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Is there any downside to drinking seltzer?

4 min read

According to a 2024 survey, the market for carbonated waters is booming, with sales projected to reach nearly $94 billion by 2030. As a popular alternative to sugary sodas, many people question if there is any downside to drinking seltzer. While it offers a great calorie-free way to stay hydrated, some individuals may experience side effects related to digestion, dental health, and certain medical conditions.

Quick Summary

Despite being a calorie-free, hydrating beverage, seltzer can cause bloating, gas, and irritation for those with sensitive digestive systems or acid reflux. Its mild acidity can also contribute to dental enamel erosion over time, though far less than sugary sodas. For most people, consuming plain seltzer in moderation is not harmful, but those with specific health conditions should be mindful of its effects and check labels for additives.

Key Points

  • Bloating and gas: Seltzer contains carbon dioxide bubbles that can cause uncomfortable bloating, gas, and burping, especially when consumed in large quantities.

  • Exacerbates acid reflux: The carbonation can worsen symptoms of gastroesophageal reflux disease (GERD) by increasing abdominal pressure and potentially relaxing the lower esophageal sphincter.

  • Mild dental erosion: Due to its mild acidity from carbonic acid, seltzer can contribute to the erosion of tooth enamel over time, though much less severely than sugary sodas.

  • Hidden additives: Some flavored seltzers and club soda contain artificial sweeteners, sodium, or citric acid, which can affect dental health and digestion.

  • Not a bone density risk: Contrary to a common myth, there is no evidence that plain seltzer negatively impacts bone health or calcium absorption.

  • Hydrates just like water: For most people, plain seltzer is just as hydrating as still water and serves as an excellent calorie-free alternative to sugary drinks.

In This Article

What exactly is seltzer?

Seltzer is plain water that has been artificially carbonated with carbon dioxide gas. Unlike club soda, it contains no added minerals like sodium bicarbonate or potassium sulfate. Seltzer’s neutral flavor and clean taste make it a versatile drink for its own sake or as a mixer for cocktails and mocktails. This simplicity is what distinguishes it from other sparkling beverages, such as tonic water which contains quinine and sugar, or sparkling mineral water, which is naturally carbonated and contains minerals from its source. The health effects of seltzer largely depend on its consumption habits and any pre-existing conditions, making it crucial to understand both its benefits and its potential drawbacks.

Potential Downsides and Side Effects

Digestive Issues

For many, the fizzy sensation of seltzer is a refreshing treat. However, the carbon dioxide bubbles that give seltzer its characteristic fizz can lead to a few gastrointestinal problems.

  • Bloating and Gas: The gas in carbonated water can cause a feeling of fullness, distention, or pressure in the stomach. When consumed in large amounts, these gas pockets build up and lead to bloating, burping, and overall discomfort.
  • Irritable Bowel Syndrome (IBS): For individuals with IBS or other sensitive stomach conditions, the added gas can exacerbate symptoms like bloating and abdominal pain. Experts advise those with gut sensitivity to moderate their intake or switch to still water to see if symptoms improve.
  • Acid Reflux (GERD): Seltzer can worsen symptoms for those with gastroesophageal reflux disease (GERD). The carbonation can increase intra-abdominal pressure and potentially relax the lower esophageal sphincter, making it easier for stomach acid to travel back up the esophagus and cause heartburn.

Dental Health Concerns

One of the most frequently discussed downsides of seltzer relates to dental health. The carbonation process introduces carbonic acid, which makes the water slightly more acidic than regular water.

  • Enamel Erosion: While far less acidic than sugary sodas, the mild acidity of plain seltzer can, over time and with frequent, prolonged exposure, contribute to the erosion of tooth enamel. Flavored seltzers, which often contain citric acid for flavor, can be even more acidic and pose a higher risk.
  • Lack of Fluoride: Unlike most fluoridated tap water, bottled or canned seltzer lacks this cavity-fighting mineral. Those who primarily drink seltzer may miss out on fluoride's protective benefits for their teeth.

Potential Additives and Hidden Ingredients

Not all seltzers are created equal, and checking the label is essential. Some products, especially flavored varieties, may contain ingredients that negate the health benefits of choosing seltzer over soda.

  • Artificial Sweeteners: Some brands use artificial sweeteners like aspartame or sucralose to enhance flavor. While these don't add calories, they can cause digestive issues, such as diarrhea, in sensitive individuals and may alter the gut microbiome.
  • Sodium: Club soda, which is often confused with seltzer, typically contains added sodium to enhance its flavor profile. For those on a low-sodium diet, consistently consuming club soda instead of seltzer could become an issue.

Seltzer vs. Soda vs. Still Water: A Comparison

To put the downsides of seltzer into perspective, it helps to compare it with other popular beverages.

Feature Seltzer (Plain) Soda (Regular) Still Water Still Mineral Water
Calories 0 High (often 100+ per can) 0 0
Sugar 0g High (often 39g+ per can) 0g 0g
Acidity (pH) Mildly acidic (3–5) Highly acidic (~2.5) Neutral (7) Can vary by source
Dental Risk Low (some erosion with high, frequent intake) High (due to sugar and acid) Very low Very low
Bloating Risk Possible Possible (due to carbonation) None Minimal
Hydration Excellent Poor (due to sugar and caffeine) Excellent Excellent
Nutrients None None None (unless fluoridated) Varies (contains natural minerals)

Enjoying Seltzer Mindfully

For most healthy adults, plain seltzer is a perfectly safe and hydrating choice, especially when used as a soda substitute. However, adopting smart drinking habits can help mitigate any potential downsides.

Tips for responsible seltzer consumption:

  • Practice Moderation: If you have concerns about dental or digestive health, consume seltzer in moderation and alternate it with regular still water throughout the day.
  • Pair with Meals: Drinking seltzer with food stimulates saliva production, which helps to neutralize the acid and protect tooth enamel.
  • Use a Straw: Using a straw can help the liquid bypass direct contact with your teeth, further minimizing the risk of enamel erosion.
  • Read the Label: Avoid flavored versions with added sugar or artificial sweeteners. Stick to plain seltzer or opt for naturally flavored versions, which are usually safer.
  • Listen to Your Body: If you notice consistent bloating, gas, or acid reflux symptoms, scale back on seltzer to see if your digestive issues improve.

Conclusion

While the crisp, refreshing fizz of seltzer is an excellent zero-calorie alternative to sugary beverages, it's not entirely without potential drawbacks. From digestive discomfort like bloating and gas to the long-term risk of minor dental erosion, mindful consumption is key. For most people, enjoying plain seltzer in moderation is harmless and a great way to stay hydrated. However, individuals with sensitive guts, GERD, or dental concerns should be aware of these potential issues and consider how they integrate seltzer into their overall hydration strategy. As with any dietary choice, listening to your body's signals and making informed decisions based on personal health needs is the best approach.

Learn more about different types of carbonated beverages and their components from Healthline.

Frequently Asked Questions

Yes, for some people, the carbon dioxide gas in seltzer can cause bloating and gas. This is especially true when consumed in large amounts or if you have a sensitive digestive system like with IBS.

While plain seltzer is mildly acidic due to carbonic acid, it is not as damaging as sugary sodas. However, frequent sipping can cause some enamel erosion over time. Drinking with meals or using a straw can help protect your teeth.

Yes, for individuals with acid reflux or GERD, the carbonation in seltzer can worsen symptoms by increasing stomach pressure and promoting acid backflow into the esophagus. It is often recommended to stick to still beverages.

No, this is a myth. Scientific research has shown that plain seltzer does not negatively affect bone mineral density. The risk of bone loss is associated with cola beverages containing phosphoric acid, not seltzer.

Yes, plain seltzer is just as hydrating as still water. The carbonation does not interfere with the body's ability to absorb water, making it an excellent way to meet your daily fluid intake.

Most plain flavored seltzers without added sugar are safe. However, many brands use citric acid for flavor, which can increase acidity and dental risk. Always check the label for hidden sugars, artificial sweeteners, or high sodium content.

Individuals with sensitive digestive tracts, IBS, or GERD should be cautious with seltzer. Those with dental enamel erosion or a history of cavities may also want to limit their intake to protect their teeth.

References

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Medical Disclaimer

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