Managing nighttime acid reflux

Posted by cblue @cblue, Dec 10, 2022

My regular G.I. doctor has been following me for what appears to be some loss of or total loss of esophageal function. Differential was achalasia. I had consult with endoflip and bravo. Ph results Suggested fundoplication might be necessary. First wants change in medical intervention (recommended early dinner, ichange in meds.Also wants wedge 20 degree angle .
Main question to group: he suggested a wedge how to I don’t know how to find a wedge really works to help with the nighttime acid reflux. my temporary wedge using something for my husband‘s back surgery doesn’t seem to be working though I think I’m doing it correctly. Saw an ad for med Klein reflux reflux relief relief system. Expensive but looks like it might be more comfortable any news about that or any suggestions about what type to buy?

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Profile picture for nycmusic @nycmusic

Wedges are suggested so you can sit up, well-supported, even though in bed….it really is about letting gravity help carry your food/drink down through your digestive system…laying down too soon after eating can bring on reflux and/or mucus…time varies, but i have heard don’t lie flat for about 1 1/2-2 hours after eating..seems to help.

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@nycmusic
I use wedge I bought on Amazon plus2 pillows to keep me high, but I slide down. I don’t lie flat at all. I wonder if blocks under bed legs would be much better or not.

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Profile picture for pza @pza

@nycmusic
I use wedge I bought on Amazon plus2 pillows to keep me high, but I slide down. I don’t lie flat at all. I wonder if blocks under bed legs would be much better or not.

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@pza interesting….not sure about blocks under bed legs for this purpose ?….Whatever works for you ! Anyone else here have a suggestion ?

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I bought a whole mattress wedge. I love it more than any other "trick" ive tried.
My husband didnt mind.
I do still slide some, but im still at an angle all night.

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Profile picture for Lisa Lucier, Moderator @lisalucier

Hi @pza - welcome to Mayo Clinic Connect. Glad to hear you got a diagnosis at Mayo Clinic in 2008 so you know you are dealing with IBS due to non-typical acid reflux. Nice that you've been fine till a year ago with diet and meds, too.

Since you are now having acid reflux during the nighttime, I moved your post here to this existing discussion so you can connect with others with similar experiences:

- Managing nighttime acid reflux https://connect.mayoclinic.org/discussion/suggestion-fudiplication-new-medical-intervention-first-question

Hoping that other members here can make suggestions on what may have helped them or a loved one with bringing up mucus in the middle of the night and feeling acid. Please meet @ripley @bebold @shooei @dancing1 and others in this discussion.

pza - Of the head elevation, famotidine (Pepcid), aluminum hydroxide and magnesium carbonate (Gaviscon) you've tried, did you get any relief at night from your symptoms? Have you had a chance to try the polyethylene glycol 3350 - PEG 3350 (Miralax) 2-3 times per week your doctor suggested?

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@lisalucier
Pepcid hasn’t helped yet but will try again. Need to try Gaviscon again. So far, MiraLAX hasn’t helped but need to do longer. Have used wedge and pillows for head elevation for a year, but hasn’t helped with the nighttime mucus.

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Profile picture for pza @pza

@lisalucier
Pepcid hasn’t helped yet but will try again. Need to try Gaviscon again. So far, MiraLAX hasn’t helped but need to do longer. Have used wedge and pillows for head elevation for a year, but hasn’t helped with the nighttime mucus.

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@pza now and then I get the nighttime mucus and a Ricola or Hall’s vitamin C drop clears it up.

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Profile picture for nycmusic @nycmusic

Wedges are suggested so you can sit up, well-supported, even though in bed….it really is about letting gravity help carry your food/drink down through your digestive system…laying down too soon after eating can bring on reflux and/or mucus…time varies, but i have heard don’t lie flat for about 1 1/2-2 hours after eating..seems to help.

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@nycmusic correct, as a nurse I advised many patients to eat a lighter meal for supper or early to let the digestion begin before bedtime, if you do eat late try sitting up for awhile before laying flat or else use a wedge or 2 pillows if you can’t purchase this item.

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Profile picture for mauimayes2021 @mauimayes2021

I bought a whole mattress wedge. I love it more than any other "trick" ive tried.
My husband didnt mind.
I do still slide some, but im still at an angle all night.

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@mauimayes2021
I take a teaspoon of Reflux Gourmet every night before bed and have recommended it to everyone I know with reflux issues. I get it on Amazon. It comes in two flavors and I really like the vanilla caramel. It’s a bit pricey, maybe, but it works for me and my friends.

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Profile picture for sunny18 @sunny18

@nycmusic correct, as a nurse I advised many patients to eat a lighter meal for supper or early to let the digestion begin before bedtime, if you do eat late try sitting up for awhile before laying flat or else use a wedge or 2 pillows if you can’t purchase this item.

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@sunny18 also, I’ve heard that dairy products in the evening can increase mucus at bedtime…

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Profile picture for sunny18 @sunny18

@nycmusic correct, as a nurse I advised many patients to eat a lighter meal for supper or early to let the digestion begin before bedtime, if you do eat late try sitting up for awhile before laying flat or else use a wedge or 2 pillows if you can’t purchase this item.

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@sunny18 yes, I’ve been eating early.

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Profile picture for bapetersen @bapetersen

@mauimayes2021
I take a teaspoon of Reflux Gourmet every night before bed and have recommended it to everyone I know with reflux issues. I get it on Amazon. It comes in two flavors and I really like the vanilla caramel. It’s a bit pricey, maybe, but it works for me and my friends.

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@bapetersen Gaviscon has some of the same ingredients. I need to try it again.

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