
Acid reflux, or gastroesophageal reflux disease (GERD), is a condition where stomach acid flows back into the oesophagus, causing irritation. Diet plays a significant role in managing acid reflux, and certain foods can trigger or exacerbate symptoms. Cheese is a beloved food for many, but its high fat, lactose, and acid content can worsen acid reflux symptoms. The impact of cheese on acid reflux depends on the type of cheese consumed. This article will explore the relationship between cheese and acid reflux, the types of cheese that are best for people with reflux, and tips for eating cheese without aggravating symptoms.
Is Cheddar Cheese Bad for Acid Reflux?
| Characteristics | Values |
|---|---|
| High fat content | Cheddar cheese is high in fat and protein, which can increase the risk of acid reflux symptoms. |
| Acid-forming potential | The acid-forming potential of cheese is measured using the Potential Renal Acid Load (PRAL) index, which considers protein, phosphorus, chloride, sodium, potassium, magnesium, and calcium content. Cheddar cheese has a high PRAL value, indicating a higher potential to form acid. |
| Individual triggers | The impact of cheese on acid reflux varies among individuals. While some people may find that cheese triggers their acid reflux, others may not be affected. |
| Moderation | Eating cheddar cheese in moderation may not trigger acid reflux symptoms. |
| Timing | Consuming cheddar cheese too close to bedtime can increase the risk of acid reflux symptoms. |
| Pairing | Eating cheddar cheese with low-fat and low-acid foods, such as vegetables and whole grains, can help reduce the risk of acid reflux symptoms. |
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What You'll Learn
- Cheddar cheese is high in fat and protein, which can cause acid reflux
- The acid-forming potential of cheese is measured using the PRAL index
- Fresh cheeses have lower PRAL values and may be better for acid reflux
- Hard cheeses have higher PRAL values but are rich in lactate, which may reduce acidity
- Eating cheese in moderation and with the right foods can help reduce acid reflux

Cheddar cheese is high in fat and protein, which can cause acid reflux
The impact of cheese on acid reflux depends on the type of cheese consumed. Cheddar cheese is a high-fat and high-protein cheese. The fat content in cheese can cause the stomach to produce more acid, which can lead to acid reflux symptoms like heartburn, regurgitation, and bloating. However, the protein in cheese can also help neutralize stomach acid.
Cheddar cheese is a hard cheese, and hard cheeses tend to have higher Potential Renal Acid Load (PRAL) values, suggesting they are more acid-forming. The PRAL index measures the acid-forming potential of cheese by considering the content of protein, phosphorus, chloride, sodium, potassium, magnesium, and calcium. Despite their high PRAL values, hard cheeses are rich in lactate, which might make them less acidifying than their PRAL values alone would suggest.
Fresh cheeses, on the other hand, have lower PRAL values and probiotic benefits, which might make them less likely to exacerbate acid reflux symptoms. For individuals with acid reflux, opting for fresh cheese and monitoring their body's response can be a practical approach to managing symptoms.
While cheddar cheese is high in fat and protein, which can increase the risk of acid reflux symptoms, eating it in moderation may not trigger these symptoms. Additionally, pairing cheddar cheese with low-fat and low-acid foods like vegetables and whole grains can help reduce the risk of acid reflux.
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The acid-forming potential of cheese is measured using the PRAL index
The impact of cheese on acid reflux depends on the type of cheese consumed. The acid-forming potential of cheese is often measured using the Potential Renal Acid Load (PRAL) index, which considers the content of protein, phosphorus, chloride, sodium, potassium, magnesium, and calcium per 100g of product. A higher PRAL value suggests a more acid-forming food.
Fresh cheese, such as those produced with probiotic bacteria, has been found to have lower PRAL values, ranging from -0.8 mEq/100g to 4.5 mEq/100g, indicating it is less likely to contribute to acid load in the body. These fresh cheeses can also enhance the survival of beneficial lactic acid bacteria (LAB) in the gut, which may help in managing acid reflux symptoms by improving gut health. As such, opting for fresh cheese and monitoring the body's response can be a practical approach to managing acid reflux symptoms.
On the other hand, hard cheeses like Cantal and blue-veined cheese have higher PRAL values, with measurements of 25.3 mEq/100g and 28 mEq/100g, respectively, suggesting they are more acid-forming. The PRAL value of Fourme d'Ambert, a French PDO blue-veined cheese, was found to be as high as 14.57 mEq/100g after brine salting. However, despite their high PRAL values, hard cheeses are rich in lactate, which may reduce their acidifying effects.
While cheese can have varying effects on acid reflux depending on its type and composition, it is important to note that individual triggers for acid reflux can vary. Fatty foods, such as cheese, may contribute to reflux by delaying stomach emptying. Therefore, it is recommended to monitor your diet and make adjustments as needed to identify any specific triggers.
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Fresh cheeses have lower PRAL values and may be better for acid reflux
The impact of cheese on acid reflux depends on the type of cheese consumed. Fresh cheeses have lower PRAL values, indicating they are less likely to contribute to acid load in the body and may be better for acid reflux.
PRAL, or Potential Renal Acid Load, is a measure of the amount of acid produced when foods are digested. The higher the PRAL, the more acid is produced, which means more work for the kidneys. The PRAL value of a food is influenced by its content of protein, phosphorus, chloride, sodium, potassium, magnesium, and calcium.
Fresh cheeses have a lower PRAL value, around -0.8 mEq/100g, while hard cheeses like Cantal and blue-veined cheeses have higher PRAL values, ranging from 25.3 to 28 mEq/100g. This suggests that hard cheeses are more acid-forming and may contribute to acid reflux.
Fresh cheeses, particularly those produced with probiotic bacteria, can also enhance the survival of beneficial lactic acid bacteria (LAB) in the gastrointestinal tract. These probiotics can potentially improve gut health and help manage acid reflux symptoms by maintaining a healthy balance of gut flora. Additionally, fresh cheese protects LAB against bile salts and pancreatic enzymes, enhancing their delivery to the gut.
For individuals with acid reflux, opting for fresh cheese and monitoring their body's response can be a practical approach to managing symptoms. While cheese may not be a trigger for everyone, fatty foods can delay stomach emptying and contribute to reflux. Therefore, moderation is generally recommended.
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Hard cheeses have higher PRAL values but are rich in lactate, which may reduce acidity
The impact of cheese on acid reflux depends on the type of cheese consumed. While hard cheeses like Cantal and blue-veined cheeses have higher Potential Renal Acid Load (PRAL) values, they are also rich in lactate, which may reduce acidity. PRAL values are calculated by considering the content of protein, phosphorus, chloride, sodium, potassium, magnesium, and calcium in a food item.
Fresh cheeses, on the other hand, have lower PRAL values, indicating they are less likely to contribute to acid load in the body. They can also enhance the survival of beneficial lactic acid bacteria (LAB) in the gastrointestinal tract, potentially improving gut health and helping to manage acid reflux symptoms.
Hard cheeses, with their higher PRAL values, may contribute to acid load in the body. However, their rich lactate content might reduce their overall acidity. This means that while hard cheeses have a higher potential to form acid, their actual impact on acid reflux may be mitigated by the presence of lactate.
For those with acid reflux, opting for fresh cheeses with lower PRAL values and monitoring their body's response can be a practical approach to managing symptoms. Eating cheese in moderation, choosing low-fat and low-acid varieties, and pairing cheese with low-fat and low-acid foods like vegetables and whole grains can also help reduce the risk of acid reflux symptoms.
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Eating cheese in moderation and with the right foods can help reduce acid reflux
Eating cheese can be a tricky affair if you suffer from acid reflux. Cheese is a beloved food for many and can be a healthy source of protein and calcium. However, it is also high in fat, lactose, and acid, which can trigger or worsen acid reflux symptoms. The good news is that eating cheese in moderation and with the right foods can help reduce acid reflux.
The impact of cheese on acid reflux depends on the type of cheese consumed. Fresh cheeses, with their lower Potential Renal Acid Load (PRAL) values and probiotic benefits, are less likely to exacerbate acid reflux symptoms. Fresh cheeses, particularly those produced with probiotic bacteria, can enhance the survival of beneficial lactic acid bacteria (LAB) through the gastrointestinal tract. These probiotics can potentially improve gut health and may help manage acid reflux symptoms by maintaining a healthy balance of gut flora.
On the other hand, hard cheeses with higher PRAL values could potentially contribute to acid load. However, their lactate content might offset some of this effect. While hard cheeses have a higher potential to form acid, their actual impact on acid reflux might be less than expected due to their rich lactate content.
When it comes to managing acid reflux, it is recommended to opt for low-acid, low-fat, high-calcium, and low-lactose cheeses. Good options include mozzarella, blue cheese, and even cheddar cheese in moderation. Eating cheese with foods that are low in fat and acid, like vegetables and whole grains, can further help reduce the risk of acid reflux symptoms. It is also important not to overeat cheese, especially if you know that it triggers your acid reflux. Additionally, eating cheese too close to bedtime can increase the risk of acid reflux symptoms, so it is advisable to consume it earlier in the day.
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Frequently asked questions
Cheddar cheese can be bad for acid reflux if consumed in large amounts or too close to bedtime. Cheddar is high in fat and protein, which can increase the risk of acid reflux symptoms. However, eating cheddar in moderation may not trigger acid reflux symptoms.
Fresh cheeses with lower PRAL values and probiotic benefits are less likely to worsen acid reflux symptoms. Examples of fresh cheeses include mozzarella, blue cheese, and cottage cheese. When choosing a cheese, opt for low-acid, low-fat, high-calcium, and low-lactose varieties.
Cheese is high in fat, which can cause the stomach to produce more acid. This increase in acid production can lead to acid reflux symptoms such as heartburn, regurgitation, and bloating. Additionally, the type of cheese consumed and individual triggers can also influence the occurrence of acid reflux.

























