The Core Nutritional Profile Remains Unchanged
The most important fact to understand about flat soda is that removing the carbonation does not remove the primary health concerns associated with it. The process of a soda going flat simply means the dissolved carbon dioxide gas has escaped. The sugary syrup or artificial sweeteners, along with other additives like phosphoric acid, all remain in the beverage. From a nutritional standpoint, a glass of flat soda has the same high calorie count and zero nutritional value as a glass of fresh, bubbly soda.
Why Fizz Doesn't Add Nutrients
The "fizz" is created by dissolving carbon dioxide ($CO_2$) in the liquid under pressure. When the bottle or can is opened and the pressure is released, the gas escapes, leaving the remaining liquid, which is the flat soda. The carbon dioxide itself has no caloric or nutritional value. Therefore, its departure does not improve the overall nutritional profile of the drink. The perception that it becomes healthier is a complete misconception based on the change in texture and taste, not a change in chemical makeup.
Debunking the Upset Stomach Myth
The belief that flat cola or ginger ale can soothe an upset stomach is a long-standing folk remedy, but it is not supported by scientific evidence. In fact, medical professionals and research studies have found that it can do more harm than good.
Why Sugar-Filled Drinks Worsen Dehydration
For an upset stomach involving vomiting or diarrhea, the main priority is rehydration with fluids that contain the right balance of electrolytes and a small amount of sugar. Commercial sodas, whether flat or not, have exceptionally high sugar content. This high sugar load can actually worsen diarrhea by drawing water into the intestine. The World Health Organization's recommendations for oral rehydration solutions include specific, low amounts of glucose and adequate electrolytes, a composition wildly different from any soda.
The Problem with Using Soda for Electrolytes
Sodas contain insufficient amounts of vital electrolytes like sodium and potassium, making them an ineffective and potentially harmful choice for rehydrating someone who has lost these minerals. Research comparing colas to oral rehydration solutions found sodas had very low electrolyte content and up to seven times the recommended amount of glucose.
Minor Differences and Real Health Risks
While the primary health risks from sugar and acid remain, there are a couple of very minor differences when comparing flat and carbonated soda.
The Effect on Dental Health
One small benefit is the impact on tooth enamel. Carbonation forms a weak acid (carbonic acid) in the soda, which contributes to enamel erosion. Flat soda lacks this ingredient. However, this is a minor victory, as the large amount of sugar and other acids like phosphoric acid still promote severe tooth decay and erosion. A cavity-causing sugar bath is still a cavity-causing sugar bath, regardless of fizz.
Digestional Considerations
For some people with conditions like Irritable Bowel Syndrome (IBS) or Gastroesophageal Reflux Disease (GERD), the carbonation in soda can cause bloating, gas, and discomfort by expanding the stomach. In this specific case, a flat soda is gentler on the digestive system and will not contribute to these symptoms. However, this benefit does not apply to rehydrating for gastroenteritis, where the high sugar content is the more problematic factor.
Comparison Table: Flat Soda vs. Regular Soda
| Feature | Flat Soda | Regular (Carbonated) Soda |
|---|---|---|
| Nutritional Value | No nutritional value. | No nutritional value. |
| Sugar Content | High sugar and calorie content. | High sugar and calorie content. |
| Dental Impact | Less damage from carbonic acid, but high sugar and phosphoric acid remain a risk. | Carbonic acid contributes to enamel erosion on top of sugar and phosphoric acid damage. |
| Digestive Impact (Bloating) | Can be gentler on the stomach for those sensitive to carbonation. | Carbonation can cause bloating and discomfort. |
| Upset Stomach Remedy | Ineffective and potentially harmful for dehydration. | Ineffective and potentially harmful, contributes to bloating. |
Best Alternatives to Soda
If you're looking for a healthier beverage, ditching soda entirely is the most effective strategy. Here are some simple alternatives:
- Plain Water: The best choice for hydration, with zero calories and no additives. If you find plain water unappealing, try adding fruit slices for flavor.
- Herbal Tea: A great option for both flavor and health benefits, with a wide variety of caffeine-free options available.
- Sparkling Water (Plain): If you enjoy the fizz, opt for plain sparkling water without added sugars or artificial sweeteners. Adding a squeeze of lemon or lime provides a refreshing twist.
- Coconut Water: A natural source of electrolytes, making it a far better choice for rehydration than soda.
- Naturally Flavored Waters: Look for brands that use natural fruit essences for flavor without adding sugar or artificial ingredients.
Conclusion: The Final Verdict
To be clear, drinking flat soda is not better for you in any meaningful way. It retains the same high sugar content, empty calories, and acidity as its bubbly counterpart. The old myth about using it for an upset stomach is scientifically unfounded and should be disregarded in favor of proper rehydration methods using oral rehydration solutions, water, or other suitable beverages. While flat soda may cause slightly less bloating, this minor benefit doesn't outweigh the significant health risks associated with its sugar and acid content. Ultimately, the healthiest choice is to avoid sugary drinks altogether and opt for water or other healthy alternatives.
Find out more about the nutritional risks of sugar-sweetened beverages on the CDC website.
Best Alternatives to Soda
- Plain Water: The best choice for hydration, with zero calories and no additives. Try adding fruit slices for flavor.
- Herbal Tea: A great option for both flavor and health benefits, with a wide variety of caffeine-free options available.
- Sparkling Water (Plain): If you enjoy the fizz, opt for plain sparkling water without added sugars or artificial sweeteners. Adding a squeeze of lemon or lime provides a refreshing twist.
- Coconut Water: A natural source of electrolytes, making it a far better choice for rehydration than soda.
- Naturally Flavored Waters: Look for brands that use natural fruit essences for flavor without adding sugar or artificial ingredients.