@barbarn @vickiekay Tramadol is a pain medication. Interesting that you find it provides you with energy. I looked at the ingredients of Alka seltzer Gold and they are all antacid meds. I know that heartburn and GERD can cause wakefulness and can also trigger premature ventricular contractions (PVC's) and both can cause problems sleeping. RLS seems to present itself in that stage where we are trying to fall asleep. If it is present after we fall asleep, I guess we don't notice it or don't care! But if there is some issue keeping us from going into a deep sleep, I would think that would also allow us to be more affected by or more aware of RLS.

This stuff is so complicated!