Doctors Note Logo

Published on: 2/7/2026

Tums in Seniors: Managing Indigestion After 65

There are several factors to consider: for adults over 65, Tums can provide quick relief for occasional heartburn and indigestion when used as directed, but watch total calcium intake and separate it from other medicines by at least 2 hours. Because kidney disease, medication interactions, frequent symptoms, or red flags like chest pain, black stools, or trouble swallowing can change the safest next steps, see the complete guidance below for dosing limits, lifestyle changes that reduce reflux, and when to seek medical care.

answer background

Explanation

Tums in Seniors: Managing Indigestion After 65

Indigestion—often felt as heartburn, sour stomach, or upper belly discomfort—is common as we age. Changes in digestion, medications, and chronic conditions can all play a role. Tums, a well-known antacid made from calcium carbonate, is frequently used for quick relief. For adults over 65, Tums can be helpful, but it's important to use it wisely.

Below is a clear, balanced guide to using Tums after age 65, based on established medical guidance and product labeling, with practical tips to help you decide when it's appropriate—and when to seek medical advice.


What Is Tums and How Does It Work?

Tums is an over-the-counter antacid. Its active ingredient, calcium carbonate, works by neutralizing stomach acid. This can ease symptoms such as:

  • Heartburn
  • Acid indigestion
  • Sour stomach
  • Upset stomach related to excess acid

Because Tums works locally in the stomach and acts quickly, many people like it for occasional symptoms.


Why Indigestion Is More Common After 65

Several age-related factors can increase indigestion:

  • Slower digestion and changes in stomach emptying
  • Medications that irritate the stomach or relax the esophagus (such as some pain relievers or blood pressure drugs)
  • Weaker esophageal muscles, making reflux more likely
  • Chronic conditions like diabetes, osteoporosis, or kidney disease
  • Dietary changes, including larger meals or eating closer to bedtime

Tums can help manage mild, occasional symptoms—but it's not a cure for underlying problems.


Benefits of Tums for Seniors

When used correctly, Tums offers several advantages for older adults:

  • Fast relief for mild heartburn and indigestion
  • No prescription needed
  • Generally well tolerated when used as directed
  • Provides calcium, which may support bone health (though it should not replace prescribed calcium therapy)

For seniors who experience occasional discomfort after meals, Tums can be a simple first step.


Important Safety Considerations After 65

While Tums is widely used, seniors should be aware of a few key issues.

1. Calcium Intake Can Add Up

Each Tums tablet contains calcium. Too much calcium can lead to:

  • Constipation
  • Kidney stones
  • High calcium levels in the blood

This risk is higher if you already take calcium or vitamin D supplements.

2. Kidney Health Matters

If you have kidney disease, calcium-based antacids like Tums may not be the best choice. Reduced kidney function can make it harder to balance minerals safely.

3. Medication Interactions

Tums can interfere with how some medications are absorbed. This includes certain:

  • Thyroid medicines
  • Antibiotics
  • Osteoporosis treatments
  • Iron supplements

A common recommendation is to separate Tums from other medications by at least 2 hours, but your doctor or pharmacist can give personalized advice.

4. Masking Symptoms

Regular use of Tums may relieve discomfort while hiding a more serious condition, such as ulcers or chronic reflux disease.


How to Use Tums Safely

Follow these practical tips to get the most benefit with the least risk:

  • Use the lowest effective dose
  • Chew tablets fully before swallowing
  • Do not exceed the daily maximum listed on the package
  • Avoid long-term daily use unless advised by a doctor
  • Track how often you need Tums—frequent use is a signal to get checked

If you find yourself relying on Tums most days of the week, it's time to speak to a healthcare professional.


Lifestyle Changes That Can Reduce Indigestion

Tums works best when combined with habits that reduce acid in the first place. Many seniors find relief with small, steady changes:

  • Eat smaller, more frequent meals
  • Avoid lying down within 2–3 hours after eating
  • Limit trigger foods (often spicy, fatty, or acidic foods)
  • Reduce caffeine and alcohol
  • Maintain a healthy weight
  • Elevate the head of the bed slightly if nighttime symptoms occur

These steps may lower your need for antacids altogether.


When Tums May Not Be Enough

Tums is meant for occasional indigestion. It may not be the right solution if you have:

  • Heartburn most days
  • Trouble swallowing
  • Chronic cough or hoarseness
  • Unexplained weight loss
  • Persistent nausea or vomiting

In these cases, stronger or different treatments may be needed, and only a clinician can guide that choice safely.


Warning Signs: Get Medical Help Promptly

While indigestion is usually harmless, some symptoms should never be ignored, especially in older adults. Speak to a doctor right away or seek urgent care if you experience:

  • Chest pain or pressure (especially if it spreads to the arm, jaw, or back)
  • Shortness of breath
  • Black or bloody stools
  • Vomiting blood
  • Severe or worsening abdominal pain
  • Dizziness or fainting

These could signal something serious or life-threatening, and antacids like Tums are not appropriate in these situations.


A Helpful Step: Check Your Symptoms Online

If you're unsure whether your symptoms are simple indigestion or something more serious, consider using a free Medically approved LLM Symptom Checker Chat Bot to help evaluate your concerns. This AI-powered tool can help you understand your symptoms better and provide guidance on whether you should seek medical care.

It's not a diagnosis—but it can be a useful starting point.


When to Talk to a Doctor About Tums

It's wise to discuss Tums use with a healthcare provider if:

  • You use Tums more than a few times per week
  • You have kidney disease, heart disease, or osteoporosis
  • You take multiple daily medications
  • Symptoms are new, changing, or worsening

Your doctor may suggest different treatments, testing, or lifestyle strategies tailored to your health history.


The Bottom Line

For many adults over 65, Tums can be a safe and effective way to manage occasional indigestion. When used as directed, it offers quick relief and is easy to find. However, seniors should be mindful of calcium intake, medication interactions, and the risk of overlooking more serious conditions.

Use Tums thoughtfully, pair it with healthy habits, and pay attention to your body's signals. If symptoms are frequent, severe, or concerning, speak to a doctor promptly—especially for anything that could be serious or life-threatening. Taking that step can help ensure your digestive health stays on track as you age.

(References)

  • * Talley NJ, Ford AC. ACG Clinical Guideline: Management of Dyspepsia. Am J Gastroenterol. 2017 Nov;112(11):1625-1641. doi: 10.1038/ajg.2017.375. Epub 2017 Oct 31. PMID: 27856427.

  • * Vaezi MF, Fass R, Sifrim D, et al. Management of GERD in the older patient: current treatment options. Nat Rev Gastroenterol Hepatol. 2017 Jul;14(7):406-417. doi: 10.1038/nrgastro.2017.50. Epub 2017 May 19. PMID: 28522960.

  • * Hirth V, Kaiser MM, Lindley EL. Polypharmacy and Adverse Drug Events in Older Adults. Prim Care. 2019 Jun;46(2):201-216. doi: 10.1016/j.pop.2019.02.002. PMID: 30694183.

  • * Dmochowska K, Kurowski M, Głowacki S, Woroń J, Bugała A. Over-the-Counter Medications and the Older Patient: A Review. J Clin Med. 2021 May 29;10(11):2381. doi: 10.3390/jcm10112381. PMID: 33945892; PMCID: PMC8197799.

  • * Picolos S, Lavis VR, Orlander PR. Milk-alkali syndrome in the 21st century: a case series and review of the literature. J Endocr Soc. 2017 Apr 1;1(4):254-261. doi: 10.1210/js.2016-1049. PMID: 29264560; PMCID: PMC5705353.

Thinking about asking ChatGPT?Ask me instead

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Was this page helpful?

Purpose and positioning of servicesUbie Doctor's Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.