Can fruit juices cause chest pain after drinking?

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There are many people complaining about heartburn, chest or stomach pain after drinking certain types of juices.

However, we cannot say that all juices can cause chest or stomach problems. The answer depends both on the juice and on the person drinking it.

Our bodies react differently to what we eat and drink. While certain foods and beverages might cause really unpleasant stomach or chest symptoms to some of us, others might consume them without any problems.

To make it even more complicated, on rare occasions the same foods and drinks might relieve the same symptoms for some people.

Let’s take a closer look at some of the more popular juices and the way they are likely to interact with your digestive system.

Orange juice and heartburn

Orange juice
If you have GERD, you might need to avoid drinking orange juice.

Orange juice is the second most appealing flavor in the US and is among the most popular drinks.

Orange juice contains a lot of antioxidants, vitamins (especially C, and A), calcium, iron, and folate. Freshly squeezed orange juice also contains a lot of fiber.

However, many experts say that orange juice is not as healthy as we are being told.

The reason for that is the high sugar content. Orange juice contains almost as much sugar as Coca-Cola, which can cause blood sugar spikes and lead to cardiovascular, and kidney problems.

This study has found that orange juice is likely to trigger heartburn if you are prone to acid reflux. Even though the reason for triggering heartburn after drinking orange juice is not entirely understood, it seems to be related to the high acid content of orange juice.

Besides the above-mentioned problems, the high acidity level and sugar content can cause abdominal pain for people having acid reflux, especially if the orange juice contains added sugar.

What to do if orange juice causes heartburn?

Research shows that calcium-fortified orange juice might be less likely to cause heartburn.

If you are experiencing chest pain after drinking orange juice, the best thing you can do is to eliminate it from your diet.

Apple juice and acid reflux

Apple juice
The high sugar content of apple juice might trigger hearburn.

We all know that apple is a very healthy fruit: “An apple a day keeps the doctor away.”

Even though apple is an acidic fruit, fresh apples are usually considered to be safe for people with acid reflux, because of the alkaline calcium and magnesium content.

However, drinking apple juice might cause problems, as it contains a lot more sugar than fresh apples and no fiber. Sugary foods and drinks are a no-no to people with reflux.

It also worths noting, that some people are simply allergic to apply, and apple allergy might be causing chest or stomach symptoms, not reflux.

What to do if apple juice causes you chest pain?

If only apple and apple juice cause you chest pain, acid reflux is unlikely to be the reason. Usually, reflux has more than one “trigger food”, like sugary or fatty foods. In such cases, an apple allergy test might be a sensible choice.

Fresh apples have less sugar and a lot more fiber content than apple juice. Switching from the juice to apples might solve your problem. Try multiple types of apples, red ones are considered less likely to cause chest pain, than green ones.

You might also try calcium-fortified apple juices, just like in the case of orange juices, it might relieve your abdominal pain.

If none of this helps, limiting or completely eliminating your apple consumption is probably the best you can do.

Can apple juice cause stomach pain?

The high fructose content of apple juice might cause bloating, especially when you drink too much at once.

While digesting the fructose, gas is produced and this might cause stomach pain after drinking apple juice. If this is the cause of your stomach pain, it should go away in about an hour.

Fructose intolerance is another possible reason. If your body cannot digest fructose, you should eliminate high fructose foods from your diet, or consume only small amounts. Otherwise, you may experience stomach pain, diarrhea, and bloating.

Is pineapple juice good for acid reflux?


While pineapple has many great nutrients and health benefits, it is a highly acidic fruit, therefore pineapple juice is usually not recommended to people suffering from heartburn.

However, according to the guidelines of the American College of Gastroenterology, there are “no studies performed” yet that would justify GERD symptoms’ improvement when eliminating acidic foods and drinks from your diet. According to the ACG:

Not routinely recommended for GERD patients. Selective elimination could be considered if patients note correlation with GERD symptoms and improvement with elimination.


In plain English: give it a try and see if pineapple juice causes you heartburn or not

Can pineapple juice cause stomach pain?

Several reasons might cause stomach pain after drinking pineapple juice:

  • Pineapple allergy: if you think you are allergic to pineapples, go to an allergologist and get tested.
  • Drinking too much on an empty stomach: pineapple is highly acidic and contains a lot of vitamin C, this might irritate an empty stomach.
  • Bromelain content: bromelain in pineapple might irritate your stomach, especially if you have ulcers.
  • High sugar content: pineapple contains a lot of sugar, pineapple juice has an even higher sugar content, which might cause digestion problems.

Grapefruit juice and stomach pain


Just like other highly acidic juices, grapefruit juice can trigger stomach pain when drinking too much on an empty stomach. This might happen even if you are completely healthy.

This study has found that stomach pain after consuming grapefruit is more likely if you are female, over 60, and have been taking certain drugs for 1-6 months.

Grapefruit can also cause stomach cramps and other stomach problems if you have certain existing medical conditions, such as:

  • Allergy: Some people might be allergic to grapefruit, citrus fruits in general, or might have salicylate sensitivity. In such cases, abdominal pain is a common reaction to consuming grapefruit.
  • Taking certain drugs: Grapefruit juice can affect the way drugs interact with your body. Check out the FDA website for a list of drugs that don’t mix with grapefruit.
  • Gastritis and ulcers: If you have ulcers or inflammation in your stomach, the highly acidic grapefruit juice might irritate it and cause stomach pain.
  • Acid reflux: If certain foods trigger acid reflux for you, chances are grapefruit juice is among them. The typical symptom of acid reflux is chest pain (heartburn), but it might also cause stomach discomfort.

Can grapefruit juice cause acid reflux?

Just like other citrus fruits, grapefruit is highly acidic. According to WebMD, grapefruit is among the top 10 heartburn trigger foods.

This study has found that if you are prone to acid reflux, citrus drinks are likely to trigger symptoms like heartburn. Just like alcohol, coffee, and (to a lesser extent) tea and milk.

If you are an acid reflux sufferer and the lining of your esophagus is already damaged, grapefruit juice might irritate your food pipe and cause chest pain.

However, if you are healthy and don’t drink excessive amounts of grapefruit juice, you should be fine.

Other fruit juices and chest pain

According to this study, citrus drinks and juices are often reported to cause heartburn. Therefore it’s good to avoid not only orange juice, but grapefruit juice, and drinks with lemon and lime.

Most fruit juices – like grapes, cranberries, cherry, mango, peaches, pears, etc. – are more or less acidic, so they might cause reflux symptoms. Although they are usually considered to be reflux-friendly drinks, they might cause heartburn for some people.

Final thoughts

It worths noting, that experts don’t really recommend fruit juices, especially for kids, as their high sugar content can cause weight gain.

If you want to drink fruit juices, try blending the fresh fruit instead of buying a highly-processed drink in the supermarket. This will not only include less sugar but will also include the fibers that are often removed from juices.

Eating fresh fruit is your best option, blending is the second best.

As for chest pain after drinking such juices, the bottom line is that it’s hard to predict whether a certain type of juice will cause symptoms or not.

You can try drinking a cup and see if it causes stomach, chest, or throat problems. If yes, you might want to eliminate that fruit from your diet.

However, you need to make sure that your symptoms are caused by that particular fruit and not by some other food you also consumed.

A good way to track what you were eating and whether it caused your symptoms or not is a food diary. Just write down for at least a week or two everything you ate and when you had symptoms. After a while, you should see a pattern and be able to find out which foods should be avoided.