Alkaline water and refluxAlkaline water is considered therapeutic by many people who suffer from reflux disease and is associated with reducing symptoms, such as heartburn.

The theory is that it reduces the acidity of the intestinal tract and permanently denatures any pepsin that is present.

But what is alkaline water?

Regular tap water has a pH of around seven, which is a neutral pH – neither alkaline nor acidic. Alkaline water has a pH above seven – typically around nine.

How do I make alkaline water?

You can buy it bottled or you can get supplement tap water with minerals. Or you can also buy a machine, called a water ionizer, which creates alkaline water via a process called ionization – this is where water is broken into its ion components H2 and O. H2 is positively charged and therefore attracts negatively charged ions, such as free radicals .
There are several YouTube videos that claim to show you how to make alkalised water at home.

What evidence is there alkaline water works?

A 2012 study by Dr Koufman and Dr Johnston, concluded that the “the consumption of alkaline water may have therapeutic benefits for patients with reflux disease and may be a useful, risk-free adjunctive treatment for reflux disease”.

It found that unlike conventional water, alkaline water instantly denatures pepsin [what is pepsin blog link] rendering it permanently inactive. It also reports that alkaline water has “excellent acid-buffering capacity”.

RefluxMD tested the theory by asking members to track their symptoms and medication use for twelve days prior to switching to alkaline water. They then tracked their symptoms for the following twelve days while drinking it.

Eighty-seven per cent reported that alkaline water reduced their symptoms, while 56 per cent reported a reduction of at least 40 per cent of their symptoms.

We have yet to see any controlled studies in actual patients that assess the clinical benefit of alkaline water in patients but we will continue to monitor this space for developments.

But does everyone agree?

Alkaline water is “just another fad without science to support it”, according to US physician Kent Sepkowitz. While some claim that drinking it regularly decreases stomach acidity to pH 6.75, a level that is incapable of digesting protein or inhibiting bacterial growth in the stomach.

Should I switch to alkaline water then?

Everybody’s body is different and we always recommend you consult with your doctor to find out if lifestyle and dietary change are right for you.

It is not clear if water with pH 9 will reduce your dependence on medications or relieve all your reflux symptoms. However, drinking more water, in general, can deliver considerable health benefits.