Stomach Acid: What It Does, When It Goes Wrong, and How to Manage It
When your body digests food, it relies on stomach acid, a highly acidic fluid made by the stomach lining to break down food and kill harmful bacteria. Also known as gastric acid, it’s mostly hydrochloric acid, with a pH between 1.5 and 3.5—strong enough to dissolve metal but perfectly contained in a healthy stomach. Without it, you couldn’t absorb key nutrients like iron, calcium, or vitamin B12. But when this acid escapes where it shouldn’t, it causes heartburn, reflux, and long-term damage.
Acid reflux, a condition where stomach acid flows back into the esophagus is one of the most common digestive complaints. It’s not just discomfort—it can lead to esophagitis, Barrett’s esophagus, and even increase cancer risk if ignored. Many people assume it’s caused by eating too much spicy food, but the real issue is often a weak lower esophageal sphincter, hiatal hernia, or overuse of proton pump inhibitors, medications that shut down acid production at the cellular level. These drugs work well short-term, but long-term use can backfire: low acid means poor digestion, bacterial overgrowth, and nutrient loss.
Then there’s the flip side—too little acid. Older adults, people on long-term acid blockers, or those with autoimmune conditions like pernicious anemia often have hypochlorhydria. Symptoms? Bloating after meals, feeling full fast, undigested food in stool, or even iron deficiency anemia. It’s easy to misdiagnose as excess acid, leading to more PPIs when the body actually needs help producing more.
H2 blockers, a different class of acid-reducing drugs that work by blocking histamine receptors, offer a middle ground. They’re less potent than PPIs but carry fewer long-term risks. Still, they’re not a cure. The real fix often lies in lifestyle: avoiding late-night meals, cutting back on alcohol and caffeine, managing stress, and sometimes even chewing food longer to ease the stomach’s workload.
What you’ll find below isn’t just a list of articles—it’s a practical guide to what’s really happening when your stomach feels off. From how PPIs like Aciphex compare to other acid reducers, to why some antibiotics can trigger reflux, to how steroid use affects your gut lining, these posts cut through the noise. You’ll see real comparisons, proven alternatives, and clear warnings about what to watch for. No fluff. No marketing. Just what works—and what doesn’t—when it comes to your stomach acid.