Kombucha: Daily Side Effects, Health Risks, and Safe Consumption
Your favorite fizzy tea can strain digestion, erode enamel, and trigger unwanted effects.

Kombucha: The Side Effects of Drinking It Every Day
Kombucha, the fermented tea beverage, is widely celebrated for its probiotic content and purported health benefits. However, regular or excessive daily consumption can lead to unwanted side effects and health risks, especially for certain populations and when kombucha is improperly fermented or contaminated. This article explores the most significant side effects, groups at risk, and practical guidelines for safer kombucha consumption.
What Is Kombucha?
Kombucha is a carbonated beverage created by fermenting sweetened black or green tea with a symbiotic culture of bacteria and yeast (SCOBY). Its rise in popularity is due to claims about improved gut health, enhanced immunity, and antioxidant power. Despite these benefits, kombucha is not without its drawbacks, when consumed in excess or under unsafe conditions.
Core Health Benefits of Kombucha
- Contains probiotics that may support digestive health.
- Offers antioxidants from tea, which may help combat oxidative stress.
- Has been associated with potential anti-microbial activity and heart support, though these claims have limited clinical evidence.
Common Side Effects of Daily Kombucha Intake
While moderate kombucha consumption is generally considered safe for healthy adults, daily drinking can pose health risks. Below are the major side effects reported, especially when kombucha is consumed in large quantities or brewed in non-commercial settings:
Digestive Distress
- Bloating and Gas: Natural carbonation and fermentation lead to gas formation, which may cause uncomfortable bloating for sensitive individuals.
- Nausea and Stomach Upset: High acidity from the fermentation process can irritate the stomach lining, causing discomfort or even pain.
- Diarrhea and Digestive Issues: The probiotic load may disrupt gut flora for some, leading to loose stools or diarrhea.
Excess Calorie and Sugar Intake
Some kombucha brands are lower in calories and sugar, but many contain up to 120 calories or more per bottle. Daily consumption can unexpectedly bump up your caloric intake, contributing to:
- Weight Gain: Liquid calories, especially from sugary kombucha, are less filling than calories from solid foods, making it easy to overconsume.
- Displacement of Nutrient-Dense Foods: Frequent kombucha intake may replace healthier snack choices.
Kombucha Brand | Calories per 8 oz | Sugar per 8 oz |
---|---|---|
GT’s Kombucha | 30-50 | 2-12g |
Brew Dr. | 25-60 | 0-10g |
Health-Ade | 35-80 | 4-16g |
Dental Concerns: Tooth Erosion
- Acidity: Kombucha is naturally acidic, which can wear away dental enamel with regular or frequent drinking.
- High Sugar: Sweetened kombucha further increases the risk of cavities and tooth decay.
Caffeine-Related Side Effects
- Anxiety and Jitteriness: Most kombucha is brewed with black or green tea and contains caffeine, typically 8–14 mg per 8-ounce serving.
- Insomnia and Sleep Disruption: Sensitive individuals may find kombucha worsens sleep quality, especially when consumed late in the day.
- Heart Palpitations and Headaches: Caffeine can also lead to headaches, rapid heartbeat, and dehydration with excessive intake.
Beverage | Caffeine (mg) |
---|---|
Kombucha (8 oz) | 8–14 |
Black Tea (8 oz) | 47 |
Coffee (8 oz) | 95 |
Risk of Infection and Contamination
- Unpasteurized Beverage: Homemade or small-batch kombucha is unpasteurized, increasing the risk of harmful bacteria or fungus, especially with improper hygiene or brewing conditions.
- Toxic Hepatitis and Lactic Acidosis: Severe cases have linked contaminated kombucha to liver inflammation, acidosis, and even acute renal failure.
- Lead Poisoning: Brewing in ceramic pots with lead-based glazes can lead to dangerous lead contamination.
- Allergic Reactions: Rare cases of allergic reactions have presented as shortness of breath, hypotension, tachycardia, and tachypnea.
- Cutaneous Anthrax Outbreak: Unusual cases have been reported in communities using kombucha mushrooms for topical applications.
Who Should Avoid or Limit Kombucha?
- Pregnant and Breastfeeding Women: Kombucha’s unpasteurized nature and alcohol content make it unsafe during pregnancy and breastfeeding.
- People With Weakened Immune Systems: Those with HIV/AIDS, cancer, kidney disease, or other immunodeficiencies are at increased risk for severe complications from infection.
- Individuals With Liver, Kidney, or Pulmonary Conditions: Kombucha is contraindicated due to potential organ toxicity and impaired clearance.
- Children: Young children should avoid because of unpasteurized content, caffeine, and alcohol.
- Caffeine-Sensitive Individuals: Even low caffeine levels in kombucha may trigger symptoms in those with heightened sensitivity.
Rare and Severe Health Effects
- Lead Poisoning: Storing or brewing kombucha in glazed ceramic containers can cause lead leaching and poisoning.
- Lactic Acidosis: Rare cases may involve acid buildup in the blood, requiring urgent medical care.
- Renal Complications: Acute kidney failures have been reported in association with contaminated batches.
- Myositis: Muscle inflammation and autoimmunity triggered in genetically predisposed individuals.
- Hyponatremia: Excess intake may disturb sodium balance leading to neurological symptoms.
Safe Practices for Drinking Kombucha
- Buy reputable, commercial brands that follow safety and hygiene protocols.
- Avoid homemade kombucha if you lack proper knowledge of safe brewing practices.
- Inspect packaging for pasteurization, ingredients, and sugar content.
- Limit daily intake: Most recommendations suggest no more than 4–8 ounces a day for healthy adults.
- If you’re new to kombucha, start with smaller amounts and observe your body’s reactions.
- Never brew or store kombucha in containers that may leach toxins (e.g., lead-glazed ceramics).
- Consult a healthcare provider if you have a chronic health condition or take regular medications.
Frequently Asked Questions (FAQs)
- Q: Can kombucha help my digestion?
A: Kombucha contains probiotics, which may support gut health, but its acidity and carbonation can cause digestive upset in some people. - Q: Is homemade kombucha safe?
A: Homemade kombucha poses greater infection risk if not brewed with proper hygiene; commercial products are safer. - Q: Does kombucha contain alcohol?
A: Most kombuchas contain trace amounts of alcohol from fermentation—generally less than 0.5% for commercial types, but higher in homebrewed varieties. - Q: How much kombucha is safe to drink per day?
A: For most healthy adults, 4–8 ounces per day is considered safe. More may increase health risks. - Q: Who should avoid kombucha?
A: Pregnant/breastfeeding women, children, those with immune compromise, and people with organ disease should avoid kombucha. - Q: What should I look for when buying kombucha?
A: Look for brands with clear labeling, low sugar, and pasteurization where possible.
Summary Table: Kombucha Side Effects & Risk Groups
Side Effect | Description | Risk Group |
---|---|---|
Bloating & Gas | Digestive discomfort from carbonation & fermentation | General population |
Nausea & Diarrhea | Acidity & probiotics may disrupt gut balance | Sensitive individuals & those with GI disorders |
Excess Calories & Sugar | Some brands contain high sugar/calories | All, especially those monitoring weight |
Tooth Erosion | Acidic beverage wears dental enamel | Frequent consumers |
Caffeine Effects | Anxiety, jitters, sleep disruption | Caffeine-sensitive, children |
Infection/Contamination | Risk of infection from unpasteurized/homebrewed | Immunocompromised, pregnant/breastfeeding |
Liver/Kidney Toxicity | Organ toxicity reported rarely | Those with liver, kidney, or pulmonary disease |
Lead Poisoning | Lead leaching from ceramic containers | Homebrewers, all ages |
Allergic Reactions | Shortness of breath, shock | Individuals with histories of allergies |
Conclusion: Should You Drink Kombucha Daily?
Kombucha may offer health benefits when enjoyed in moderation by healthy adults, but drinking it every day—especially in large amounts, or if homemade—can pose significant risks. Be mindful of your unique health profile, choose reputable brands, and consult with a medical professional if you have medical conditions. Moderation and informed choices are key to making kombucha a safe addition to your diet.
References
- https://www.clinsurggroup.us/articles/ACG-9-217.php
- https://www.healthline.com/nutrition/kombucha-side-effects
- https://www.medicalnewstoday.com/articles/kombucha-side-effects
- https://brewbuch.com/side-effects-of-kombucha/
- https://www.chhs.colostate.edu/krnc/monthly-blog/the-dos-and-donts-of-kombucha/
- https://www.webmd.com/vitamins/ai/ingredientmono-538/kombucha
- https://www.brewdrkombucha.com/blog/kombucha-side-effects-you-didnt-know-about
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