Ever woken up in the night with severe heartburn? You’re not alone. Anyone who struggles with gastroesophageal reflux disease (GERD) knows that symptoms are often worse at night. It can be a major issue if it persists, causing tiredness, fatigue, and even emotional problems. 

GERD is a chronic condition that occurs because acid from the stomach moves backwards into the oesophagus. This causes irritation, inflammation, and other symptoms, including poor sleep. But it doesn’t have to be this way. 

So, if you’re wondering how to sleep better with GERD, we’ve got the solutions. Below, we cover the best tips to reduce GERD symptoms at night.

Don’t Eat Before Bed 

Your stomach’s acid production is triggered by eating food. The more food you eat, the more acid you produce. Eating 2-3 hours before bed significantly increases your risk of heartburn and acid reflux. 

One of the most common questions is the connection between acid reflux and sleep. It’s simple. Lying down in bed after eating allows the acid to pass into the oesophagus easily because gravity isn’t there to help keep it down. That’s why people notice an extreme burning sensation.  

If you avoid eating for several hours before bed, you allow the food to exit your stomach, reducing the acid production, and so your GERD symptoms. You can also consider: 

• Going for a short walk outside

• Doing some simple chores

• Reading a book

Performing these tasks after eating gives your digestive system time to process the last meal. It’ll also help you get a better quality of sleep.  

Prop Yourself Up with Pillows 

If the primary issue causing acid reflux is lying down, there’s an obvious solution: sleep on an incline. Most people invest in some big pillows that allow themselves to sleep at a 45° angle or higher.  

You don’t have to use pillows. Many GERD patients use a sleep wedge. This is a wedge-shaped pillow that keeps you partially upright during the night. According to the research, a sleep wedge between 8 and 22 cm in height is perfect for preventing GERD symptoms. 

Another option is to put your entire bed on an incline. You can put bed blocks under the legs of your bed to raise one end. You want to ensure your head is higher than your feet.  

Change Your Diet 

Diet is one of the biggest triggers for GERD symptoms. Certain foods increase stomach acid production or relax your lower oesophageal sphincter (LOS), increasing the risk of GERD. These foods include: 

• Fatty or fried foods

• Spicy foods

• Chocolate

• Citrus fruits (e.g., oranges, lemons)

• Tomatoes and tomato-based sauces

• Garlic and onions

• Peppermint

• Caffeinated drinks (e.g., coffee, tea, cola)

• Carbonated beverages

• Alcohol

Minimising consumption of these foods will alleviate your GERD symptoms. Another tip to stop acid reflux at night is to prioritise whole foods, e.g., lean proteins, low-fat dairy, and whole grains. These foods fill your stomach, reduce acid consumption, and support healthy sleep.  

But it’s not just your diet. If you’re overweight or obese, it can contribute to your symptoms. Losing weight plays a critical role in improving GERD and ensuring you get the best night’s sleep possible.  

Sleep on Your Left Side 

Did you know the side you sleep on influences your GERD symptoms at night? That’s right. A 2023 review found that people who sleep on their right-hand side experience greater heartburn. This occurs because the stomach is higher than the oesophagus if you sleep on your right side, delaying gastric emptying and increasing backflow.  

In contrast, sleeping on your left side can reduce oesophageal acid exposure by up to 71%. So, try sleeping in a different position if you struggle with nighttime symptoms.  

Take Medication 

If GERD symptoms persist no matter what you do, you may benefit from medication. During a GERD attack, always take an antacid. This will neutralise the acid, allowing you to get a good night’s sleep. However, antacids will not provide long-term relief.  

Speak to your doctor about taking proton pump inhibitors (PPIs) or H2 blockers to reduce acid production. This should completely eliminate all GERD symptoms.  

Learn More About Acid Reflux 

Acid reflux doesn’t have to be forever. With the right lifestyle changes, medication, or other interventions, you can minimise your symptoms or eliminate them entirely.  

Ultimately, the best tip to reduce GERD symptoms at night is to get tested and treated. The Functional Gut Clinic has developed a comprehensive guide to GERD and acid reflux symptoms, detailing the causes, tests, and treatments. We offer diagnostic testing for acid reflux, helping patients take control of their health.