For countless people worldwide, coffee is more than just a beverage—it is a fundamental part of their daily ritual, prized for its ability to boost alertness and set a productive tone for the day. When consumed in moderation, it can even offer certain health benefits. However, a recent medical case involving a young woman serves as a critical reminder that this common habit can become dangerous when practiced incorrectly.

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A 24-year-old woman was hospitalized after experiencing intense stomach pain, vomiting, and severe nausea. Medical examinations revealed a perforated stomach ulcer—a serious and potentially life-threatening condition. Surprisingly, the cause was linked to her daily practice of drinking strong black coffee on an empty stomach, a routine shared by many who are unaware of the risks.

Drinking coffee, especially first thing in the morning without any food, significantly increases stomach acidity. Coffee stimulates the production of gastric acid, and in the absence of food to absorb or dilute it, this acid can erode the stomach lining. Over time, this may lead to gastritis or the development of ulcers.

In this patient’s case, prolonged exposure to high acid levels resulted in an ulcer that eventually perforated, creating a hole in her stomach wall. Such a condition requires emergency surgery and carries risks of severe infection or other critical complications.

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This practice is especially common in today’s fast-paced culture, where skipping breakfast or delaying meals is frequent due to busy schedules, intermittent fasting, or simply a lack of morning appetite. The danger increases for those who consume multiple cups in a row or opt for highly concentrated brews like espresso.

To enjoy coffee safely, experts recommend eating something beforehand—even a small snack like a banana or a piece of toast. Choosing lower-acid coffee varieties, adding milk, and limiting intake to one or two cups per day can also help reduce adverse effects. Pay attention to symptoms such as burning stomach pain, bloating, nausea, acid reflux, or loss of appetite, as these may signal that it’s time to adjust your coffee routine.

Ultimately, being mindful of how and when you drink coffee can help you continue to enjoy it without compromising your health.