Some claim that drinking beverages with meals is bad for your digestion.
Others say it can cause toxins to accumulate, leading to a variety of health issues.
But can drinking a glass of water with your meals really have negative effects? Or is this just another myth? Here is an evidence-based review of how liquids with meals affect your digestion and health.
To understand why water is thought to disturb digestion, it's useful to first understand the normal digestive process.
Digestion starts in your mouth, as soon as you start to chew your food. Chewing signals the salivary glands to start producing saliva, which contains enzymes that help you break down the food.
Saliva also helps soften the food, preparing it for smooth travel down the esophagus and into the stomach.Image Source: Wikimedia.
Once in your stomach, food gets mixed with acidic gastric juice, which further breaks it down and produces a thick liquid known as chyme. Chyme eventually moves towards the first part of the small intestine.
In the small intestine, chyme gets mixed with digestive enzymes from the pancreas and bile acid from the liver. These further break down the chyme, preparing each nutrient for absorption into the bloodstream.
Most nutrients are absorbed as the chyme travels through the small intestine. Only a small portion remains to be absorbed once it reaches the colon.
Once in the bloodstream, nutrients are sent to different areas of the body. Digestion ends when the leftover materials are excreted from the colon through the rectum.
Depending on what you eat, this whole digestion process can take anywhere from 24 to 72 hours (1).
Bottom Line: Food gets mixed with saliva in your mouth, and gastric juice in your stomach. Once in the small intestine, bile and enzymes break down nutrients and prepare them for absorption into the bloodstream.
There is no doubt about the benefits of drinking enough fluids each day.
However, some claim that the timing matters, and that drinking them around meals is a bad idea.
Below are the three most common arguments used to claim that liquids with meals are bad for your digestion.
Alcohol and Acidic Drinks Negatively Affect Saliva
Some argue that drinking acidic or alcoholic drinks with meals dries up saliva, making it more difficult for the body to digest food.
This does have some truth to it.
In regards to acidic drinks, they seem to actually increase the secretion of saliva (5).
Finally, there's no scientific proof that either alcohol or acidic drinks, when consumed in moderation, negatively affect the digestion or absorption of nutrients.
Water, Stomach Acid and Digestive Enzymes
Many claim that drinking water with meals dilutes stomach acid and digestive enzymes, making it more difficult for the body to digest food.
This claim, however, implies that your digestive system is unable to adapt its secretions to the consistency of a meal, which is false (6).
Liquids and Speed of Digestion
A third popular argument against drinking liquids with meals states that fluids increase the speed at which solid foods exit the stomach.
This is thought to reduce the meal's contact time with stomach acid and digestive enzymes, resulting in poorer digestion.
As logical as this statement may sound, no scientific research supports it.
A study that analyzed the stomach's emptying speed observed that, although liquids do pass through the digestive system more quickly than solids, they have no effect on the solids' digestion speed (7).
Bottom Line: Drinking liquids with meals, whether it's water, alcohol or acidic drinks, is unlikely to have negative effects on digestion.
Liquids help break down large chunks of food, making it easier for them to slide down your esophagus and into the stomach.
They also help move food matter along smoothly, preventing bloating and constipation.
Furthermore, your stomach secretes water, along with gastric acid and digestive enzymes, during digestion.
In fact, this water is needed to promote the proper function of these enzymes.
Bottom Line: Whether consumed during or before meals, liquids play several important roles in the digestion process.
Drinking water with meals can also help you pause between bites, giving you a moment to check in with your hunger and fullness signals. This can prevent overeating, and may even help you lose weight.
Additionally, one 12-week study showed that participants who drank 17 oz (500 ml) of water before each meal lost 4.4 lbs (2 kg) more than those who did not (8).
Interestingly, the amount of calories burned decreased when the water was warmed to body temperature. This might be due to the fact that your body uses more energy bringing the cold water up to body temperature (9).
Finally, it's important to note that this mostly applies to water and not drinks that contain calories. In one review study, total calorie intake was 8--15% higher when people drank sugary drinks, milk or juice with meals (13).
Bottom Line: Drinking water with meals may help regulate your appetite, prevent overeating and promote weight loss. This does not apply to beverages that contain calories.
For most people, drinking liquids with meals is unlikely to negatively affect digestion.
That being said, if you suffer from gastroesophageal reflux disease (GERD), liquids with meals may not be for you.
That's because liquids add volume to the stomach, which can increase stomach pressure, similarly to how a large meal would. This can lead to acid reflux for people who have GERD (14).
Bottom Line: If you suffer from GERD, limiting fluid intake with meals may decrease your reflux symptoms.
When it comes to drinking liquids with meals, base your decision on what feels best.
If consuming liquids with meals is painful, leaves you feeling bloated or worsens your gastric reflux, stick to drinking liquids before or between meals.
Otherwise, there's no evidence that you should avoid drinking with meals.
On the contrary, beverages consumed right before or during meals can promote smooth digestion, lead to optimal hydration and leave you feeling fuller.
Just keep in mind that above all, water is best.