Skip to content

What are the side effects of onions?

4 min read

Over 60 million Americans experience heartburn at least once a month, and for many, onions can be a significant trigger. While a staple in kitchens worldwide, it's important to understand what are the side effects of onions, ranging from common digestive discomfort to rare allergic reactions.

Quick Summary

Onions contain compounds like fructans and sulfur that can cause digestive issues such as bloating, gas, and heartburn in sensitive individuals. Rarer side effects include allergic reactions and potential interactions with certain medications. Cooked onions are generally easier to digest than raw.

Key Points

  • Digestive Upset: Onions, especially raw, contain fructans (FODMAPs) that can cause bloating, gas, and stomach pain in sensitive individuals, particularly those with IBS.

  • Heartburn and Acid Reflux: Raw onions are known to relax the lower esophageal sphincter, which can trigger or worsen heartburn symptoms by allowing stomach acid to flow back up.

  • Allergic Reactions: Though rare, true onion allergies can cause symptoms like skin rashes, itching, wheezing, and in extreme cases, anaphylaxis.

  • Potential Drug Interactions: In large amounts, onions can have blood-thinning properties and may interfere with medications like blood thinners. They can also affect blood sugar levels.

  • Eye and Mouth Irritation: Cutting raw onions releases a gas that irritates the eyes and causes tearing. When eaten raw, they can also cause a burning sensation in the mouth.

  • Lessened Impact When Cooked: Cooking onions reduces the concentration of fructans and sulfur compounds, generally making them easier to digest and less likely to cause irritation or heartburn.

  • Body Odor and Bad Breath: The sulfur compounds in onions are absorbed and released through the lungs and sweat glands, causing persistent bad breath and changes in body odor.

In This Article

Understanding Digestive Discomfort from Onions

Many people find that eating onions, especially in their raw form, leads to gastrointestinal issues. This is primarily due to specific carbohydrates and compounds present in the vegetable.

The Role of FODMAPs

Onions are naturally high in fructans, a type of fermentable carbohydrate belonging to a group known as FODMAPs. The human body often struggles to fully absorb these carbohydrates in the small intestine. When they travel to the large intestine, gut bacteria ferment them, a process that produces gas. This can result in a number of uncomfortable symptoms:

  • Bloating and gas: The fermentation process creates excess gas, leading to a distended, bloated feeling.
  • Stomach cramps and pain: For some, the buildup of gas and fluid in the intestines can cause noticeable pain or cramping.
  • Irritable Bowel Syndrome (IBS): People with IBS are particularly sensitive to FODMAPs and may experience aggravated symptoms like bloating, diarrhea, or constipation from onions.

Why Raw Onions Are Harder to Digest

Raw onions are a more potent trigger for digestive upset compared to their cooked counterparts. The sulfur compounds responsible for their pungent taste and eye-watering effect are more concentrated when uncooked. While cooking can reduce the levels of fructans and sulfur, raw onions can relax the lower esophageal sphincter (LES), the muscle that keeps stomach acid from flowing back into the esophagus. This relaxation can lead to a common and unpleasant side effect: heartburn or acid reflux.

Allergic Reactions and Sensitivities

While relatively uncommon, true onion allergies can occur. An intolerance, which affects the digestive system, is more prevalent than a full-blown allergy, which involves the immune system.

Symptoms of a True Onion Allergy

  • Contact dermatitis: Skin rashes, itching, or hives can appear after touching or consuming onions.
  • Respiratory issues: Inhaling onion vapors can sometimes lead to asthma-like symptoms, nasal congestion, or wheezing in sensitive individuals.
  • Anaphylaxis: Though extremely rare, a severe, life-threatening allergic reaction called anaphylaxis is possible. This requires immediate medical attention.

Symptoms of Onion Intolerance

  • Delayed digestive discomfort, such as bloating and gas.
  • Stomach pain and cramping.
  • Nausea and general feeling of unease.

Other Considerations and Medication Interactions

Onions contain certain compounds that can have other systemic effects, especially when consumed in large quantities.

  • Blood-thinning effects: Onions have natural blood-thinning properties due to their antiplatelet effects. This can be a concern for individuals who are already on blood-thinning medication, as excessive consumption could potentially increase the risk of bleeding or bruising. It is always best to consult a healthcare professional before significantly increasing onion intake if you are on such medications.
  • Potential for lowered blood sugar: While beneficial for diabetics in moderation, large quantities of raw onion could potentially cause a sudden drop in blood sugar. Individuals on anti-diabetes medication should monitor their blood sugar closely.
  • Bad breath and body odor: The sulfur compounds found in onions can be absorbed into the bloodstream. These compounds are then released through the lungs and skin, leading to persistent bad breath and body odor.

Side Effects of Raw vs. Cooked Onions

Side Effect Raw Onions Cooked Onions
Digestive Discomfort Higher risk. Fructans are more concentrated, leading to greater fermentation and potential bloating or gas. Lower risk. Cooking reduces fructan content, making them easier on the digestive system.
Heartburn / Acid Reflux Higher risk. Can cause the lower esophageal sphincter to relax, allowing acid to flow back up. Lower risk. Less likely to trigger heartburn symptoms compared to raw, though still possible for some.
Allergic Reactions Higher risk. Proteins in raw onions are more likely to trigger an allergic immune response. Lower risk. Proteins are often denatured during cooking, potentially reducing allergenicity.
Flavor & Pungency More intense. Higher concentration of sulfur compounds for a sharper taste. Milder. Cooking breaks down some sulfur compounds, resulting in a sweeter, less pungent flavor.
Eye Irritation Present. Release of syn-propanethial-S-oxide gas when cut, causing tears and stinging. Absent. Gas is released during the cooking process and does not irritate the eyes.

Conclusion

While onions are a nutritious and flavorful addition to many meals, their consumption can lead to side effects in some individuals. The most common issues relate to digestive discomfort, caused by fructans and sulfur compounds, which can trigger symptoms like bloating, gas, and heartburn. Rarer side effects include allergic reactions and potential interactions with certain medications. For those who find raw onions particularly bothersome, cooking them or consuming them in moderation may help mitigate adverse effects. Paying attention to your body's specific reaction can help you enjoy this popular vegetable with minimal discomfort. For persistent issues, it's wise to consult a healthcare provider or dietitian to determine the best approach for your dietary needs.

Authoritative Source

Frequently Asked Questions

You feel bloated because onions contain fructans, a type of carbohydrate that is difficult for some people to digest. When gut bacteria ferment these fructans in the large intestine, it produces gas, leading to bloating and discomfort.

Yes, onions, especially raw ones, are a common trigger for heartburn. They can cause the lower esophageal sphincter to relax, allowing stomach acid to flow back into the esophagus and cause a burning sensation.

Yes, cooking onions can significantly reduce the concentration of fructans and sulfur compounds that cause digestive upset. This makes cooked onions generally easier to tolerate for individuals with sensitive stomachs or IBS.

Symptoms of a rare onion allergy can include skin rashes (hives), itching, swelling of the lips or face, nasal congestion, wheezing, nausea, or stomach pain. In severe, very rare cases, anaphylaxis can occur.

Excessive onion consumption can cause digestive issues, affect blood sugar levels, and potentially interfere with blood-thinning medications due to their antiplatelet properties. Moderation is key for those sensitive to these effects.

No, an intolerance is not the same as an allergy. An intolerance involves the digestive system and typically causes milder symptoms like gas and bloating. An allergy is an immune system response that can cause more severe symptoms, even from tiny amounts.

For a digestive-friendly alternative, you can use the green parts of scallions or chives, which contain fewer fructans. Alternatively, try using small amounts of onion-infused oil for flavor without the bulk of the vegetable.

Cutting onions releases a volatile liquid called syn-propanethial-S-oxide. This gas irritates the nerves in your eyes, causing them to water as a defense mechanism to flush out the irritant.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

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