t need as much acid suppression. I’ve seen patients use H2 blockers with success, especially for milder cases of GERD or when PPIs are not recommended.
While H2 blockers can be effective, they don’t provide the same level of acid reduction as PPIs, and in some cases, they may not be strong enough for more severe GERD symptoms. As always, discussing your treatment options with your healthcare provider is essential to finding the best approach for your needs.
3. Antacids and Alginates
For those seeking immediate, short-term relief from heartburn and reflux symptoms, over-the-counter antacids and alginates can be very effective. Antacids like Tums, Maalox, or Mylanta neutralize stomach acid quickly, providing fast relief from heartburn. Alginates, such as Gaviscon, form a protective barrier over the stomach contents, helping to prevent acid reflux. I’ve had many patients turn to these remedies for quick relief after a meal or when symptoms flare up unexpectedly.
However, it’s important to note that while antacids and alginates can provide fast relief, they are not a long-term solution. They should be used sparingly, as overuse can lead to side effects such as constipation, diarrhea, or altered electrolyte levels. Additionally, they don’t address the underlying issue of low stomach acid or GERD; they simply mask the symptoms.
Dietary and Lifestyle Changes to Support GERD Treatment
Even if you are taking medication for GERD, incorporating certain lifestyle changes can complement your treatment and help reduce the frequency and intensity of your symptoms. As someone who has seen hundreds of patients through the years, I can tell you that a holistic approach is often the most effective way to manage GERD long-term.
1. Maintain a Healthy Weight
Excess weight, especially around the abdomen, can increase pressure on the stomach and make acid reflux more likely. If you’re carrying extra pounds, losing weight can significantly reduce the frequency of GERD symptoms. I’ve witnessed many patients experience relief simply by shedding a few pounds and improving their overall health. While weight loss isn’t a cure-all, it can certainly make a big difference in reducing symptoms.
2. Sleep with Your Head Elevated
Another practical tip I often recommend to patients is sleeping with the head of the bed elevated. This simple adjustment can help keep stomach acid from flowing back into the esophagus while you sleep. You can elevate your bed with a wedge pillow or by propping up the head of the bed with blocks. It may take a bit of getting used to, but many patients find it makes a noticeable difference in their reflux symptoms.
3. Avoid Eating Before Bed
Eating too close to bedtime is a big no-no for people with GERD. When you lie down shortly after eating, it becomes easier for stomach acid to escape into the esophagus. To prevent this, try to stop eating at least two to three hours before going to bed. This allows your stomach to empty before you lie down and reduces the chances of nighttime reflux.
4. Quit Smoking and Limit Alcohol
Smoking and excessive alcohol consumption can worsen GERD symptoms by relaxing the LES and increasing acid production. I’ve seen many patients improve their symptoms dramatically just by cutting back on smoking or alcohol, or by quitting altogether. While this may not be an easy change to make, the benefits are clear when it comes to managing GERD. If you’re struggling with quitting smoking, talk to your doctor about support programs or resources that can help you along the way.
When to Seek Professional Help
While lifestyle changes, diet adjustments, and medications can help control GERD and low stomach acid, it’s crucial to seek professional help if your symptoms worsen or do not improve with treatment. As a Medical Assistant, I’ve often seen patients whose GERD was left untreated for too long, leading to more severe complications like esophagitis, ulcers, or even Barrett’s esophagus. If you’re dealing with persistent or severe symptoms, it’s important to consult with a gastroenterologist to assess your condition and develop a personalized treatment plan.
Signs That You Need to See a Doctor
- Uncontrolled Symptoms: If your GERD symptoms are not relieved by lifestyle changes, over-the-counter medications, or prescribed treatments, it may be time to see a doctor.
- Difficulty Swallowing: If you’re having trouble swallowing food or liquids, or if you feel like food is getting stuck in your throat, seek medical attention.
- Persistent Chest Pain: GERD can cause chest pain, but if the pain is severe or persistent, it’s essential to rule out other serious conditions, such as heart problems.
- Unexplained Weight Loss: Significant and unexplained weight loss could signal a more serious condition that needs immediate attention.
It’s always better to be cautious when it comes to your health. If you’re in doubt, reach out to your healthcare provider for advice. With the right treatment and support, managing GERD and low stomach acid is completely possible, and there’s no need to suffer in silence.
References
Disclaimer: The information provided in this article is intended for general informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider before making any significant changes to your diet, lifestyle, or medication regimen. Individual results may vary.

Camellia Wulansari is a digestive health writer at Healthusias, known for turning complex gut-related topics into clear, relatable insights. Her passion lies in helping readers understand and manage conditions like acid reflux, GERD, bloating, and indigestion—using a mix of research-backed strategies and real-life solutions.
With years of experience writing in the health space, Camellia dives deep into the causes, symptoms, and lifestyle triggers of digestive issues. She’s especially focused on helping people identify food-related sensitivities, manage reflux naturally, and build daily habits that support long-term gut wellness.
Her mission? To make digestive health feel less overwhelming—and a lot more manageable.
Explore Camellia’s latest articles on Healthusias for down-to-earth advice and practical tips to help your gut (and life) feel a whole lot better.