Drinking Lemon Water for Arthritis (2024)

Lemon water has often been touted as a sort of cure-all for various health conditions, including arthritis and gout. Some claims about its benefits may be overblown, but lemon water does have some health value.

Lemon water will help keep you hydrated, and lemons are an excellent source of ascorbic acid (vitamin C)—a powerful antioxidant—and plant compounds called flavonoids. These components have properties that help fight disease and reduce inflammation.

This article discusses the potential health benefits of lemon water, what the research shows, as well as potential risks and side effects.

What Is Lemon Water?

Lemon is a citrus fruit that's rich in vitamin C and citric acid. Lemon water is simply water that contains at least a few drops of lemon juice. A standard-sized lemon yields about 3.5 tablespoons or 50 grams of lemon juice. A cup of lemon water containing the juice of a whole lemon provides around 20% of your recommended daily dose of vitamin C.

Lemon Nutrition Facts

According to the USDA, a cup of lemon water containing the juice of one lemon has:

  • Around 19 milligrams (mg) of vitamin C
  • About 11 calories
  • Almost 10 micrograms (mcg) of folate, a vitamin that prevents anemia
  • 49 mg of potassium, an electrolyte mineral that helps your muscles and nerves function

Men can meet the recommended daily dose of vitamin C (90 mg) by drinking 5 cups of lemon water. Women can meet their vitamin C daily dose (75 mg) with 4 cups of lemon water.

Besides placing its juice in water, other parts of lemons are also beneficial.

Peel: The peel contains vitamin C, potassium, small amounts of fiber, and more antioxidants than the juice. You may want to zest the lemon to add to your lemon water. Before using the peel, make sure to wash the lemon thoroughly.

Extract: Lemon extract also presents several potential health benefits. While lemon juice comes from the inside part of the fruit, lemon extract is made from the peel. Animal models examining the effects of citrus peel extract on high cholesterol levels have been promising.

Aromatherapy: Many people who use lemon essential oils for aromatherapy claim that the scent helps them feel more focused. A small 2016 study found that it helped reduce anxiety after orthopedic surgery. A 2014 study found that smelling lemon essential oils may also help stave off pregnancy nausea and morning sickness.

Benefits of Drinking Lemon Water for Arthritis and Gout Patients

When you have arthritis or gout, it's important to stay hydrated, and drinking enough water is the best way to do that. Lemon water can be a healthier alternative to sodas or sugary beverages and it also has specific benefits for arthritis.

Vitamin C is key for both preventing inflammatory arthritis and maintaining healthy joints with osteoarthritis.

For people who already have arthritis, vitamin C may reduce pain. A 2017 review of numerous studies concluded daily high-dose vitamin C supplementation was associated with reduced chronic pain, including for people with arthritis. Patients with rheumatoid arthritis (RA) showed particularly positive results after taking Vitamin C to reduce their pain.

Vitamin C can prevent future arthritis symptoms. Patients need vitamin C to maintain strong joints and recover from injuries. At least one study has found that arthritis patients who consume high doses of vitamin C show reduced long-term damage to their joints.

Vitamin C specifically helps arthritis in the following ways:

  • It promotes collagen synthesis and tendon repair.
  • It aids in maintaining the immune system. Rheumatoid arthritis is an autoimmune condition in which your immune system attacks healthy cells, which causes inflammation in your joints.
  • It is an antioxidant that protects against free radicals, which are unstable molecules that can damage cells. These free radicals are thought to be involved in illnesses like arthritis.
  • It may work like an analgesic (reducing pain) for skeletal, joint, or muscular pain.

The Effects of Vitamin C on Arthritis

Drinking Lemon Water for Arthritis (1)

Hot vs. Cold Lemon Water

There are no studies evaluating the pros and cons of drinking hot vs. cold lemon water. However, drinking warm liquids has been shown to stimulate the digestive tract, which can promote regular bowel movements and prevent constipation.

Choose to drink lemon water at whatever temperature you prefer. Some people also like adding mint or cucumber slices to their lemon water for a little added flavor.

How to Make Lemon Water

To prepare lemon water:

  • For the juice of one lemon, use at least 8 ounces (250 ml) of water.
  • Squeeze the juice of one lemon into a cup of cold or warm water, depending on your preference.
  • Stir to combine the lemon juice and water. You may choose to add lemon zest to enhance the taste and nutritional benefit.

Side Effects and Risk Factors

In moderation, lemon water can be a part of a healthy diet. Nonetheless, lemons are high in acid, which can have some harmful effects. People with cavities or weak teeth should avoid drinking lemon water, as should people who are allergic to citrus.

Dentists warn patients to avoid eating or drinking too many acidic foods that may damage their tooth enamel. Over time, highly acidic foods—like lemons—can erode your enamel and lead to tooth pain or decay.

To protect your teeth, dilute your lemon juice with plenty of water and rinse your mouth with water immediately after finishing your cup of lemon water. Avoid drinking lemon water with sugar. If you drink lemon water frequently, consider using a soft-bristle toothbrush and fluoride toothpaste.

Taking greater than 3000 mg of vitamin C daily adverse effects are possible, including diarrhea, increased formation of kidney stones in those with existing kidney disease or history of stones, and increased levels of uric acid (a risk factor for gout).

Summary

Although some claims about the health benefits of lemon water are unfounded, it does have some health value. Consuming excessive amounts of vitamin C in supplement form does have some health risks.

Lemon water is not meant to substitute for any of your current medicines or arthritis treatments. However, vitamin C and water are vital for maintaining your health, whether consumed together or separately.

18 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

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  2. U.S. Department of Agriculture FoodData Central. Lemon juice, raw.

  3. U.S. Department of Agriculture FoodData Central. Lemon peel.

  4. Sir Elkhatim KA, Elagib RAA, Hassan AB. Content of phenolic compounds and vitamin C and antioxidant activity in wasted parts of Sudanese citrus fruits. Food Sci Nutr. 2018 May 8;6(5):1214-1219. doi: 10.1002/fsn3.660

  5. Lee GH, Peng C, Park SA, Hoang TH, Lee HY, Kim J, Kang SI, Lee CH, Lee JS, Chae HJ. Citrus peel extract ameliorates high-fat diet-induced NAFLD via activation of AMPK signaling. Nutrients. 2020;12(3):673. doi:10.3390/nu12030673

  6. Kamrani F, Nazari M, Farajzadeh M, Sahebalzamani M, Amin G. Effect of aromatherapy with lemon essential oil on anxiety after orthopedic surgery. IJRN. 2016;2(4):26-31. doi:10.21859/ijrn-02044

  7. Yavari Kia P, Safajou F, Shahnazi M, Nazemiyeh H. The effect of lemon inhalation aromatherapy on nausea and vomiting of pregnancy: a double-blinded, randomized, controlled clinical trial.Iran Red Crescent Med J. 2014;16(3):e14360. doi:10.5812/ircmj.14360

  8. Ripani U, Manzarbeitia-Arroba P, Guijarro-Leo S, et al. Vitamin C May Help to Reduce the Knee's Arthritic Symptoms. Outcomes Assessment of Nutriceutical Therapy. Med Arch. 2019 Jun;73(3):173-177. doi: 10.5455/medarh.2019.73.173-177

  9. Carr AC, McCall C. The role of vitamin C in the treatment of pain: new insights.J Transl Med. 2017;15,77. doi:10.1186/s12967-017-1179-7

  10. Joseph GB, McCulloch CE, Nevitt MC, Neumann J, Lynch JA, Lane NE, Link TM. Associations between vitamins C and D intake and cartilage composition and knee joint morphology over 4 years: Data from the Osteoarthritis Initiative. Arthritis Care Res (Hoboken). 2020 Sep;72(9):1239-1247. doi:10.1002/acr.24021

  11. Oakes B, Bolia IK, Weber AE, Petrigliano FA. Vitamin C in orthopedic practices: Current concepts, novel ideas, and future perspectives. Journal Orthopaedic Research. 2021;39(4):698-706. doi: 10.1002/jor.24947

  12. Carr AC, Maggini S.Vitamin C and immune function.Nutrients. 2017;9(11).doi:10.3390/nu9111211.

  13. Dunlap B, Patterson GT, Kumar S, et al. Vitamin C supplementation for the treatment of osteoarthritis: perspectives on the past, present, and future. Ther Adv Chronic Dis. 2021 Oct 20;12:20406223211047026. doi: 10.1177/20406223211047026

  14. Ripani U, Manzarbeitia-Arroba P, Guijarro-Leo S, Urrutia-Graña J, De Masi-De Luca A. Vitamin C may help to reduce the knee's arthritic symptoms. Outcomes assessment of nutriceutical therapy.Med Arch. 2019;73(3):173-177. doi:10.5455/medarh.2019.73.173-177

  15. Johns Hopkins Medicine. Foods for constipation.

  16. Çalişkan N, Bulut H, Konan A. The Effect of Warm Water Intake on Bowel Movements in the Early Postoperative Stage of Patients Having Undergone Laparoscopic Cholecystectomy: A Randomized Controlled Trial. Gastroenterol Nurs. 2016 Sep-Oct;39(5):340-7. doi: 10.1097/SGA.0000000000000181

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Additional Reading

Drinking Lemon Water for Arthritis (2)

By Laken Brooks
Laken Brooks (she/hers) is a freelance writer with bylines in CNN, Inside Higher Ed, Good Housekeeping, and Refinery29. She writes about accessibility, folk medicine, and technology.

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