Which one of the following compounds is present in antacid tablets or

Which one of the following compounds is present in antacid tablets or medicines which are used to cure indigestion and acidity in the stomach ?

Sodium hydroxide
Potassium hydroxide
Lithium hydroxide
Aluminium hydroxide
This question was previously asked in
UPSC CISF-AC-EXE – 2022
The correct answer is Aluminium hydroxide.
Antacid tablets or medicines are used to neutralize excess stomach acid (hydrochloric acid, HCl) to relieve indigestion and acidity. Antacids are typically bases or basic salts.
Let’s look at the given options:
A) Sodium hydroxide (NaOH): This is a strong base (lye). It is highly corrosive and would cause severe internal burns if ingested. It is not used as an antacid.
B) Potassium hydroxide (KOH): Similar to sodium hydroxide, this is also a strong base (caustic potash) and is highly corrosive. It is not used as an antacid.
C) Lithium hydroxide (LiOH): A strong base. Not used in antacids.
D) Aluminium hydroxide (Al(OH)₃): This is a weak base commonly used in antacid formulations, often combined with magnesium hydroxide (Mg(OH)₂) or calcium carbonate (CaCO₃). Aluminium hydroxide reacts with stomach acid to form aluminium chloride and water: Al(OH)₃(s) + 3HCl(aq) → AlCl₃(aq) + 3H₂O(l). It helps neutralize acid and can also help protect the stomach lining.
Common active ingredients in antacids include Aluminium hydroxide (Al(OH)₃), Magnesium hydroxide (Mg(OH)₂), Calcium carbonate (CaCO₃), and Sodium bicarbonate (NaHCO₃). Aluminium and magnesium based antacids can have side effects; aluminium salts can cause constipation, while magnesium salts can cause diarrhoea. Combination products are often used to balance these effects. Sodium bicarbonate is fast-acting but can cause belching and flatulence due to CO₂ production, and can be a concern for people on sodium-restricted diets. Calcium carbonate is effective but can also cause belching and constipation.
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