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Is it good to eat extremely hot food? The surprising health risks explained

4 min read

According to the International Agency for Research on Cancer (IARC), regularly consuming beverages hotter than 65°C (149°F) is classified as "probably carcinogenic to humans," indicating that it is not good to eat extremely hot food. While the initial burn is obvious, the long-term, repeated damage can have serious health consequences, making it crucial to understand the risks beyond a scalded tongue.

Quick Summary

This article explores the health risks associated with consuming excessively hot food and beverages, differentiating thermal burn from spicy heat. It details the potential for esophageal damage, links to squamous cell carcinoma, and provides safe temperature guidelines and consumption tips to minimize health hazards.

Key Points

  • Thermal Burns: Consuming excessively hot food and beverages can cause immediate burns to the mouth, tongue, and throat.

  • Esophageal Cancer Risk: Repeated thermal injury to the esophagus from very hot items, especially those over 65°C (149°F), increases the risk of esophageal squamous cell carcinoma (ESCC).

  • Moderate Temperature: The International Agency for Research on Cancer (IARC) classifies drinks consumed above 65°C as "probably carcinogenic to humans".

  • Dental Damage: Eating or drinking very hot items can contribute to tooth sensitivity and damage the protective enamel over time.

  • Allow Food to Cool: Simple habits like stirring drinks, taking small sips, and waiting a few minutes after serving can significantly reduce the risk of thermal injury.

  • Distinguish Temperature from Spiciness: The risks associated with high temperatures are different from the effects of spicy capsaicin, though consuming very hot and spicy foods can be a compounded risk.

In This Article

Understanding the Difference: Thermal Heat vs. Spicy Heat

When considering the question, "Is it good to eat extremely hot food?", it is essential to distinguish between two different types of "hot." The first is thermal heat—the actual temperature of the food or liquid. The second is spicy heat, caused by compounds like capsaicin in chili peppers. This article focuses on the dangers of thermal heat, which poses a direct risk of cellular and tissue damage, while also providing a brief comparison with spicy foods.

The Immediate Dangers of Thermal Burns

Consuming food or drinks that are too hot can cause immediate and painful burns to the soft tissues of the mouth, tongue, and throat. While these injuries typically heal, repeated burns can lead to chronic irritation. When the lining of the esophagus is repeatedly injured, it triggers a continuous cycle of cellular regeneration, which increases the likelihood of something going wrong at a cellular level over time. In addition to local burns, extremely hot temperatures can affect the entire gastrointestinal tract, leading to stomach irritation, inflammation, and aggravated pre-existing conditions like gastritis.

The Long-Term Link to Esophageal Cancer

The most significant and documented long-term risk associated with consuming very hot food and beverages is an increased risk of esophageal cancer, specifically esophageal squamous cell carcinoma (ESCC).

  • Repeated Thermal Injury: The mechanism involves chronic thermal trauma to the esophageal lining. Just as repeated sunburn can lead to skin cancer, the continuous burning of the esophageal cells is believed to contribute to cancerous changes over many years.
  • Global Studies: Research from regions where it is culturally common to consume very hot beverages, such as Iran and parts of China and South America, shows higher rates of ESCC. One large-scale study on tea drinkers in the UK confirmed this link, finding a significantly higher risk among those who regularly consumed very hot drinks.
  • The 65°C Guideline: The World Health Organization's International Agency for Research on Cancer (IARC) has classified beverages consumed above 65°C (149°F) as a probable carcinogen. This threshold provides a critical guideline for safe consumption.

Potential Dental and Digestive Issues

Beyond the esophagus, there are other reasons to allow food to cool. Consuming very hot items can contribute to tooth sensitivity and damage the protective enamel, especially if immediately followed by cold items. Some anecdotal evidence also suggests that very hot food may cause gas and discomfort for some individuals.

Comparison: Thermal Heat vs. Capsaicin (Spicy) Heat

To clarify the difference between food temperature and spiciness, the following table outlines the key effects and risks associated with each. It's important to note that many dishes can be both thermally hot and spicy, compounding the effects.

Feature Thermal Heat (High Temperature) Capsaicin Heat (Spiciness)
Sensation Cause Activation of heat-sensitive pain receptors Chemical compound (capsaicin) binding to pain receptors
Immediate Risk Physical burns to mouth and esophagus Burning sensation, sweating, nasal discharge
Digestive System Stomach irritation and inflammation Gastrointestinal distress, heartburn, diarrhea (dose-dependent)
Long-Term Risk Increased risk of esophageal cancer (ESCC) Generally not linked to ulcers, conflicting data on long-term effects
Health Benefits None directly from extreme temperature, though cooking properly kills bacteria Potential benefits like metabolism boost, anti-inflammatory properties, and heart health

Safe Consumption Guidelines and Best Practices

Moderation and mindful eating are key to enjoying hot foods and beverages safely. The following practices can help mitigate risks:

  • Allow Cooling Time: After cooking, let food and drinks sit for several minutes before consuming. Stirring can also help to accelerate the cooling process.
  • Use the "Sip Test": Take a small, careful sip to gauge the temperature, especially with beverages. This prevents a large gulp of excessively hot liquid from causing significant thermal injury.
  • Wait Before Adding to the Mouth: Before putting a forkful of food in your mouth, wait until the steam dissipates. This is a good visual indicator that the item has cooled sufficiently.
  • Lower Brewing Temperatures: For hot drinks like coffee or tea, consider brewing at a slightly lower temperature or adding a splash of cool water or milk to rapidly decrease the temperature below the 65°C threshold.
  • Understand Your Body: Pay attention to how your body reacts to hot foods. If you frequently experience heartburn or discomfort, it may be a sign that you are consuming things at too high a temperature.

Conclusion: Prioritizing Caution for Long-Term Health

In conclusion, eating extremely hot food is not good for your health and carries documented risks of thermal injury and potential long-term damage. While the occasional burn from a too-hot slice of pizza is not a significant threat, the chronic consumption of excessively hot food and beverages, particularly those above 65°C, is associated with a heightened risk of esophageal cancer. By practicing simple, mindful habits like allowing food to cool and being aware of temperatures, you can continue to enjoy your favorite meals without compromising your long-term health. Prioritizing caution over impatience is a small, proactive step toward protecting your esophageal health for years to come.

For more information on food safety temperatures, including for cooking and reheating, visit the official FoodSafety.gov website. FoodSafety.gov

Frequently Asked Questions

Yes, chronic consumption of food and beverages at excessively high temperatures (above 65°C/149°F) has been linked to an increased risk of esophageal squamous cell carcinoma (ESCC).

While cooking temperatures must be high enough to kill bacteria (e.g., 75°C), food and drinks should be allowed to cool before consumption. A temperature below 65°C (149°F) is generally considered safer to avoid thermal injury.

You can let food and drinks sit for a few minutes, stir them to distribute heat, blow on them, or add a splash of cool water or milk to rapidly decrease the temperature before consuming.

No, they are different. Spicy heat from capsaicin can cause temporary discomfort and stomach irritation in high doses, but thermal heat from high temperatures carries the specific, long-term risk of esophageal damage and cancer.

Yes, repeated consumption of very hot food or drinks can increase tooth sensitivity and potentially damage tooth enamel, especially when followed by very cold items.

Immediate symptoms include pain and burns to the mouth and tongue. For some, it can also lead to more serious irritation and inflammation in the throat and stomach.

Yes, individuals with pre-existing digestive issues like acid reflux or gastritis should be especially cautious, as very hot food and beverages can aggravate their symptoms and increase irritation.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.