Fruit gets an unfairly broad reputation as a reflux trigger, largely because of citrus. Most fruit is actually fine, and some varieties are genuinely reflux-friendly.

Generally well tolerated

Fruits more likely to cause trouble

Citrus fruits (oranges, grapefruit, lemon, lime) and pineapple are the main offenders because of their high acidity. Tomatoes are technically a fruit and belong on this list too — tomato sauce is one of the most commonly reported reflux triggers.

How to still enjoy citrus in small doses

Some people tolerate a small amount of citrus eaten with a meal (rather than on an empty stomach or as juice) better than a large glass of juice alone. It's worth testing in small quantities rather than assuming it's off-limits entirely, since individual tolerance genuinely varies here more than with most other trigger categories.

Fruit is a valuable part of a reflux-friendly diet when you pick the lower-acid varieties — it doesn't need to be avoided as a category.