{"id":61088,"date":"2025-10-29T15:53:48","date_gmt":"2025-10-29T15:53:48","guid":{"rendered":"https:\/\/cdhf.staging.not4prod.com\/?p=61088"},"modified":"2025-11-13T03:41:40","modified_gmt":"2025-11-13T03:41:40","slug":"gerd-symptoms-at-night-why-acid-reflux-gets-worse-when-you-sleep","status":"publish","type":"post","link":"https:\/\/cdhf.ca\/en\/gerd-symptoms-at-night-why-acid-reflux-gets-worse-when-you-sleep\/","title":{"rendered":"GERD Symptoms at Night: Why Acid Reflux Gets Worse When You Sleep\u00a0"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Have you ever been jolted awake by a burning sensation in your chest? Or found yourself coughing or clearing your throat in the middle of the night? If so, you&#8217;re not alone &#8211; and nighttime reflux might be the culprit.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gastroesophageal reflux disease (GERD) doesn\u2019t just affect you during the day. For many people, GERD symptoms at night can seriously interfere with sleep, leaving them tired, uncomfortable, and frustrated the next day.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In this post, you\u2019ll learn what GERD is, why symptoms may get worse at night, and how to find relief so you can get some sleep. Let\u2019s explore why your digestive system may be keeping you up at night.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"0-what-is-gerd-and-how-is-it-different-from-acid-reflux%C2%A0\">What Is GERD and How Is It Different from Acid Reflux?&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">GERD stands for gastroesophageal reflux disease. It\u2019s a chronic condition where acid from the stomach frequently flows back into the esophagus.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While occasional acid reflux, or gastroesophageal reflux (GER), is common, GERD happens more often and causes troublesome symptoms and can lead to complications.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">While Reflux or GERD may be confused with heartburn, heartburn is just one of the common symptoms of GERD. Heartburn is a burning sensation from above the stomach to the esophagus.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key differences between acid reflux and GERD:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acid Reflux is occasional and often triggered by specific foods or large meals&nbsp;<\/li>\n\n\n\n<li>GERD is more frequent (two or more times per week) and may require medical treatment.&nbsp;<\/li>\n\n\n\n<li>GERD discomfort interferes with daily life and\/or sleep&nbsp;<\/li>\n\n\n\n<li>If over-the-counter medications for reflux are no longer working, you might have GERD&nbsp;<\/li>\n\n\n\n<li>Unlike reflux, GERD can lead to complications like esophagitis, tooth enamel erosion, or sleep disorders.&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"1-what-are-gerd-symptoms-at-night%C2%A0\">What Are GERD Symptoms at Night?&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32657961\/\" target=\"_blank\" rel=\"noreferrer noopener\">Up to 25% of GERD patients<\/a> frequently experience sleep disturbances, likely due to nocturnal reflux. GERD symptoms at night are often more intense and harder to ignore than during the day.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common nighttime symptoms which can prevent you from falling asleep or awaken you, include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Heartburn (burning in the chest or throat)&nbsp;<\/li>\n\n\n\n<li>Regurgitation of food or sour liquid&nbsp;<\/li>\n\n\n\n<li>Chronic cough&nbsp;<\/li>\n\n\n\n<li>A sore throat&nbsp;<\/li>\n\n\n\n<li>The feeling of a lump in your throat&nbsp;<\/li>\n\n\n\n<li>Difficulty swallowing&nbsp;<\/li>\n\n\n\n<li>Worsening asthma&nbsp;<br>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">These symptoms can disrupt your sleep, leaving you tired during the day. And beyond that, nocturnal GER is also associated with more severe GERD symptoms. For example,<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32657961\/\" target=\"_blank\" rel=\"noreferrer noopener\"> obstructive sleep apnea <\/a>has been linked to GERD.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"2-why-gerd-symptoms-get-worse-at-night%C2%A0\">Why GERD Symptoms Get Worse at Night&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When you lie down, gravity no longer helps keep stomach acid where it belongs.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Several reasons GERD worsens at night include:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The esophagus is less able to clear acid without the help of gravity. And the upper esophageal sphincter pressure decreases, making it easier for acid to flow back upwards.&nbsp;<\/li>\n\n\n\n<li>Saliva production decreases while you sleep, leading to reduced acid neutralization.&nbsp;<\/li>\n\n\n\n<li>Swallowing decreases, slowing the removal of acid from the esophagus.&nbsp;<\/li>\n\n\n\n<li>Stomach acidity levels increase, while the rate of emptying of food and fluid from the stomach decreases.&nbsp;<\/li>\n\n\n\n<li>The lower esophageal sphincter may relax more, allowing acid to escape.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">As a result, nighttime is prime time for reflux flare-ups. And unfortunately, lack of sleep can actually lead to even<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9377569\/\" target=\"_blank\" rel=\"noreferrer noopener\"> worse nocturnal GERD.<\/a> So it can be a negative cycle.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"3-how-nighttime-gerd-affects-sleep-and-health%C2%A0\">How Nighttime GERD Affects Sleep and Health&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nighttime GERD doesn\u2019t just disturb your sleep &#8211; it can also impact your overall health. It may lead to:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chronic sleep deprivation. You may wake up choking, coughing or with a sour taste in your mouth, or have a hard time falling asleep due to heartburn.&nbsp;<\/li>\n\n\n\n<li>Increased stress, poor concentration and memory due to worry about symptoms and a lack of sleep. This can all lead to decreased work productivity.&nbsp;<\/li>\n\n\n\n<li>There is a higher risk of esophageal damage due to increased contact with stomach acid and a lack of swallowing while sleeping. This can lead to the <a href=\"https:\/\/www.niddk.nih.gov\/health-information\/digestive-diseases\/barretts-esophagus\/all-content\" target=\"_blank\" rel=\"noreferrer noopener\">development of Barrett\u2019s Esophagus<\/a> &#8211; inflammation that may progress to esophageal cancer.&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">That\u2019s why it\u2019s essential to manage nocturnal GERD symptoms.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-who%E2%80%99s-most-at-risk-for-nighttime-gerd%C2%A0\">Who\u2019s Most at Risk for Nighttime GERD?&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone can experience GERD symptoms at night, but certain factors increase your risk:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Being overweight or obese&nbsp;<\/li>\n\n\n\n<li>Eating large meals, especially too close to bedtime&nbsp;<\/li>\n\n\n\n<li>Smoking&nbsp;<\/li>\n\n\n\n<li>Drinking alcohol or caffeine&nbsp;<\/li>\n\n\n\n<li>Being Pregnant&nbsp;<\/li>\n\n\n\n<li>Having a hiatal hernia&nbsp;<\/li>\n\n\n\n<li>Eating a <a href=\"https:\/\/bmcgastroenterol.biomedcentral.com\/articles\/10.1186\/s12876-024-03143-9\" target=\"_blank\" rel=\"noreferrer noopener\">low fibre, high sugar diet<\/a>&nbsp;<\/li>\n\n\n\n<li>Being physically inactive&nbsp;<br>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If one or more of these apply to you, take extra care to manage your symptoms before bed.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"5-how-to-manage-gerd-symptoms-at-night%C2%A0\">How to Manage GERD Symptoms at Night&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">You can take several steps to ease nighttime reflux and improve your sleep.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Try these strategies:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avoid eating 2\u20133 hours before bedtime&nbsp;<\/li>\n\n\n\n<li>Eat slowly&nbsp;<\/li>\n\n\n\n<li>Raise the head of your bed by 6\u20138 inches&nbsp;<\/li>\n\n\n\n<li>Sleep on your left side to reduce acid flow&nbsp;<\/li>\n\n\n\n<li>Limit trigger foods, such as spicy dishes, chocolate, mint, citrus fruits, soda, alcohol, and caffeine. Keep a food diary to identify your own personal food and fluid triggers&nbsp;<\/li>\n\n\n\n<li>Maintain a healthy weight&nbsp;<\/li>\n\n\n\n<li>Wear loose-fitting clothing to avoid abdominal pressure&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">You may also want to try some alternative solutions, which have some evidence that they can be helpful for some people with GERD:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diaphragmatic<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35842548\/\" target=\"_blank\" rel=\"noreferrer noopener\"> deep breathing&nbsp;<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33116064\/\" target=\"_blank\" rel=\"noreferrer noopener\">Acupuncture<\/a>&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36513474\/\" target=\"_blank\" rel=\"noreferrer noopener\">Supplements<\/a> such as probiotics, psyllium husk (fibre) or ginger.&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.explorationpub.com\/Journals\/em\/Article\/1001191\" target=\"_blank\" rel=\"noreferrer noopener\">Melatonin<\/a>&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If these lifestyle changes don\u2019t help, most people who suffer from nocturnal GERD can get<a href=\"https:\/\/www.explorationpub.com\/Journals\/em\/Article\/1001191\" target=\"_blank\" rel=\"noreferrer noopener\"> relief from medications<\/a> that decrease acid production. And surgery may also be an option in more severe cases.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"6-when-to-seek-medical-advice%C2%A0\">When to Seek Medical Advice&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Although occasional reflux is common, you should not ignore symptoms that affect your day-to-day life and are persistent or worsening.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Talk to a healthcare provider if you:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reflux symptoms occur multiple times a week&nbsp;<\/li>\n\n\n\n<li>Symptoms are affecting how you sleep&nbsp;<\/li>\n\n\n\n<li>Over-the-counter heartburn treatments stop working&nbsp;<\/li>\n\n\n\n<li>You have trouble swallowing or have a persistent coughing&nbsp;<\/li>\n\n\n\n<li>You experience unexplained weight loss or chest pain&nbsp;<\/li>\n\n\n\n<li>Symptoms are leading to interrupted sleep&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">You may need prescription medication or further testing to rule out complications.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"7-conclusion%C2%A0\">Conclusion&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">GERD symptoms at night can seriously affect your sleep, mood, and overall quality of life. By understanding what triggers these symptoms and how to manage them, you can take control and start sleeping better.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you\u2019re struggling with nighttime reflux, don\u2019t suffer in silence &#8211; talk to your healthcare provider and make simple changes that can help.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">We want to hear from you! Please take one minute to fill out our survey<\/h2>\n\n\n\n<iframe width=\"100%\" height=\"480px\" src=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=Yir5ZTRz1Uex-0amTx1Bt5RGjGDNn7BDoC_XV0vzNuFUM01UVjZESTQ2N0syUU1YT0VWVlRVWUZOVi4u&#038;embed=true\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" style=\"border: none; max-width:100%; max-height:100vh\" allowfullscreen webkitallowfullscreen mozallowfullscreen msallowfullscreen> <\/iframe>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2025\/11\/EN-Infographic-GERD-symptoms-at-night-791x1024.webp\" alt=\"\" class=\"wp-image-61306 lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2025\/11\/EN-Infographic-GERD-symptoms-at-night-791x1024.webp\" alt=\"\" class=\"wp-image-61306\"><\/noscript><\/figure>\n<\/div>\n\n<div style=\"gap: 20px\" class=\"align-button-center ub-buttons orientation-button-row ub-flex-wrap wp-block-ub-button\" id=\"ub-button-d1ec1f89-71ca-4a60-a467-edf949739916\"><div class=\"ub-button-container\">\n\t\t\t<a href=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2025\/11\/EN-Infographic-GERD-symptoms-at-night.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" class=\"ub-button-block-main   ub-button-flex\" role=\"button\" style=\"--ub-button-background-color: #313131; --ub-button-color: #ffffff; --ub-button-border: none; --ub-button-hover-background-color: #313131; --ub-button-hover-color: #ffffff; --ub-button-hover-border: none; padding-top: 10px; padding-right: 10px; padding-bottom: 10px; padding-left: 10px; border-top-left-radius: 10px;; border-top-right-radius: 10px;; border-bottom-left-radius: 10px;; border-bottom-right-radius: 10px;; \">\n\t\t\t\t<div class=\"ub-button-content-holder\" style=\"flex-direction: row\">\n\t\t\t\t\t<span class=\"ub-button-block-btn\">Download Infographic &#8220;GERD Symptoms at Night&#8221;<\/span>\n\t\t\t\t<\/div>\n\t\t\t<\/a>\n\t\t<\/div><\/div>\n\n<div class=\"gradient-divider\"><\/div><div class=\"sponsor-block wp-block-cdhf2022-cdhf-sponsor\"><p><strong>This article was made possible through an unrestricted educational grant from Viatris.<\/strong>&nbsp;<\/p><div class=\"sponsor-details\"><div class=\"photo\"><a target=\"_blank\" rel=\"noopener noreferrer\" href=\"https:\/\/www.viatris.com\/en-ca\/lm\/Canada\"><img src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/Vatris-logo-300x225.webp\" width=\"300\" height=\"225\" class=\"attachment-medium size-medium lazyload\" alt=\"Viatris\" loading=\"lazy\" decoding=\"async\"><noscript><img width=\"300\" height=\"225\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/08\/Vatris-logo-300x225.webp\" class=\"attachment-medium size-medium\" alt=\"Viatris\" loading=\"lazy\" decoding=\"async\"><\/noscript><\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Have you ever been jolted awake by a burning sensation in your chest? Or found yourself coughing or clearing your throat in the middle of the night? If so, you&#8217;re not alone &#8211; and nighttime reflux might be the culprit.&nbsp; Gastroesophageal reflux disease (GERD) doesn\u2019t just affect you during the day. For many people, GERD [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":61086,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[60,75],"tags":[50],"class_list":["post-61088","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article","category-infographic","tag-tags-gerd"],"acf":{"article_writer":[61012]},"featured_image_src":"https:\/\/cdhf.ca\/wp-content\/uploads\/2025\/10\/GERD-at-night.webp","author_info":{"display_name":"Kelsey Cheyne","author_link":"https:\/\/cdhf.ca\/en\/author\/kelsey-cheyne\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>GERD Symptoms at Night: Why Acid Reflux Gets Worse When You Sleep\u00a0 - Canadian Digestive Health Foundation<\/title>\n<meta name=\"description\" content=\"Gastroesophageal reflux disease (GERD) doesn\u2019t just affect you during the day. 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