
Diet cola is a popular drink choice for those looking to cut down on their sugar intake, but it's not without its drawbacks. While it may not rot your teeth like its sugary counterpart, it's still highly acidic and can contribute to tooth erosion. The effects of drinking diet cola vary from person to person, but some common artificial sweeteners used in these drinks can have a laxative effect and cause diarrhea. Caffeine, which is present in some diet colas, can also cause diarrhea in people with irritable bowel syndrome (IBS).
| Characteristics | Values |
|---|---|
| Diarrhea caused by diet cola | Artificial sweeteners in diet cola can have a laxative effect and cause diarrhea. Caffeine in diet cola can also cause diarrhea in people with IBS. |
| Health concerns | Aspartame, an ingredient in diet cola, is linked to negative side effects and may contribute to serious health concerns. |
| Tooth erosion | Diet cola is highly acidic and can contribute to tooth erosion. |
| Bone health | Diet cola contains compounds that may negatively affect bone health and lead to bone loss. |
| Cardiovascular complications | Artificial sweeteners in diet cola are associated with an increased risk of cardiovascular complications, including glucose intolerance and type 2 diabetes. |
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What You'll Learn

Artificial sweeteners in diet cola may have a laxative effect
While diet cola contains no sugar or calories, it does contain artificial sweeteners, which have been linked to adverse health effects. These nonnutritive sweeteners may negatively impact your gut microbiome, which plays a key role in immune function, nutrient absorption, and heart health. Aspartame, one of the most common artificial sweeteners in diet cola, has been known to cause headaches and migraines, especially in those with neurological or psychiatric conditions.
Artificial sweeteners in diet cola may also have a laxative effect. Dr William J. Bulsiewicz, a gastroenterologist, explains that these sweeteners "pull water into the colon and help to mobilize the stool, which can cause the runs." This effect is similar to that of high-FODMAP foods, which are difficult for some people to digest and often cause diarrhea.
The impact of artificial sweeteners on gut health requires further investigation, as current research is limited and conflicting. However, some studies have linked the consumption of these sweeteners to an increased risk of metabolic syndrome, which may increase the likelihood of developing heart disease if left untreated. Additionally, artificial sweeteners may affect the food reward pathway in the brain similarly to regular sugar, potentially impacting weight management and blood glucose control.
It is worth noting that the link between artificial sweeteners and health issues is not yet fully understood, and more research is needed to establish definitive conclusions. In the meantime, it is generally recommended to consume diet cola and other artificially sweetened products in moderation.
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Diet cola is highly acidic and can weaken tooth enamel
While diet cola may not directly cause diarrhoea, it can have other adverse effects on the body, such as an increased risk of type 2 diabetes and cardiovascular complications. However, one of the most significant impacts of diet cola is on dental health.
Diet cola is highly acidic, often containing phosphoric, citric, and tartaric acids. These acids can weaken tooth enamel, leading to a condition known as dental erosion. Enamel is the outermost protective layer of the teeth, and its maintenance is crucial for safeguarding the sensitive foundation of the teeth. As enamel erosion progresses, the inner layers of the teeth become exposed, resulting in increased tooth sensitivity. This sensitivity can make consuming even mildly hot or cold foods and beverages uncomfortable.
Dental erosion from diet cola consumption can have long-lasting consequences. Once the enamel is significantly eroded, there is no natural way to regenerate it. The affected teeth become exceptionally vulnerable to cavities and decay. Repairing the damage caused by enamel erosion typically requires multiple dental procedures and can be costly.
To minimise the harmful effects of diet cola on tooth enamel, it is advisable to limit consumption and avoid frequent sipping throughout the day. Drinking through a straw can help reduce the contact of acids with the teeth. Additionally, it is recommended to wait at least 30 minutes to an hour after consuming diet cola before brushing your teeth, as this allows saliva to neutralise the acids in your mouth. Maintaining a consistent oral hygiene routine, including brushing twice daily with fluoride toothpaste, can also help limit the impact of acidic beverages on your dental health.
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Caffeine in diet cola may cause diarrhoea in people with IBS
Diet cola is a caffeinated beverage. While caffeine can have positive effects on constipation, it can also increase diarrhoea, a major symptom of IBS. IBS or Irritable Bowel Syndrome is a chronic condition that affects 10-15% of Americans, causing bloating, gas, abdominal pain, and changes in bowel habits.
Caffeine can stimulate the GI tract in multiple ways. It triggers muscle activity in the colon, creating an urge to empty the bowels. It also increases the secretion of gastric acid, which can lead to stomach aches and pain.
While the relationship between caffeine and IBS is not fully understood, some studies have found a link between caffeine intake and an increased risk of IBS. A 2021 cross-sectional study found that coffee and caffeine intake were associated with a higher risk of IBS in a study of over 3,000 Iranian adults.
However, other studies have found conflicting results. A 2023 systematic review and meta-analysis of over 400,000 participants showed that coffee drinkers had a reduced likelihood of IBS. Similarly, a 2023 prospective cohort study concluded that any amount of coffee consumption (from 0.5 cups to more than 4 cups) was associated with a lower risk of IBS.
The impact of caffeine on IBS may depend on individual sensitivity and specific symptoms. For those with IBS-C, adding coffee to the diet may help with constipation but aggravate diarrhoea. Consulting a doctor and understanding personal food triggers are important when deciding whether to include caffeinated beverages in the diet.
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Aspartame in diet cola may cause headaches and migraines
While diet cola contains no sugar or calories, it is highly acidic and contains artificial sweeteners, which can cause negative side effects for some people. One of these sweeteners is aspartame, which has been linked to headaches and migraines in some individuals.
Aspartame is a widely used food additive and artificial sweetener that has been the subject of debate regarding its potential health effects. Some studies have found a positive correlation between aspartame consumption and headaches, particularly in individuals with a history of migraines or neurological conditions. It is important to note that a large quantity of aspartame may need to be ingested to trigger a headache, and the effects may not be immediate, with a lag of up to 48 hours observed in some cases.
One study questioned 171 patients of the Montefiore Medical Center Headache Unit about the effect of alcohol, carbohydrates, and aspartame in triggering their headaches. While alcohol was the most commonly reported factor, 8.2% of patients reported aspartame as a precipitant, and this percentage was higher among patients with migraines. Another study found that among individuals who self-reported headaches after ingesting aspartame, a subset reported more headaches when tested under controlled conditions, suggesting that aspartame may be a trigger for some people.
In addition to headaches, aspartame has been linked to neurocognitive effects, including depression, anxiety, and difficulty concentrating. It is important to note that the impact of aspartame may vary depending on individual factors such as hormonal changes, stress, and consumption with other foods. Further research is needed to fully understand the potential health effects of aspartame and to determine the specific factors that influence its impact.
While diet cola may contribute to headaches in some individuals due to the presence of aspartame, it is important to consider other factors that may also trigger headaches. Caffeine, which is present in some diet colas, has been found to cause headaches in a small percentage of people, particularly those with irritable bowel syndrome (IBS). Additionally, the high acidity of diet cola can contribute to tooth erosion, and excessive consumption of artificial sweeteners has been associated with an increased risk of cardiovascular complications and type 2 diabetes.
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Excessive diet cola consumption may negatively affect bone health
While diet cola does not directly cause diarrhea, artificial sweeteners, which are present in diet soda, can have a laxative effect. These sweeteners pull water into the colon and help to mobilize stool, which can cause diarrhea. In addition, caffeine, which is present in some diet sodas, can cause diarrhea for a small percentage of people, particularly those with irritable bowel syndrome (IBS).
One study found that excessive caffeine intake can negatively affect bone health. Caffeine may affect the content and crystallite size of bone minerals, making bones weaker. Another study found that excessive phosphoric acid consumption could lead to bone loss. The exact mechanism by which caffeine and phosphoric acid affect bone health is not yet fully understood, but it is thought that they may interact with bone mineral content.
In addition to the direct effects of caffeine and phosphoric acid on bone health, another concern is that cola consumption may replace the intake of calcium-rich milk in the diet. This could interfere with the attainment of maximum peak bone mass in adolescents and young adults.
It is important to note that the research on the link between diet cola consumption and bone health is ongoing, and further studies are needed to confirm the findings. However, due to the potential negative effects on bone health, it is recommended to enjoy diet cola in moderation as part of a balanced diet.
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Frequently asked questions
Diet cola contains artificial sweeteners, which can have a laxative effect and cause diarrhea. Caffeine, which is present in some diet colas, can also cause diarrhea for a small percentage of people, particularly those with irritable bowel syndrome (IBS).
Some studies have found that diet cola can negatively affect bone health and lead to bone loss. It can also cause headaches, especially due to the presence of artificial sweeteners such as aspartame. Additionally, while diet cola does not contain sugar, it is highly acidic and can contribute to tooth erosion and enamel weakening.
While the long-term effects of some ingredients in diet cola, such as aspartame, are still being studied, there are concerns about potential cancer risks and other negative side effects. Some studies also suggest a link between regular consumption of diet cola and an increased risk of type 2 diabetes, as well as cardiovascular complications.
Keeping a food and symptom diary can help you identify any links between consuming diet cola and experiencing diarrhea or other negative symptoms. It is also recommended to consult a doctor or a registered dietitian for proper guidance and testing.
It is generally recommended to choose plain water or low-calorie alternatives such as unsweetened or low-sugar drinks. Kombucha, naturally flavored seltzer water, and milk are also suggested as healthier options to replace diet cola in your diet.









































