Is Pizza Bad for Acid Reflux?


If you’re someone who struggles with acid reflux, you may have wondered whether or not you can enjoy a slice of pizza without triggering uncomfortable symptoms.

Typically, pizza is not a good choice for acid reflux because of the tomato sauce used and the high fat content. Though sometimes depending on how the pizza is made it may be much less likely to cause or worse acid reflux symptoms.

In this article, we’ll explore whether pizza is bad for acid reflux and provide some practical tips on how to enjoy pizza while managing your condition.

Why Pizza May Cause Acid Reflux

Pizza can be a potential trigger for acid reflux due to several reasons. First, the ingredients commonly used in pizza can contribute to acid reflux symptoms.

Tomato sauce, a staple in most pizzas, is highly acidic and can irritate the esophagus, leading to heartburn and other discomfort. This sauce is usually what makes most pizzas acidic. Tomatoes, in general, are considered triggers for people with acid reflux, and when they are made into a paste for pizza sauce, additional ingredients are often added that further increase their acidity levels which in turn increases chance that acid reflux would be worsened.

Furthermore, pizza is often high in fat and grease, which can slow down digestion and relax the lower esophageal sphincter (LES). The LES is a ring of muscle that acts as a barrier between the stomach and the esophagus. When it becomes relaxed, it allows stomach acid to flow back up into the esophagus, causing acid reflux symptoms.

Additionally, the portion size and timing of consuming pizza can exacerbate acid reflux. Eating large portions of pizza or indulging in it late at night can put extra pressure on the stomach, making it more likely for acid reflux to occur.

How to Eat Pizza with Acid Reflux

While pizza may not be the most ideal food for those with acid reflux, there are ways to modify your pizza choices to make it more tolerable. Here are some tips to help you enjoy pizza without triggering acid reflux symptoms:

1. Choose the right ingredients: Opt for homemade tomato puree made from fresh tomatoes without any additives. This will usually be less acidic and easier to digest than a store-bought puree.

Additionally, consider pizzas with less cheese, as they tend to be less fatty and easier on the digestive system.

Good toppings for acid reflux sufferers include chicken, mushrooms, bell peppers, and spinach.

2. Eat in moderation: Instead of devouring an entire pizza, try to limit yourself to 2-3 slices. Eating smaller portions will put less pressure on the stomach and reduce the likelihood of acid reflux symptoms.

3. Mind your timing: Avoid eating pizza right before lying down or going to bed. It’s best to allow a few hours for digestion before reclining, as lying flat can promote acid reflux.


While pizza may not be the best choice for individuals with acid reflux (GERD), it is possible to enjoy it in moderation by making smart ingredient choices, watching portion sizes, and being mindful of timing.

Remember, everyone’s triggers and tolerance levels may vary, so it’s essential to pay attention to your body and make adjustments accordingly.

For a comprehensive approach to managing acid reflux and digestive issues, consider following the Wipeout Diet Plan, which provides a roadmap for a reflux-friendly eating plan. If you need personalized assistance, you can also explore the option of a Private Consultation to receive expert guidance from David tailored to your specific needs.

Important Frequently Asked Questions

What Pizza Can I Eat with Acid Reflux?

When choosing a pizza, go for options with less acidic ingredients like homemade tomato puree made from fresh tomatoes without any additives.

Opt for toppings like chicken, mushrooms, bell peppers, and spinach, which are less likely to trigger acid reflux symptoms.

How Do I Stop Acid Reflux after Eating Pizza?

To alleviate acid reflux symptoms after eating pizza, try taking a gentle walk to aid digestion. You can also try sipping on chamomile tea or chewing sugar-free gum to stimulate saliva production, which can help neutralize stomach acid.

Is Cheese OK with Acid Reflux?

Cheese can be problematic for some people with acid reflux due to its high fat content. However, everyone’s tolerance may vary. If you find that cheese triggers your symptoms, consider opting for pizzas with less cheese or trying lactose-free alternatives. For more information on if cheese is a good choice check our article – Is Cheese Cause Acid Reflux?

Can you Eat Pizza with Omeprazole?

Omeprazole is a medication commonly used to reduce stomach acid production and manage acid reflux symptoms. While it can provide relief, it’s important to remember that it doesn’t give you a free pass to indulge in trigger foods. It’s still important to make mindful choices when consuming pizza, even if you’re taking omeprazole.

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top