How to stop acid reflux at night: Tips for a better sleep.

Why does acid reflux get worse at night? Common triggers and causes.

Acid reflux, also called gastroesophageal reflux disease (GERD) when it’s chronic, happens when stomach acid flows back up into the esophagus. At night, this condition can worsen because lying flat makes it easier for acid to move upward.

Other common triggers.

• Eating large meals before bed.
• Spicy, fatty, or acidic foods.
• Caffeine or alcohol consumption.
• Smoking weakens the lower esophageal sphincter (LES), which keeps stomach acid in place.  

Gravity helps keep acid down during the day, but when you lie down, that advantage is lost.

Simple lifestyle changes to prevent nighttime acid reflux.

While medication may sometimes be necessary, many people can manage nighttime acid reflux with a few straightforward changes.

Try these tips to prevent acid reflux at night.

• Elevate your head while sleeping. Use a wedge pillow or raise the head of your bed 6-8 inches to help keep acid down.
• Avoid eating close to bedtime. Finish your last meal at least 3 hours before lying down.
• Choose smaller, lighter meals. This helps reduce the pressure on your stomach.
• Limit trigger foods and drinks. Avoid spicy foods, caffeine, chocolate, and alcohol, especially in the evening.
• Sleep on your left side. This position can reduce acid exposure in the esophagus.

Want more tips for acid reflux relief? Check out our guide.

When to see a doctor for severe or persistent acid reflux.

While you can manage the occasional acid reflux with lifestyle changes, severe or persistent symptoms may indicate a more serious condition like GERD. 

If you don’t treat it, GERD can lead to complications like esophagitis (inflammation of the esophagus), strictures, or even Barrett’s esophagus, a condition that increases the risk of esophageal cancer.

Signs it’s time to seek medical care for acid reflux.

• Frequent acid reflux that occurs more than twice a week.
• Difficulty swallowing or feeling like food is stuck in your throat.
• Persistent chest pain that could mimic heartburn.
• Unexplained weight loss or a loss of appetite.
• Chronic cough, hoarseness, or throat irritation.

A doctor may recommend medications like proton pump inhibitors (PPIs) or H2 blockers to reduce stomach acid production.

You may need further testing, like an endoscopy, to rule out other conditions.

How CityMD can help.

Managing acid reflux at night starts with understanding your triggers and making simple changes to your routine. But if your symptoms persist, seeking professional help is the best step toward long-term relief. CityMD is always ready to help you return to a healthier, more restful life.

If your acid reflux symptoms disrupt your life, CityMD urgent care is here. Our providers can assess your condition, recommend treatment options, and refer you to a specialist if needed. Don’t let nighttime acid reflux keep you awake—visit us today to start feeling better.

Remember, if your symptoms persist, seeking professional help is the best step toward long-term relief.