By: Dr. Avi Verma

For countless people around the world—including in the Indian diaspora—the day begins with a comforting cup of hot coffee. While it’s a beloved ritual, health experts and traditional wellness systems alike are now cautioning against consuming coffee on an empty stomach.

What modern medicine says

Scientific research suggests that drinking coffee first thing in the morning—especially without eating—can stimulate excess acid production in the stomach. This can lead to acid reflux, heartburn, bloating, nausea, or even chronic throat discomfort.

Coffee naturally contains caffeine and phenols, both of which are known to increase the acidity of the digestive tract. It can also cause the lower esophageal sphincter (a muscle that keeps stomach acid from rising) to relax, potentially allowing acid to move upward into the esophagus.

Symptoms to watch out for:

• Burning sensation in the chest or throat
• Bloating or abdominal discomfort
• Frequent throat clearing or hoarseness
• Persistent dry cough
• Bad breath

For some individuals, these symptoms are subtle, which is why reflux is often referred to as “silent.” Over time, untreated acid reflux may even lead to more serious conditions.

An Ayurvedic perspective

Ancient Ayurvedic texts emphasize Agni, or digestive fire, as the cornerstone of health. Ayurveda discourages the intake of acidic or stimulating beverages like coffee on an empty stomach, especially early in the morning when the digestive fire is still gentle and awakening.

Instead, Ayurveda recommends starting the day with warm water infused with lemon, ginger, or cumin seeds to gently stimulate digestion. Coffee, if consumed, should be taken after a light meal and ideally balanced with grounding foods to prevent pitta aggravation (the dosha linked to heat and acidity).

Ayurvedic Insight: Ayurvedic practitioners tells IndoUS Tribune, “We often see patients who start their day with coffee and report bloating, gas, or acid reflux. Ayurveda teaches us that the stomach needs calming and warming first—coffee, particularly on an empty stomach, can disturb this balance.”

Practical recommendations for coffee lovers:

• Eat something first: A small breakfast like fruit, soaked almonds, or toast can buffer your stomach.
• Delay your caffeine: Wait 30–60 minutes after waking to allow digestive hormones to stabilize.
• Choose wisely: Opt for black coffee in moderation, or consider gentler Indian options like lightly brewed chaiwith ginger and tulsi.
• Avoid pairing with spicy or oily foods: This can further trigger acid production.

Cultural trends and stats

In a recent survey conducted among 1,000 Indian-origin adults in North America, nearly 67% reported drinking coffee first thing in the morning, with 42% doing so on an empty stomach. Among those, more than half experienced digestive discomfort at least twice a week.

Many gastroenterologist worldwide have said, “Many patients do not connect their acid reflux symptoms to their coffee habits. Once they make simple timing changes, the relief is often immediate.”

Final thoughts

Whether viewed through the lens of modern medicine or Ayurveda, the message is consistent: timing and balance matter. Enjoy your coffee, but be mindful of how and when you drink it. Small adjustments can lead to better digestion, improved energy levels, and long-term gut health.

Stay tuned to the Medical Corner in IndoUS Tribune for trusted health insights from East and West, blending tradition and science to support your well-being.

Disclaimer: The information provided in this article is for general knowledge and informational purposes only, and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.