Aloe Vera Gel and Juice medical uses and review of published studies, health benefit
October 2 2016
by Ray Sahelian, M.D.

Aloe vera is actually a common plant in many homes. A succulent perennial plant belonging to the lily family, the plant grows wild on the African continent. There are hundreds of species. The plant is often separated into two basic parts which are the gel and the latex. The gel is a clear jelly-like substance obtained from the inner portion of the leaves. Aloe latex, commonly referred to as the juice, is a bitter yellow exudate that happens to be just beneath the outer skin of the leaves and has laxative properties.

Benefit, what it is used for
For centuries, the gel of the aloe vera plant has been of benefit as a soothing topical remedy for minor burns and wounds. There have been many claims regarding its health benefit, but the one that most people agree is that, when ingested internally, it can promote bowel function and this could help certain people if they have difficulty with passing their stools and hence it could be beneficial in certain cases of constipation. The leaf extract is used as a laxative while the gel has mucopolysacharides.

Now Foods, Aloe Vera Gels, 100 Softgels




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Supplement Facts
Serving Size: 2 Softgels
Servings Per Container: 50
  Amount Per Serving % Daily Value
Calories 5  
Calories from Fat 5  
Total Fat 0.5 g <1%*
Organic Aloe Vera (Aloe barbadensis) (Inner Leaf) (200:1) (Equivalent to 20,000 mg of pure Aloe Vera Gel) 100 mg
* Percent Daily Values are based on a 2,000 calorie diet.
† Daily Value not established.

Suggested Use, dosage: 1 to 3 aloe vera tablets. Each tablet contains the approximate equivalent of 1.33 fluid ounces of fresh juice. Little research is available in humans regarding long term use. Therefore, just to be on the safe side, you may consider using an internal aloe vera product at most 4 days a week and it may be a good idea to take at least a week off each month. We prefer being cautious until more research is done in humans.

Other products sold online
Thayers, Witch Hazel Aloe Vera Formula, Alcohol-Free Toner, Rose Petal, 12 fl oz (355 ml)

Antibacterial benefit
Org Med Chemistry Lett. 2013. Antibacterial activities and antioxidant capacity of Aloe vera. Department of Horticulture, Faculty of Agriculture, Khoy Branch, Islamic Azad University, Khoy, Iran. Individual phytochemicals identified included various phenolic acids/polyphenols, phytosterols, fatty acids, indoles, alkanes, pyrimidines, alkaloids, organic acids, aldehydes, dicarboxylic acids, ketones, and alcohols. Due to the presence of the antioxidant polyphenols, indoles, and alkaloids, the A. vera leaf gel shows antioxidant capacity as confirmed by ORAC and FRAP analyses. Non-flavonoid polyphenols to contribute to the majority of the total polyphenol content. Three different solvents such as aqueous, ethanol, and acetone were used to extract the bioactive compounds from the leaves of A. vera to screen the antibacterial activity selected human clinical pathogens by agar diffusion method. Due to its phytochemical composition, A. vera leaf gel may show promise in alleviating symptoms associated with/or prevention of cardiovascular diseases, cancer, neurodegeneration, and diabetes.

Antilipoxygenase activity and the trace elements content of Aloe vera in relation to the therapeutic effect
Ceska Slov Farm. 2005.
The results of contemporary research on animal models indicate that the extracts have an antiinflammatory property.

Thank you for your website. It is refreshing to find one that offers unbiased medical information about the supplements that are available. I have seen in several places that it has anti-inflammatory properties when ingested, but I haven't been able to find out exactly where in the body these properties provide relief. Is it only in the stomach and/or intestines, or is the effect all around the body? The reason I'm asking is because I have IBS and have found that over-the-counter anti-inflammatories such as ibuprofen exacerbate my tendency toward constipation, and if aloe vera provides anti-inflammation, it could really be the perfect solution for the two problems.
   Most of the studies with have focused on the gastrointestinal system and skin. It appears that components in aloe vera have anti-inflammatory properties, and most likely these are systemic meaning that they would have an influence on various parts of the body.

Aloe improves the absorption of both vitamins C and E.

Antioxidant effect of Aloe vera gel extract in streptozotocin-induced diabetes in rats.
Pharmacol Rep. 2005.
Oral administration of aloe vera gel extract at a concentration of 300 mg/kg to diabetic rats significantly decreased the levels of blood glucose, glycosylated hemoglobin and increased hemoglobin. The increased levels of lipid peroxidation and hydroperoxides in tissues of diabetic rats were reverted back to near normal levels after the treatment with gel extract. The extract treatment also resulted in a significant increase in reduced glutathione, superoxide dismutase, catalase, glutathione peroxidase and glutathione-S-transferase in the liver and kidney of diabetic rats.

Blood sugar and diabetes
Oral administration of aloe vera gel extract to diabetic rats for a period of three weeks resulted in a significant reduction in fasting blood glucose, hepatic transaminases (aspartate aminotransferase and alanine aminotransferase), plasma and tissue (liver and kidney) cholesterol, triglycerides, free fatty acids and phospholipids and a significant improvement in plasma insulin. In addition, the decreased plasma levels of high-density lipoprotein-cholesterol and increased plasma levels of low-density lipoprotein-and very low-density lipoprotein-cholesterol in diabetic rats were restored to near normal levels following treatment with the extract.

Effect of a Polyphenol-Rich Extract from Aloe vera Gel on Experimentally Induced Insulin Resistance in Mice.
Am J Chin Med. 2007.
A polyphenol-rich extract (350 mg/kg) with known concentrations of aloin and aloe-emodin was administered orally for a period of 4 weeks to insulin resistant ICR mice. Results showed that the polyphenol-rich extract was able to decrease both body weight and blood glucose levels and to protect animals.

Aloe vera is popular as a gel or salve for those with burns. Studies regarding the benefit of aloe vera’ as a burn treatment have produced conflicting findings.

Cancer treatment
Biotherapy with the pineal immunomodulating hormone melatonin versus melatonin plus aloe vera in untreatable advanced solid neoplasms.
Nat Immun. 1998.
We have carried out a clinical study to evaluate whether the concomitant administration of aloe may enhance the therapeutic results of melatonin in patients with advanced solid tumors for whom no effective standard anticancer therapies are available. The study included 50 patients suffering from lung cancer, gastrointestinal tract tumors, breast cancer or brain glioblastoma, who were treated with melatonin alone (20 mg/day orally in the dark period) or MLT plus Aloe vera tincture (1 ml twice/day). A partial response (PR) was achieved in 2/24 patients treated with MLT plus aloe vera and in none of the patients treated with melatonin alone. Stable disease (SD) was achieved in 12/24 and in 7/26 patients treated with melatonin plus aloe or melatonin alone, respectively. The percentage of nonprogressing patients was significantly higher in the group treated with melatonin plus aloe vera than in the melatonin group. The percent 1-year survival was significantly higher in patients treated with the combination. Both treatments were well tolerated.

Am J Chin Med. 2014. Potential antineoplastic effects of Aloe-emodin: a comprehensive review. Aloe-emodin, a bioactive anthraquinone derived from both Aloe vera and Rheum officinale, has recently been demonstrated to have various pharmacological activities.

Gastrointestinal system
Aloe vera juice has been tested in a number of conditions including inflammatory bowel disease. Some people find it helps them with their GERD symptoms.
Aloe vera could be of benefit in certain instances of gastric mucosal healing. In a mouse study, administration of 20% acetic acid induced gastric inflammation, increased leukocyte adherence in postcapillary venules and TNF-alpha levels and reduced IL-10 level. Treatment reduced leukocyte adherence and TNF-alpha levels, elevated IL-10 level and promoted gastric ulcer healing.

I was happy to discover aloe juice for gastroesophageal reflux. It is effective for me, almost as much as Prilosec.

Oral lichen planus
The efficacy of aloe vera gel in the treatment of oral lichen planus: a randomized controlled trial.
Br J Dermatol. 2007.
Fifty-four patients were randomized into two groups to receive aloe vera gel or placebo for 8 weeks. Fifty-four consecutive patients (34 women and 20 men) participated in the study. We found erosive and ulcerative lesions in 83% and 17%, respectively. The most common site of oral lichen planus was the lower lip. Twenty-two of 27 patients treated with aloe vera (81%) had a good response after 8 weeks of treatment, while one of 27 placebo-treated patients (4%) had a similar response. Aloe vera gel is statistically significantly more effective than placebo in inducing clinical and symptomatological improvement. Therefore, the gel can be considered a safe alternative treatment for patients with oral lichen planus.

We are not aware of research done with aloe vera juice and psoriasis, however there is one research study we found with gel and psoriasis and the benefits appeared to be modest.

Radiation treatment
A Phase III study on the efficacy of topical aloe vera gel on irradiated breast tissue.
Cancer Nurs. 2002.
The aim of the study was to see if topical aloe vera gel would be beneficial in reducing the identified skin side-effects of radiation therapy, including erythema, pain, itching, dry desquamation, and moist desquamation, when compared with aqueous cream. A Phase III study was conducted involving 225 patients with breast cancer after lumpectomy or partial mastectomy, who required a course of radiation therapy using tangential fields. Patients were randomized to either topical aloe vera gel or topical aqueous cream to be applied 3 times per day throughout and for 2 weeks after completion of radiation treatment. In this study, aloe vera gel did not significantly reduce radiation-induced skin side effects. Aqueous cream was useful in reducing dry desquamation and pain related to radiation therapy.

Phase II double-blind randomized study comparing oral aloe vera versus placebo to prevent radiation-related mucositis in patients with head-and-neck neoplasms.
Int J Radiat Oncol Biol Phys. 2004.
In a single-institution, double-blind, prospective, randomized trial, we determined whether oral aloe vera gel can reduce radiation-induced mucositis in head-and-neck cancer patients. We randomized 58 head-and-neck cancer patients between oral aloe vera and placebo. Oral aloe vera did not improve tolerance to head-and-neck radiotherapy, decrease mucositis, reduce soreness, or otherwise improve patient well-being.

Does aloe vera cream applied on the skin reduce the pain from shingles?
   We have seen this mentioned on some websites, but we have not seen any studies regarding the use of cream applied on the skin for shingles pain relief.

Spinal stenosis
My son suffers from Crohn's Disease and I have already undergone surgery for spinal stenosis. We both succumbed to the Mannatech fairy tale and it was costly, 6 months of glyconutrients. Now there is a Dr. Webber in Oregon who is pedaling aloe vera as a way to regenerate the nerves in my spinal column. Does it take care of these problems?
   We are not aware of extensive human studies with aloe vera in regards to Crohn's disease or spinal stenosis. It may have some benefit in inflammatory bowel disease.

Aloe vera cream appears to offer no sunburn or suntan protection and no efficacy in sunburn treatment.

Ulcerative colitis
Randomized, double-blind, placebo-controlled trial of oral aloe vera gel for active ulcerative colitis.
Aliment Pharmacol Ther. 2004.
Aloe vera has been claimed to have anti-inflammatory effects and, despite a lack of evidence of its therapeutic efficacy, is widely used by patients with inflammatory bowel disease. Forty-four evaluable hospital out-patients were randomly given oral aloe vera gel or placebo, 100 mL twice daily for 4 weeks, in a 2 : 1 ratio. Oral aloe vera taken for 4 weeks produced a clinical response more often than placebo; it also reduced the histological disease activity and appeared to be safe.

I've heard there is some correlation between aloe vera and vision, as well as emphysema. Would you know if this is fact or fiction?
   I have personally not taken an aloe vera supplement yet so I don't know if vision if improved by using it and we are not aware of research regarding aloe vera use and emphysema or COPD. There are many supplements that are known to improve eyesight.

Weight loss
Aloe vera is sometimes found in herbal weight loss products, but its effectiveness for this purpose in humans is not clear. If you have an interest in losing weight, consider an appetite suppression product that I have formulated called Diet Rx. See weight loss pill for supplements that could help.

Availability over the counter
Aloe vera products are sold for internal use in the form of aloe vera juice, gel, and aloe vera drink. You can also find aloe vera in tablet and capsule form. Aloe vera is sold also for topical use to apply on skin in the form of cream, spray, and lotion.
   Sometimes the terms "gel" and "juice" are not clearly defined by makers of aloe vera and often are confused by consumers. Then there is the term aloe vera drink which is also confusing. It is quite possible that the aloe vera gel and the aloe vera juice can be mixed in many aloe vera products.

Aloe Vera product use suggestions
Until more research is done on the internal use of aloe vera products, it would be best to take breaks from the use of aloe vera gel or juice. Sometimes a plant can provide health benefits if ingested occasionally but could prove to be toxic if overused. I don't know if this is the case with aloe vera, but to be on the safe side take at least 2 days off a week and one week off each month. It would be helpful to have human research with aloe vera tablets or juice to determine whether this plant has any long term beneficial effects on blood sugar, blood lipids, and whether aloe vera has antiinflammatory properties.

Aloe vera is a natural product that is frequently used in soothing skin care products such as lotions for use after excessive sun exposure. It appears that aloe vera could be helpful for this purpose.

Investigation of the Anti-Inflammatory Potential of Aloe vera Gel (97%) in the Ultraviolet Erythema Test.
Skin Pharmacol Physiol. 2008.
The Aloe vera gel tested here might be useful in the topical treatment of inflammatory skin conditions such as UV-induced erythema.

What are some of the substances in it?
There are many compounds in aloe vera including glucomannans or pectic acid, plus various other organic and inorganic compounds. Glucans have been isolated. Veracylglucan B demonstrated potent anti-inflammatory and anti-proliferative effects, while Veracylglucan C exhibited significant cell proliferative and anti-inflammatory activities. From another research source: The dried flowers from Aloe vera Burm (Aloe barbadensis) have chlorogenic, caffeic, 5-P-coumaroylquinic, caffeoylshikimic, 5-feruloylquinic, 5-P-CIS-coumaroylquinic, P-coumaric and ferulic acid as well as luteolin, apigenin, quercetin, kaempferol, isoorientin, isovitexin and their 7-O-glucosides, saponarin and lutonarin. Anthranoids in the flower extract include aloe-emodin as well as the glycosylchromone aloeresin B. Aloin is the precursor to aloe-emodin. From another source: aloe vera leaf gel has various phenolic acids / polyphenols, phytosterols, fatty acids, indoles, alkanes, pyrimidines, alkaloids, organic acids, aldehydes, dicarboxylic acids, ketones, and alcohols. Due to the presence of the antioxidant polyphenols, indoles, and alkaloids, the Aloe ferox leaf gel shows antioxidant capacity.

Nat Prod Commun. 2014. Acemannan, an extracted polysaccharide from Aloe vera: A literature review.

Does the aloe vera supplement product contain Aloin and Emodin or whether these physically irritating substances / laxatives are removed in the process of production.
   Thisproduct is made Source Naturals and they would know more about the exact content of aloin and emodin.

Aloe vera, side effect, safety, risks, danger and caution
The primary class of compounds responsible for aloe-induced toxicity are anthraquinones. One of these, aloe-emodin, has been extensively investigated for apoptosis inducing effects. Aloin is the precursor to aloe-emodin. There have been rare cases of serious aloe vera side effects including hepatitis.

Henoch-Schonlein purpura associated with aloe vera administration.
Eur J Intern Med. 2005.
Henoch-Schonlein purpura is a systemic vasculitis that occurs most often in children and rarely follows exposure to drugs or other environmental factors. Aloe is one of the most widely used traditional remedies and has been associated with gastrointestinal and renal complications. We report a case of Henoch-Schonlein purpura in an adult patient who had previously received the herb Aloe vera.

Oral aloe vera induced hepatitis.
Ann Pharmacother. 2007. Veterans Affairs Medical Center, Des Moines, IA, USA.
To report a case of possible oral aloe vera induced hepatitis. A 73-year-old female was admitted to the hospital for acute hepatitis. Extensive laboratory testing did not reveal the cause of the patient's disease. She was asked multiple times whether she was taking any home medications, which she initially denied. It was only after an extensive medication history done by a clinical pharmacist that the patient admitted to using oral aloe vera capsules for constipation. Upon discontinuation of the oral aloe vera, liver markers of liver toxicity returned to normal levels.

Acute hepatitis induced by an aloe vera preparation: a case report.
World J Gastroenterol. 2005.
Aloe vera, plant extracts of Aloe barbadensis miller, is widely used in phytomedicine. The first case of acute hepatitis due to this compound was described. Hepatitis in a 57-year old female could be linked to the ingestion of Aloe barbadensis miller compounds. The patient's hepatitis resolved completely after discontinuing this medication. The case emphasizes the importance of considering phytopharmaceutical over-the-counter drugs as causative agents of hepatitis.

My mom cuts aloe vera and keeps it refrigerated for weeks. Is that not a good thing? She consumes it. I guess what I want to know is what are some side effects of intoxication from aloe vera? Are vomiting, upset stomach, no appetite, headaches, sleepiness, tired, nightmares, and dizziness side effects?
   It is possible that excessive use could result in gastrointestinal side effects and other symptoms. However, the symptoms you mention above can be caused by quite a large number of supplements, medications, and medical conditions.

Combining with other dietary supplements
Is it okay to take a small amount of aloe vera juice with other supplements such as curcumin or saw palmetto?
   Probably. We don't suspect there would be a problem.

Are there any suspected interactions between taking an aloe vera supplement in the morning and 5-HTP at night?
   I don't see any problems with this combination.

Historical uses
Plants of the genus Aloe have perhaps the longest recorded history of medicinal usage and are amongst the most widely used plants for traditional medicinal purposes worldwide. Aloe vera, Aloe ferox, Aloe arborescens and Aloe perryi are the best known and most widely used, but many other species are also used for their therapeutic properties. The Aloes have been used since ancient times, particularly for the treatment of microbial infections, gastrointestinal disorders and inflammatory conditions. In addition to their myriad uses in traditional therapeutics, the Aloes have also been used as components of cosmetic formulations, and in the food and beverage industries.

Aloe Vera Plant research
A double-blind, placebo-controlled study of a commercial Aloe vera gel in the treatment of slight to moderate psoriasis vulgaris.
J Eur Acad Dermatol Venereol. 2005.
The Aloe vera plant has been used for an array of ailments, including skin diseases. Recent experimental research have substantiated the presence of biologically active compounds in the gel, but there are few controlled, clinical trials to assess the efficacy. We aimed to test the effect of a commercial, preserved, but otherwise untreated Aloe vera gel in psoriasis. Forty-one patients with stable plaque psoriasis were included in a randomized, double-blind, placebo-controlled right/left comparison. The study comprised a 2-week wash-out period followed by a 4-week treatment period with two daily applications and follow-up visits after 1 and 2 months. Data on 40 patients were analysed. The score sum of erythema, infiltration and desquamation decreased in 72% of the Aloe vera-treated sites compared with 82% of the placebo-treated areas from week 0 to week 4, which was statistically significant in favour of the placebo treatment. Fifty-five per cent of the patients reported local side-effects, mainly drying up of the skin on test areas. The effect of this commercial Aloe vera gel on stable plaque psoriasis was modest and not better than placebo. However, the high response rate of placebo indicated a possible effect of this in its own right, which would make the Aloe vera gel treatment appear less effective.

Protective value of Aloe vera against some toxic effects of arsenic in rats.
Phytother Res. 2005.
Concomitant oral supplementation of Aloe vera, (1, 2 or 5% w[sol ]v in drinking water) during arsenic exposure (intraperitoneally, once daily for 3 weeks) was investigated in rats for its protective value. Animals exposed to arsenic (III) showed a significant inhibition of delta-aminolevulinic acid dehydratase (ALAD) activity, a marginal decrease in glutathione (GSH) and an increase in zinc protoporphyrin (ZPP) level in blood. White blood corpuscles (WBC) level decreased while most of the other clinical blood parameters like red blood cells count, haemoglobin, MCV, MCH, MCHC ratio and platelet number, etc. remained unaltered on arsenic exposure. Hepatic reduced GSH, oxidized glutathione (GSSG) level remained unaltered, thiobarbituric acid reactive substance (TBARS) level increased significantly while the activity of alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and catalase decreased on arsenic exposure. Renal GSH contents decreased while superoxide dismutase (SOD) activity decreased significantly on arsenic exposure. Concomitant administration of Aloe vera had remarkable protective action on inhibited blood ALAD activity and restored blood GSH level while most of the other blood biochemical parameters remained unchanged on Aloe vera supplementation. Interestingly, most of hepatic biochemical variables indicative of oxidative stress showed protection; no effect of Aloe vera on blood and liver arsenic concentration was noted. Also, no effect of Aloe vera on most of the altered renal biochemical parameters were noticed. The results thus lead us to conclude that simultaneous supplementation of Aloe vera protects against arsenic induced oxidative stress but does not influence the arsenic concentration in these organs.

Different forms
Here's one email that we received mentioning the range of gels and extracts that they carry.
Gel Diced
pulp Juice
Whole Leaf Dried Powder
1:1 Aloe Vera Whole Leaf Juice
Whole leaf Concentrate
Gel Concentrate
Refined Powder
Rind powder
100:1 Aloe Vera Whole Leaf freeze Dried Powder
     As you can see, there are quite a number of compounds, gels, extracts, juices, etc and it is difficult to know which form is best. The gel and juice have active ingredients and the whole leaf may have additional beneficial ingredients. For practical purposes, one can consume either aloe vera juice or take the whole leaf tablets.

Dear Dr. Sahelian, recently I have discovered something that has effectively eliminated heart palpitations from my life and in doing so, has greatly improved my quality of life. Here is the story: In the late 1980s I developed hypertension and have been under treatment since that time. I now take both lisinopril and metoprolol tartrate for the hypertension. In the late 1990s I began to develop heart palpitations (atrial). These really bothered me psycologically even though my doctor assured me that they were not life threatening and informed me that he considered the known treatments to be far more dangerous than the palpitations themselves. As a result, I have simply lived with them over the past few years and over that time they progressively became more severe. By March of this year I would experience 20 to 40 minutes of steady heart palpitations every time I would lie down as well as random palpitations the rest of the time. They were beginning to actually make me feel physically sick. During the early part of the year I had also been having a problem with a urinary tract infection as a result of long standing urinary track problems. I was given the choice of treatment with antibiotics or uroquid (a sodium phosphate based drug). I had chosen the uroquid and by March had a very bad reaction to it. One of the results was that it really messed up my stomach. For the stomach problem I began taking aloe vera soft gels of the common variety that are available at health food stores and drug stores. I was taking two a day and by the second day I was astounded to realize that the heart palpitations were totally gone. After taking the aloe vera for one month, I stopped it to see what would happen. The heart palpitations returned within 24 hours. I started taking the aloe vera again and the heart palpitations again stopped. After taking the aloe vera for six months, I again stopped it to see what would happen. This time it took a full week for the heart palpitations to return. Recently, I had a slight problem with some minor palpitations, but found that taking a couple of Citrical tabs (one time only) caused them to go away again completely. At this point I am extremely grateful to have the palpitations gone from my life. So far I have found one other person with palpitations. In her case the palpitations were a result of a severe physical trauma to the chest. Her doctor was medicating her for her palpitations with something that was making her feel lousy and controlling but not eliminating the palpitations. I suggested she talk to her doctor about the aloe vera. She did and he told her to go for it. I have since been informed that the aloe vera has eliminated her palpitations, the doctor has taken her off of the prescription medication, and that she is feeling better than she has in years. I have also discussed this aloe vera experience with someone at the NIH. This study indicated the aloe vera also may improve lipid and glucose levels in the blood among other things and there is no record that there was any significant follow up to it. My recent blood work done by my physician seems to confirm this since all results from my blood work showed the same patterns of improvement as those in the study. I have since sought out other substances that might help me with my hypertension as well and am now taking fish oil and COQ10 in addition to the aloe vera. I am also trying to follow the dash diet. The overall effect is that my hypertension has been retreating steadily and I am really happy that by accident (or providence) I had this experience.

I started making my own aloe vera juice, from the actual leaf, and it sure helped my internal cleansing.  Now I am regular, and not bloated all the time. I mix it with key lime juice, and apple and grape juice.  Yes it appears, slimy, but it has no taste, so it goes down easily. I also cut chunks of the flesh, and add it to my salads.  I also fry it with other greens, and it is quite tasty.

I'm currently taking Prilosec and it's only helping a little. I need better help. My main problem is when I eat something (anything) my throat tightens, and my esophogus gets very dry, and it can feel difficult to breathe. Before when this happened I went 5 months on a liquid diet, before the {rilosec finally helped. I had an upper GI done, they tested for hiatel hernia / allergies, pylori and nothing shown (other than reflux) which blew me away. I thought for sure there was something far worse happening. Anyhow, the reflux (and all the symptoms as before) are back now. I have to keep clearing my throat. Especially after I swallow food. So I'm hoping I can find something to SOOTHE my eosphogus and increase more moisture in my throat and mouth. Since this has happened I can only eat very soft foods, and liquids. I cannot swallow pills. I dont drink or smoke, or take any caffiene or spicy food either.
    I cannot predict whether aloe would help you or not, but the liquid form may be more effective for soothing an esophagus than the tablet form.

Suppliers and manufacturers
Lorand Laboratories, LLC has developed an Aloe vera powder with an acemannan content greater than 15%. This new product called BiAloe, short for Bio-Active Aloe, is manufactured using unique aloe vera processing technology that allows for a bio-active profile nearly identical to that of natural Aloe vera inner leaf gel, according to Lorand Laboratories. “The quality of Aloe is contingent upon a series of factors”, said Dr. Santiago Rodriguez, Lorand's founder and CEO, including extremely fertile soil, ideal climate, hand farming, and proprietary processing using GMPs. “And through these factors, we guarantee BiAloe has a high concentration of acemannan, a key health ingredient in Aloe vera,” he says. The company claims they have maintained the proper molecular size and the natural solubility of the Aloe inner leaf gel, keeping BiAloe as close to what nature intended as possible while optimizing the health benefits.” BiAloe, Aloe vera inner leaf gel freeze dried powder, is a free flowing powder that is water soluble, and appropriate for many product applications including: capsules, tablets, powders, bars, foods, cosmetics, and skin care, to name but a few.

Kudos to you for being a M.D. with a mind open to nature and natural remedies. There are far to few of people like you! I saw your page about Aloe v. You have posted some excellent information there, including the availability of BiAloe from Lorand Labs. FYI, I am working with Lorand and a partner, and we are packaging the BiAloe Pure Powder in 30 g. increments for consumer purchase. We have not started a wholesale aspect of this effort yet.

Additional products sold online
buy Aloe Verite Source Naturals or another aloe vera product
Aloe Verite organic, whole leaf aloe vera tablets offer the benefits of premium juice in powerfully concentrated, easy to swallow tablets. Each Aloe Verite tablet contains a potent 200:1 concentrate of organic, whole-leaf, cold processed powder. Source Naturals Aloe Verite tablets are made from freshly extracted juice, which is vacuum processed at low temperatures to remove excess water. This method is superior to the heat-processing method used by most companies, because heat can destroy the active constituents.
Buy Aloe Vera product

Supplement Facts:
Aloe Vera Concentrate (200:1) - 600 mg