To prevent acid reflux at night: sleep with your head elevated smoking can irritate the esophagus, the airways, and can cause coughing, which can trigger acid reflux or make it worse. Why does acid reflux get worse in the evening. 6 sleep on your left side stomach sleepers, take note: this is the worst position to sleep in if you have acid reflux, says besser“sleeping on your stomach puts pressure on your stomach and can cause food to come back up,” she says the best sleeping position for acid reflux is on your left side, says huber, although he notes that no one’s entirely sure why.
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