
– Manta Sleep

Have you ever ever been awoken by a burning sensation in your chest or coughing and choking from abdomen acid that has flowed again as much as your throat?
These disagreeable occasions are what you name heartburn and acid reflux disease, respectively. When you expertise them ceaselessly, the situation is called Gastroesophageal Reflux Illness (GERD), which may sadly worsen if you lie down at evening.
Learn on to find the causes of GERD, its nighttime signs, and the sleeping positions that’ll ease the discomfort, in addition to different methods to seek out aid.
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The very best sleeping place for GERD is sleeping in your left facet, because it positions the abdomen under the esophagus, making it tougher for gastric acid to journey upward.
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GERD signs worsen at evening as a result of mendacity down would not enable gravity to forestall the backwash of abdomen acid, swallowing slows throughout sleep, and the manufacturing of acid-neutralizing saliva decreases.
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Scale back GERD signs by avoiding heavy meals earlier than bedtime, carrying loose-fitting clothes, and sustaining a wholesome weight, amongst different measures.
GERD is a gastrointestinal dysfunction that happens when gastric acid flows again to the tube that connects your abdomen and mouth, often known as the esophagus (or the meals pipe). The backwash irritates the liner of your esophagus, manifesting as heartburn. It will probably additionally burn your throat.
Sounds lots like acid reflux disease, doesn’t it? The signs of the 2 are actually an identical. GERD is solely the extra severe and persistent type of acid reflux disease. You probably have extreme acid reflux disease a minimum of twice every week, you qualify for a prognosis of GERD.

GERD is attributable to your esophagus’ incapacity to forestall acid out of your abdomen from flowing again upwards. A number of elements contribute to the problem:
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Being overweight or obese will increase your threat of GERD. The additional weight round your center places extra stress in your stomach, forcing the abdomen acid again up.
Extra weight additionally weakens the decrease esophageal sphincter (LES), which is the muscle that ensures the one-way path of abdomen acid. It might additionally result in the sphincter stress-free when it should not, ensuing within the acid backflow.
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Expectant mamas typically expertise GERD. In accordance with the Cleveland Clinic, it happens in 30% to 80% of pregnant girls.(1) Throughout being pregnant, the physique produces extra progesterone, stress-free the muscular tissues to arrange for the large day. Nevertheless, it additionally relaxes the LES, which ends up in acid touring again upwards. GERD often resolves after the being pregnant.
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Smoking can result in GERD. The inhalation of smoke relaxes the LES, which additionally triggers coughing, permitting acid to move again up. Smoking additionally produces extra abdomen acid and slows digestion, contributing to the backflow.
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A hiatal hernia will also be the reason for GERD. It happens when the higher a part of your abdomen pushes up and over your diaphragm and beside your meals pipe. The hernia weakens your LES and separates it from the diaphragm, which performs a component in serving to maintain abdomen acid down.
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Sure drugs also can set off GERD. For instance, NSAIDs (ibuprofen and aspirin) enhance the manufacturing of abdomen acid and irritate the esophagus. Some blood stress drugs can loosen up the LES. The identical goes for nervousness drugs, akin to benzodiazepines and lorazepam.
What Are the Nighttime Signs of GERD?
The star symptom of nighttime GERD is acid reflux disease. It will probably disrupt sleep, inflicting you to get up coughing or choking on bitter gastric acid.
Your swallowing reflex slows if you sleep, which implies you possibly can’t swallow gastric acid as a lot as it’s best to. Mendacity down additionally means you do not have gravity’s downward pull to forestall acid backwash.
Different nighttime GERD signs embody:
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A dry and chronic cough, attributable to abdomen acid triggering an uncomfortable feeling in your throat
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Bronchial asthma flare-ups attributable to small drops of abdomen acid that enter your lungs, irritating your bronchial tubes. The acid also can make your meals pipe constrict, triggering wheezing and coughing.
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A sore throat if you get up, attributable to abdomen acid that continues to be in your esophagus, irritating your throat if you lie down.
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Feeling like one thing is caught in your throat when there is not something there. You might have problem swallowing as a result of the throat muscular tissues are infected from the acid.
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Chest ache linked to GERD seems like a weight on the chest, and should even really feel like a coronary heart assault. Abdomen acid burns the liner of your esophagus, triggering nerve endings that trigger referred ache in your chest.
It will probably additionally trigger muscle contractions within the esophagus which might be felt within the chest. If the ache persists or occurs typically, search medical assist.
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You may also expertise a post-nasal drip from GERD when the acid irritates your throat and higher airways. As an anti-inflammatory response, your physique produces extra mucus.
What Is the Finest Sleeping Place for Acid Reflux and GERD?

Aspect sleeping positions assist with sure medical circumstances, acid reflux disease included. The optimum place for GERD is sleeping on the left facet.
It is the perfect facet to sleep on as a result of your abdomen rests on the left facet of your stomach. On this place, your abdomen sits decrease than your esophagus, making it tougher for acid to journey backward.
A research revealed within the Journal of Medical Sleep Medication discovered that right-side sleeping members with GERD skilled decrease sleep high quality than those that slept on their left.(2) Nevertheless, take into account sleeping in your proper facet because the runner-up.
Here is tips on how to sleep in your left facet with GERD:
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Lie down in your left facet utterly. Your proper shoulder ought to level in the direction of the ceiling. Place your arms comfortably, akin to beneath the pillow or resting in your facet.
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Bending your knees barely relieves stress on the abdomen and relaxes the backbone. A pillow between the knees can promote optimum spinal alignment. A full-body pillow additionally helps to keep up correct alignment. It’s going to additionally discourage turning to a abdomen sleeping place.
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Use a wedge pillow to elevate your head by six to eight inches. This snug angle helps gravity maintain abdomen acid down. Do not elevate your head too excessive, as it could trigger neck discomfort.
Sleeping in your again with GERD additionally works. Use a supportive pillow or an adjustable mattress body to maintain your head elevated by a number of inches. An elevated higher physique place helps gravity stop acid backflow.
What Is the Worst Sleeping Place for Acid Reflux?
The worst sleeping posture for acid reflux disease is in your abdomen. The susceptible sleeping place places direct stress in your stomach, squeezing abdomen contents upwards.
Your head can be turned to at least one facet, twisting your neck and backbone, creating an angle between your abdomen and meals pipe that enables for simpler acid backflow.
What Else Can I Do to Ease the Signs of GERD at Night time?
Other than the really helpful sleeping positions, there are different methods to ease the signs of nighttime GERD:
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Lay off spicy, greasy, acidic and fatty meals that set off GERD. Keep away from consuming alcohol and caffeine. Eat alkaline meals like bananas and cauliflower to keep up a wholesome intestine acidity.
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Keep a wholesome weight, as extra weight can put extra stress on the stomach. Dropping a number of kilos can scale back signs.
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Ditch tight clothes like shapewear, high-waist skinny denims, and belts that put stress in your stomach. Put on loose-fitting garments.
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Keep away from heavy meals earlier than bedtime as a result of they enhance stress in your stomach. Give your abdomen time to empty itself by consuming a minimum of 3 hours earlier than bedtime.
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Keep away from gulping down meals or liquids. It will increase your consumption of air, which places stress in your stomach. Not chewing your meals correctly additionally makes it tougher to digest.
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Do not lie down instantly after a meal as a result of it places stress on the LES and slows meals motion to the digestive tract. The longer meals stays in your abdomen, the extra acid your physique makes.
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Sip on a cup of chamomile tea a minimum of half-hour after a meal and one other earlier than sleeping. Whereas it would not neutralize acid, a research revealed within the journal Vitamins means that chamomile tea has anti-inflammatory properties and might soothe the digestive tract.(3)
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Chew sugar-free gum as a result of it helps enhance the manufacturing of acid-neutralizing saliva. It must be sugar-free as a result of sugar triggers GERD in some folks.
Dwelling with GERD doesn’t suggest you are perpetually doomed to nights of discomfort and poor sleep high quality. The proper sleeping positions (left facet is finest), an applicable eating regimen, and life-style modifications can scale back its signs.
We hope this text helped you make your GERD experiences extra bearable. Do you might have any ideas for others with acid reflux disease? Depart a remark under.
Steadily Requested Questions About Sleeping With Acid Reflux and GERD
Why Does My Acid Reflux Get Worse Once I Go to Mattress?
Acid reflux disease worsens at bedtime as a result of if you’re mendacity down, gravity can not help maintain abdomen acid down. Swallowing additionally slows throughout sleep, so you possibly can’t clear gastric acid out of your meals pipe as typically. You additionally produce much less acid-neutralizing saliva throughout sleep, which doesn’t assist issues both.
Can I Sleep on My Again Once I Have Acid Reflux?
You possibly can sleep in your again when you might have acid reflux disease, offered you retain your higher physique elevated at six to eight inches. Use a wedge-shaped pillow or an adjustable mattress body.
Can Acid Reflux Make You Throw Up in Your Sleep?
Acid reflux disease can make you throw up in your sleep, however it’s extra a case of extreme regurgitation than precise vomiting. It occurs as a result of you possibly can’t clear acid out of your esophagus resulting from a slower swallow reflex.
What Ought to I Do Once I Wake Up Choking on Acid Reflux?
When you get up choking on acid reflux disease, sit up instantly.. Drink small sips of water and keep upright for a minimum of half-hour. Take an over-the-counter antacid to neutralize the acid and a teaspoon of honey to appease your irritated throat.
Sources:
(1) ““Heartburn Throughout Being pregnant.” Cleveland Clinic, my.clevelandclinic.org/well being/illnesses/12011-heartburn-during-pregnancy. Accessed 18 July 2025.
(2) “Relationship between gastroesophageal reflux illness and goal sleep high quality.” Journal of Medical Sleep Medication, jcsm.aasm.org/doi/10.5664/jcsm.10198. Accessed 18 July 2025.
(3) “Useful Meals in Relation to Gastroesophageal Reflux Illness (GERD).” Vitamins, www.mdpi.com/2072-6643/15/16/3583. Accessed 21 July 2025.
Disclaimer: The knowledge contained on this web site or offered by means of our weblog, e-mails, or packages is for informational functions solely. It isn’t supposed to be an alternative to medical recommendation, prognosis or remedy that may be offered by your healthcare professionals.
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