The betaine test is used as a home method for assessing possible decreases in gastric acidity. It is based on the intake of betaine hydrochloride during meals and monitoring sensations in the stomach area. The method has gained popularity in alternative gastroenterology; however, its accuracy is limited, and its use requires caution.
Test Description
The test involves gradually increasing the dose of betaine hydrochloride taken during meals.
The appearance of warmth or burning sensations in the stomach is considered a signal of sufficient acidity. The absence of these sensations at high doses is interpreted as a possible sign of reduced acidity.
How to Perform the Test
- purchase betaine hydrochloride in capsules or tablets;
- on the first day, take 1 capsule just before or during a meal;
- the next day, increase the dose to 2 capsules;
- daily add 1 capsule until a feeling of warmth in the stomach appears;
- after a slight burning sensation appears, reduce the dose by 1 capsule — this is considered the working dosage;
Do not exceed a total of 2.5 g of betaine per day.
Interpreting Results
If burning occurs after 1 capsule, stomach acidity is generally considered normal.
If the sensation occurs only after higher doses, it is regarded as an indirect sign of reduced acidity. In this case, the working dose is considered to be 1 capsule less than the one that caused discomfort.
Limitations and Contraindications
- peptic ulcer disease of the stomach or duodenum;
- exacerbation of gastritis;
- stomach pains of unclear origin;
- use of anti-inflammatory medications;
- reflux esophagitis;
- pregnancy and lactation period.
The test should not be conducted in any of these situations.
How Reliable is the Test
The betaine test is not considered a scientifically validated diagnostic method. It is based on subjective sensations and does not allow for accurate measurement of gastric acidity.
Many factors can influence the appearance of burning: the condition of the mucosa, sensitivity of nerve endings, food composition, presence of inflammation, consumption of coffee or alcohol.
Moreover, normal gastric acidity has a wide range, and betaine alone cannot objectively assess it.
In clinical practice, instrumental and laboratory methods are used to determine acidity levels: pH-metry, gastroscopy, analysis of complaints and medical history. These methods are more accurate and safer.
When to See a Doctor
- if there is heartburn, heaviness, pain, or bloating after meals;
- if signs of inflammation or worsening well-being appear;
- if the test causes significant discomfort;
- if there is suspicion of peptic ulcer disease or gastritis;
- if test results raise doubts.
A diagnosis can only be made by a specialist after a thorough examination. The betaine test can be considered as a preliminary self-assessment method, but not as a substitute for professional diagnosis.
