Getting a good night's sleep may be a challenge for those who suffer from nighttime heartburn or acid reflux.  Nighttime reflux is probably the most damaging because when you lie down you lose that gravitational effect of pushing food down the food regurgitates back and goes into the esophagus.  

    In a survey presented by the american college of gastroenterology almost half those with acid reflux at night complained about sleep disturbances including everything from wakefulness to arousal from sleep to poor quality of sleep.

    Dr. Ram Chuttani recommends some lifestyle changes starting with diet.  

"We advise smaller, more frequent meals, we strongly advise them not to take a big meal just before going to bed."  
   
    Other tips for reducing nighttime acid reflux include: sleeping with your head and shoulders elevated, wearing loose fitting clothes, waiting 2 to 3 hours after eating to go to sleep, and avoiding foods that trigger heartburn.  Doctor Chuttani says those with milder symptoms may find relief through non-prescription medications.  Anyone with persistent or prolonged nighttime heartburn should see a doctor.