The right mattress can greatly improve symptoms associated with acid reflux and gastroesophageal reflux disease (GERD). Both conditions cause stomach acid to flow into the esophagus, causing irritation and pain. Symptoms usually grow worse after lying down, making it difficult for sufferers to fall asleep.

Fortunately, many individuals are able to reduce their discomfort by sleeping on their sides and changing their style of bedding. Along with an adjustable bed, people with acid reflux typically benefit from using a mattress designed for side sleepers. These mattresses provide extra cushioning at pressure points like the hips and shoulders.

Wondering what type of mattress is best for acid reflux pain? Keep reading for a list of our top picks, what to look for in a mattress, and advice on choosing the best mattress for acid reflux.

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Best Overall

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

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We found the Brooklyn Bedding Signature Hybrid to be perfect for side sleeping, which is the position doctors often recommend to beat acid reflux symptoms. The bed has a thick, pressure-relieving comfort system but doesn’t sacrifice on support either. As it’s a hybrid, you can expect it to sleep cool and stay firm even when lying near the edge of the bed.

Credit: Sleep Foundation Test Lab

Price

$999

Mattress Type

Hybrid

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night requirement)

Full Details

Who It’s Best For

Between the three firmness options, most side and back sleepers should find a comfortable sleep surface. The soft and medium models deliver strong pressure relief when side sleeping.

Feel

The feel of this mattress depends if you go with the medium soft (4), medium firm (6), or firm (8) model. The firmest model keeps you mostly “in” rather than “on” the bed, while the softest model allows more sink — although you can still feel some bounce from the coils.

What It’s Made Of

The Signature Hybrid starts with a quilted top to provide some initial cushioning. This is followed by layers of increasingly firmer foams that relieve pressure points at the hips and shoulders. A pocketed coil support core holds up the spine.

What We Don’t Like

None of the firmness options worked well for stomach sleepers on our testing team, who found themselves sinking in and experiencing some back pain. The mattress comes with a $99 return fee.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 10000 validated customer reviews of the Brooklyn Bedding Signature Hybrid. This is what people who bought the mattress had to say:

  • Comfort and support: Many reviewers mention that the mattress is very comfortable and provides good support for various sleeping positions.
  • Improvement in sleep quality: Several users report a significant improvement in sleep quality, including better rest and reduced pain.
  • Firmness options: People appreciate the availability of different firmness levels, and some discuss their experiences with medium, firm, or pillow-top options.
  • RV suitability: A number of reviews specifically mention using the mattress in RVs, noting it as a substantial upgrade from typical RV mattresses.
  • Initial odor/smell: Some reviewers note a mild odor upon unpacking, but it typically dissipates quickly.
  • Edge support: The mattress is often noted for having good edge support, which is particularly valued by those who sit on the edge of the bed.
  • Price and value: Many reviewers feel the mattress is well-priced for the quality and comfort it provides.
  • Durability concerns: A few reviewers express concerns about how the mattress will hold up over time, although these comments are not widespread.

Best Value

Bear Original

7.7 /10

Test Lab Score

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There’s no reason you should have to break the bank to escape from acid reflux symptoms while you sleep. Enter the Bear Mattress, a comfortable memory foam bed that supports side sleeping and works with adjustable bases so you can prop yourself up for better digestion. The Bear also boasts great motion isolation, perfect if your partner is sensitive to your movements.

Credit: Sleep Foundation Test Lab

Price

$649

Mattress Type

Foam

Firmness Options

Firm (7)

Trial Period

120 nights (30-night break-in period)

Full Details

Who It’s Best For

Based on our testing, we found the Bear works best for side and back sleepers in the 130- to 230-pound range. These sleepers receive a nice balance of support and pressure relief.

Feel

The Bear Mattress is relatively firm, rating a 7 out of 10 on our scale. As an all-foam mattress it’s low on bounce, but you shouldn’t feel stuck in the bed as the firm surface keeps you fairly high up.

What It’s Made Of

The Bear has a quilted cover and a memory foam comfort layer, which cushions the sleeper and contains gel infusions designed to pull heat away from the bed’s surface. Spinal support is provided by a polyfoam transitional layer over a second layer of thicker, firmer polyfoam.

What We Don’t Like

It’s common for memory foam mattresses to trap heat and cause a bit of a “stuck-in-the-bed” feeling, so if you dislike those attributes you may want to look for a different mattress type. The Bear may also lack support for stomach sleepers.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8/10

Above 230 lbs

6.5/10

Back Sleepers

Under 130 lbs

6.5/10

130-230 lbs

8/10

Above 230 lbs

6.5/10

Stomach Sleepers

Under 130 lbs

5/10

130-230 lbs

6.5/10

Above 230 lbs

5/10

We performed a meta-analysis on 10000 validated customer reviews of the Bear Original. This is what people who bought the mattress had to say:

  • Firmness and Comfort: Many reviewers find the Bear Original mattress to be on the firm side but still comfortable, providing a good balance of support and cushioning.
  • Pain Relief and Support: Users frequently report relief from back and neck pain. The mattress offers good support, which contributes to a more restful sleep and helps with physical recovery, especially noted by athletes and those with physically demanding lifestyles.
  • Adjustment Period: Some customers noted a need for an adjustment period where initially the mattress felt too firm, but became more comfortable after continuous use. This is typical, and we recommend using a mattress for at least two weeks before considering a return.
  • Temperature Regulation: There are some mixed reviews regarding temperature control; some users mention that the mattress does a good job at staying cool, while a few others still experience heat retention. This is most likley due to the memory foam featured in the mattress. If you’re a particularly hot sleeper, you may want to look elsewhere.
  • Ease of Setup: The mattress is easy to unbox and set up, and it quickly expands to its full size. Customers appreciate the ease of installation.
  • Customer Service: Bear’s customer service is frequently praised for being responsive and helpful, enhancing the overall buying and service experience.

Most Comfortable

Luxury Firm WinkBed

9.0 /10

Test Lab Score

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The Luxury Firm WinkBed is carefully constructed with zoned foams and coils to provide the perfect blend of cushioning and support. This bed also delivers on all the typical hybrid strong points, including edge support and temperature neutrality. It’s compatible with an adjustable frame, so you can raise the head of your bed and reduce acid reflux after large meals.

Credit: Sleep Foundation Test Lab

Price

$1,499

Mattress Type

Innerspring

Firmness Options

Medium Firm (6)

Trial Period

120 nights (30 night requirement)

Full Details

Who It’s Best For

This model of the WinkBed provides standout pressure relief for side sleepers in all weight categories. It also performs well for back sleepers, and it even delivers decent support for short stints of stomach sleeping.

Feel

The Luxury Firm WinkBed has a medium firm (6) feel. Though the top layers are quite plush, the coils add responsiveness so you can easily change positions.

What It’s Made Of

The WinkBed has a Tencel cover and a Euro-top with two layers of quilted gel foam. Below this, a targeted lumbar support pad and 2 more inches of polyfoam round out the comfort system. The support core features zoned coils with a reinforced perimeter.

What We Don’t Like

The WinkBed has a thick comfort system, but it does still contain coils in the bottom layer. If you sleep with a partner, you may notice some disruption when they switch positions or get in and out of bed.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

9.5/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Stomach Sleepers

Under 130 lbs

6/10

130-230 lbs

7.5/10

Above 230 lbs

6/10

We performed a meta-analysis on 8573 validated customer reviews of the Winkbed. This is what people who bought the mattress had to say:

  • Quality of Materials: The mattress is frequently described as well-made, with durable materials that contribute to a good night’s sleep.
  • Cooling Features: Some reviewers mention that the mattress does a good job of regulating temperature, providing a cooler sleep experience.
  • Edge Support: While generally satisfied with the support, a few reviewers note that edge support could be better.
  • Comfort and Support: Many reviewers praise the mattress for its comfort and support, often mentioning relief from back pain and improved sleep quality.
  • Firmness Options: Customers appreciate the variety of firmness options available, finding the right balance for their personal preferences.
  • Value for Money: Many users feel the mattress is worth the investment, offering good value for the quality and comfort provided.
  • Made in the USA: Buyers are pleased that the mattresses are made in the USA, supporting domestic manufacturing.

Best for Side Sleepers

Saatva Memory Foam Hybrid

8.5 /10

Test Lab Score

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The Saatva Memory Foam Hybrid hits the happy medium between a memory foam and an innerspring bed. It ranks well on typical memory foam metrics like motion isolation and pressure relief, but it also does a fantastic job at providing edge support, temperature control, and bounce thanks to the coils. The memory foam “hug” makes it perfect for side sleeping.

Best Mattress for Acid Reflux - Best for Side Sleepers - Saatva Memory Foam Hybrid

Price

$1,845

Mattress Type

Hybrid

Firmness Options

Medium Firm (6)

Trial Period

365 Nights ($99 Return Fee)

Full Details

Who It’s Best For

High-density memory foam cradles your hips and shoulders so you can roll comfortably onto your side when heartburn flares up. The dense foams and hybrid construction of the Saatva Memory Foam Mattress also lend themselves well to back and stomach sleeping for individuals weighing at least 130 pounds.

Feel

Our testers ranked the Saatva Memory Foam Hybrid as medium firm (6). The memory foam is denser than average, which is good for durability and also means you’re unlikely to sink uncomfortably onto the coils.

What It’s Made Of

The Saatva Memory Foam Hybrid has a padded organic cotton cover with an additional lumbar pad. A 1.5-inch layer of high-density memory foam eases pressure points at the hips and shoulders. This layer has cutout channels on the bottom to improve airflow. The support core is made with pocketed coils and a polyfoam encasement.

What We Don’t Like

Sleepers under 130 pounds don’t exert as much pressure on a mattress, and they may find that this bed feels subjectively too firm. Saatva charges a $99 return fee if you end up deciding the mattress isn’t for you.

Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

7/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

7/10

130-230 lbs

7.5/10

Above 230 lbs

7/10

Best for Adjustable Beds

Layla Memory Foam Mattress

8.1 /10

Test Lab Score

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The Layla Memory Foam Mattress is a bendy model that pairs well with an adjustable bed, which many people find helpful for relieving acid reflux symptoms. This flippable mattress has a different firmness on either side, giving you total flexibility to choose the feel that works best for you.

Credit: Sleep Foundation Test Lab

Price

$949

Mattress Type

Foam

Firmness Options

Medium Soft (4), Firm (7)

Trial Period

120 nights (4 week minimum)

Full Details

Who It’s Best For

The soft side of the Layla works well for side sleepers and people under 130 pounds. The firmer side provides more support for back and stomach sleepers.

Feel

One side of the Layla Memory Foam Mattress feels medium soft (4), with the characteristic “hug” feeling of memory foam. If you don’t like sinking into your mattress, choose the firm (7) side, which has just a touch of pressure relief before you hit the more solid core.

What It’s Made Of

The firm side of the Layla contains a single layer of copper gel memory foam. The bed’s soft side features copper gel memory foam and a second layer of polyfoam with zoned cutouts, which help with targeted pressure relief as well as airflow. Both sides share a solid polyfoam core.

What We Don’t Like

Since it doesn’t have a full support core, the Layla may compress and feel unstable around its perimeter. Also, the soft side may inhibit movement due to its very close-conforming feel.

Scoring & Reviews

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

7.5/10

130-230 lbs

9/10

Above 230 lbs

7.5/10

Back Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

7/10

Stomach Sleepers

Under 130 lbs

5.5/10

130-230 lbs

7/10

Above 230 lbs

5.5/10

We performed a meta-analysis on 7558 validated customer reviews of the Layla Memory Foam Mattress. This is what people who bought the mattress had to say:

  • Dual Firmness Options: The Layla Memory Foam Mattress offers both soft and firm sides, allowing users to choose according to their comfort preferences, which is highly appreciated for accommodating different sleeping styles.
  • Comfort and Support: Many reviewers have noted the mattress provides exceptional comfort, helping alleviate back pain and improving overall sleep quality. The soft side is often described as cloud-like, while the firm side offers adequate support without being too hard.
  • Quality and Durability: Users report that the mattress maintains its shape and comfort over time, with no significant sagging or indentations, even after several years of use, indicating good durability.
  • Temperature Regulation: The mattress is generally reviewed as doing a good job of regulating temperature, preventing overheating during sleep, which is a common issue with many memory foam mattresses.
  • Ease of Setup: Customers appreciate the ease with which the mattress can be set up. It is delivered in a box and expands quickly once unpacked, making it convenient for immediate use.
  • Customer Service: Layla’s customer service receives high praise for being responsive and helpful, aiding customers with issues ranging from delivery to product inquiries and returns.

Best Pressure Relief

Nest Bedding Owl

8.7 /10

Test Lab Score

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Latex hybrids aren’t normally known for their pressure relief, but the Nest Bedding Owl kicks it up a notch with cushioning foams just under the cover. This mattress also uses Talalay instead of Dunlop latex. Talalay is known for having a lighter, springier feel that helps ward off pressure buildup. The Owl is offered in three firmness options.

Best Mattress for Acid Reflux - Best Pressure Relief - Nest Bedding Owl

Price

$2,346

Mattress Type

Latex Hybrid

Firmness Options

Soft (3), Medium (5), Firm (7)

Trial Period

365 nights

Full Details

Who It’s Best For

The Owl is a good option for people who like the idea of natural latex but find it too firm on its own. The softer model caters to side sleepers, while the firmer models are better suited to back and stomach sleeping.

Feel

The Nest Bedding Owl has ample cushioning from the top foam layers, with the latex and coils adding a healthy dose of bounce. Our testers rated the three models as equivalent to a soft (3), medium (5), and firm (7) on our firmness scale.

What It’s Made Of

This mattress features a pillow-top design, with 2 inches of foam nestled inside the organic cotton and wool cover. Further pressure relief is provided by a 3-inch layer of Talalay latex, which has a naturally springy quality. A second layer of polyfoam acts as a transition to the pocketed coil support core with reinforced edges.

What We Don’t Like

Latex and coils are both quite bouncy, and may cause motion transfer that can disturb a sleeping partner. The Owl has a high price-point that may put it out of the range of some shoppers.

Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8/10

130-230 lbs

8.5/10

Above 230 lbs

6.5/10

Back Sleepers

Under 130 lbs

7.5/10

130-230 lbs

8/10

Above 230 lbs

6/10

Stomach Sleepers

Under 130 lbs

6.5/10

130-230 lbs

7/10

Above 230 lbs

5/10

Best Firmness Options

DLX Premier Hybrid

8.9 /10

Test Lab Score

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The DLX Premier Hybrid offers almost-total customization over your firmness level, with options for soft, medium, firm, or split versions in which each side of the bed has a different feel. All three firmness options provide decent pressure relief while limiting sinkage around the edges of the bed.

Best Mattress for Acid Reflux - Best Firmness Options - DLX Premier Hybrid

Price

$2,100

Mattress Type

Hybrid

Firmness Options

Medium Soft (4), Medium Firm (6), Firm (8)

Trial Period

120 nights (30-night requirement)

Full Details

Who It’s Best For

The DLX Premier Hybrid caters to a wide range of sleepers, including couples with differing firmness preferences. Broadly speaking, side and back sleepers under 230 pounds are most likely to sleep comfortably on this mattress.

Feel

Firmness options for the DLX Premier Hybrid include medium soft (4), medium firm (6), or firm (8), according to our scale. The bed has a classic hybrid feel, with pressure-relieving comfort layers bolstered by the coil support core.

What It’s Made Of

The DLX Premier Hybrid is quilted with viscose fiber batting and has two layers of contouring polyfoam. The firmness is determined by the next layer, a 3-inch foam layer that varies in feel between models. A polyfoam transitional layer and a pocketed coil core ensure steady spinal support.

What We Don’t Like

The split firmness option is available in queen and king sizes, but not in full size. The mattress’ 14-inch profile may be too thick for regular fitted sheets.

Scoring Breakdown

The following ratings show how suitable this mattress is for different sleeping positions and sleeper weights. These scores are determined by how well the mattress supports and relieves pressure for each sleeper type.

Side Sleepers

Under 130 lbs

8.5/10

130-230 lbs

9/10

Above 230 lbs

8/10

Back Sleepers

Under 130 lbs

8/10

130-230 lbs

8.5/10

Above 230 lbs

9/10

Stomach Sleepers

Under 130 lbs

7/10

130-230 lbs

8.5/10

Above 230 lbs

8/10

Best Overall

Brooklyn Bedding Signature Hybrid

8.4 /10

Test Lab Score

30% off sitewide with code: BFRIDAY30

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A top all-round hybrid mattress ideal for sleepers with acid reflux.

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Best Value

Bear Original

7.7 /10

Test Lab Score

35% off + free pillows with code: SF35

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An affordable memory foam mattress that facilitates side sleeping.

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Most Comfortable

Luxury Firm WinkBed

9.0 /10

Test Lab Score

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A thoughtfully designed hybrid with multi-layered quilting and zoned pressure relief.

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Best for Side Sleepers

Saatva Memory Foam Hybrid

8.5 /10

Test Lab Score

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An intricately crafted memory foam hybrid that invites you to sleep on your side to relieve acid reflux symptoms.

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Best Mattress for Acid Reflux - Best for Side Sleepers - Saatva Memory Foam Hybrid

Best for Adjustable Beds

Layla Memory Foam Mattress

8.1 /10

Test Lab Score

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A flexible and flippable memory foam bed that pairs perfectly with an adjustable bed frame.

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Best Pressure Relief

Nest Bedding Owl

8.7 /10

Test Lab Score

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Natural Talalay latex complemented by pressure-relieving foams is a winning formula for people with acid reflux.

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Best Mattress for Acid Reflux - Best Pressure Relief - Nest Bedding Owl

Best Firmness Options

DLX Premier Hybrid

8.9 /10

Test Lab Score

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Personalizable firmness for you and your sleeping partner to ensure everyone sleeps comfortably.

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Best Mattress for Acid Reflux - Best Firmness Options - DLX Premier Hybrid

Dive Deeper – In-Depth Mattress Guides

For more help deciding which mattress is right for you, take a look at our detailed shopping guides broken down by mattresses for particular uses.

How to Choose a Mattress for Acid Reflux

With so many models on the market today, choosing the best mattress for acid reflux can be a daunting task. This section explores some of the most important features to consider when you’re shopping for a mattress to help with acid reflux. Read on to learn how variables like firmness level, contouring, and pressure relief play a part in nighttime reflux relief.

What to Look for in a Mattress

While some mattress companies rely on gimmicks or deceptive language to drum up business, it’s easy to cut through the hype by focusing on a few key factors. By prioritizing the following aspects in a mattress, you’re more likely to purchase a quality product that meets your needs.

  • Price: While a good mattress typically represents a significant financial investment, nearly everyone must stick to a certain budget or spending limit. Keep in mind, the most expensive mattress isn’t always the best, and it is possible to find a cheap mattress that provides excellent results. The free shipping offered by several online retailers who ship their mattress in a box will help keeps overall costs down as well.
  • Quality Materials: Nobody wants to replace their mattress only a year or two after buying it. Mattresses made with quality materials are more durable, perform better, and are less likely to need replacement before their warranty is up.
  • Firmness Level: Firmness is one of the most important features to consider while mattress shopping. Although preferences vary considerably between individuals, certain body types tend to benefit more from certain firmness levels. Firmer mattresses generally offer more support, while softer models provide greater contouring.
  • Pressure Relief: Firm, supportive mattresses usually offer the most pressure relief. The best mattress for back pain and acid reflux promotes better spinal alignment and provides targeted support at the hips and shoulders.
  • Edge Support: Mattresses with a reinforced perimeter offer greater edge support and a larger usable sleep area. Strong edge support also prevents sleepers from rolling off the edge of the bed.
  • Contouring: This term refers to a mattress’ body-conforming properties. The right amount of contouring cradles pressure points while preventing the sleeper from sinking into the mattress’ support layer. Generally, all-foam mattresses offer more contouring than hybrid or innerspring models.
  • Temperature Regulation: Individuals who tend to sleep hot often prioritize temperature regulation, seeking out mattresses like hybrid models, which provide greater breathability than all-foam versions. Many mattresses also use special fabrics and fillers, such as copper or gel, to create a cooler sleep surface.
  • Ease of Movement: This factor is especially important for couples, and for individuals seeking a mattress to use with an adjustable bed frame. Mattresses with more bounce typically allow for greater ease of movement, while sleepers tend to sink into contouring foam surfaces. In contrast, coil-based models provide more bounce.
  • Mattress Type: Most mattresses fall into one of several categories, which are based on construction, materials, and function. Each mattress type comes with certain benefits and drawbacks, which we shall explore further below.

What Type of Mattress is Best for Preventing Acid Reflux?

Most mattresses currently on the market fall into one of the following categories. While mattresses within each category tend to display many of the same features, it’s important to remember that no two models or brands are alike. Every mattress includes slightly different materials, construction, and features. Let’s see what each type of mattress has to offer.

Hybrid

Definition: Hybrid mattresses combine the best features of innerspring and all-foam mattresses and features fewer of the drawbacks of each type. They consist of a pocketed coil-based support core topped by a multilayered comfort system. The comfort system may feature latex, memory foam, or a combination of the two.

Highlight: Ideal for side sleepers, hybrids typically offer more contouring and pressure point relief than innerspring models while providing more support than the average all-foam mattress. They also tend to sleep cool, thanks to a pocketed coil system that absorbs and disperses body heat.

Innerspring

Definition: Once the most common type of mattress on the market, innersprings feature a coil-based core and a fabric cover, with little or no comfort or transitional system. They are often more difficult to ship than other types. With more comfortable options available today, very few companies continue to produce innerspring mattresses.

Highlight: When available, innersprings tend to be among the least expensive options.

Latex

Definition: These models are made entirely from natural or synthetic latex rubber, or a mixture of the two. Natural latex is derived from rubber tree sap and processed using either the Talalay or Dunlap methods. Talalay latex typically creates a lighter and softer mattress, while Dunlap latex tends to be firmer and more durable.

Highlight: Latex’s moderate contouring cushions side sleepers’ pressure points without too much give or sink.

Airbed

Definition: Instead of coils, latex, or foam, an airbed’s support core consists of multiple air-filled chambers, which may be filled or deflated to the sleeper’s liking with a built-in pump. The pump is often controlled by a smartphone app or remote control. These fully adjustable mattresses may also contain materials like foam or latex.

Highlight: Airbeds allow users to customize their sleep experience, targeting key areas for acid reflux sufferers like the upper body. Sleepers can adjust the mattress to suit ever-changing preferences and pain levels without disturbing their partner.

Foam

Definition: These mattresses feature multiple layers and types of foam, such as memory foam and gel-infused foam. Instead of pocketed coils, they rely on a strong polyfoam core for support.

Highlight: Memory foam offers deep contouring and soothing pressure relief, making all-foam models great for side sleepers. While these mattresses tend to offer less support than hybrid or innerspring models, their flexibility makes them ideal for use with adjustable bed frames.

How Does Acid Reflux Affect Sleep?

Also known as GERD, acid reflux is a chronic condition that can have a dramatic impact on sleep quality. The condition may also lead to disorders such as sleep apnea, restless legs syndrome, and chronic insomnia. When patients with acid reflux sleep or lie down, stomach acid flows up into the esophagus, causing heartburn, regurgitation, and coughing fits. Over time, untreated reflux may increase the risk of developing ulcers, long-term complications, and even certain cancers.

While a variety of over-the-counter and prescription medications exist to treat acid reflux, most sufferers find that they need to make lifestyle changes to find relief from their condition. Because symptoms often worsen at night, many individuals with acid reflux must learn to sleep in a different position. Often, they must also purchase a new mattress and/or bed frame specifically designed to help alleviate their symptoms.

Back and stomach sleeping may aggravate reflux, and doctors often recommend that individuals with GERD sleep on their sides. In addition, sufferers often benefit from sleeping with their heads slightly elevated, or about six inches. This prevents stomach acid from flowing back up the esophagus. For this reason, GERD patients often use adjustable bed frames, which allow sleepers to switch between prone and upright positions. Adjustable beds may also help with related issues, like snoring and sleep apnea.

With or without an adjustable base, the wrong mattress type or model can make acid reflux worse in the long run or lead to other complications. For example, an overly firm mattress may cause back pain in side sleepers, especially those under 130 pounds, while deep contouring all-foam models might not support heavier sleepers enough to prevent reflux. In addition, some thicker or denser mattresses may not work well with adjustable beds.

How Does Sleeping Position Affect Acid Reflux?

Your sleeping position can relieve or worsen acid reflux symptoms, snoring, and back pain. Generally, people with GERD and acid reflux are encouraged to sleep on their left sides. Wondering why? Keep reading to find out how sleeping position can affect acid reflux and trigger other types of pain.

Back Sleepers

Back sleeping is generally the worst position for individuals with acid reflux and GERD, and sufferers who sleep on their backs tend to struggle with worse and more prolonged symptoms. Sleeping on one’s back allows acid to freely move up from the stomach and into the esophagus, where it can linger for extended periods of time, damaging the esophageal lining. The position is particularly dangerous for individuals with excess abdominal fat, as the additional weight on the stomach may push acid up the esophagus with stronger force.

Side Sleepers

While side sleeping can be hard on the hips and shoulders, it’s also the best position for acid reflux and spinal alignment. Exactly which side you sleep on, however, can make a big difference in symptom reduction.

Experts usually suggest that sufferers sleep on their left side, which positions the stomach directly below the esophagus and makes it more difficult for acid to flow upward. Thanks to gravity, any stomach acid that does enter the esophagus can quickly flow backward without causing any lasting damage.

In contrast, lying on the right side places the stomach at an angle, allowing the stomach to leak acid directly into the esophagus. In this position, leaked acid tends to linger in the throat for extended periods of time, worsening symptoms and potentially leading to complications.

Stomach Sleepers

Like back sleeping, stomach sleeping creates prime conditions for severe GERD and acid reflux. The position permits acid to flow freely up the esophagus, without the aid of gravity to force it back down. In this position, stomach acid lingers in the food pipe much longer than usual, exacerbating symptoms.

Many stomach sleepers also struggle with back pain. Sleeping on the stomach places most weight on the center of the body, causing pressure to build along the spine, neck, and lower back. This pressure, in turn, can lead to tingling or numbness in the extremities and other parts of the body. Over time, stomach sleeping may also cause neck pain, or even herniated discs.

Combination Sleepers

As we’ve seen, some sleeping positions combat acid reflux better than others. While most experts would advise against sufferers sleeping on their stomachs or backs, there are some benefits to changing positions frequently throughout the night. Because they rarely allow pressure to build up at one point or another, combination sleepers often avoid some of the musculoskeletal issues associated with stomach or back sleeping, like back and neck pain. Changing positions may also improve circulation issues.

Last Things to Consider with a Mattress for Acid Reflux

Ready to go mattress shopping? Here are just a few more things to consider before you make a final purchase.

How Can I Get Relief On a Budget?

The best mattress for acid reflux pain isn’t always the most expensive one. If you’re on a tight budget, prioritizing reflux-relieving mattress features can help narrow down your choices. For example, you may want to develop a list of mattresses for side sleepers, or adjustable models, and explore the least expensive options in each category. Your insurance provider may also cover part or all of the cost.

How Does Body Type Affect Mattress Selection?

Different body types benefit from different types of mattresses and firmness levels. While most people with acid reflux are told to sleep on their sides, heavier side sleepers may still need a firmer mattress than side sleepers under 130 pounds. Typically, larger individuals need extra support at the shoulders and hips, while lightweight side sleepers often prefer soft, contouring sleep surfaces like all-foam mattresses, which cradle pressure points.

How Much of an Investment Do I Need to Make?

A queen mattress typically costs $1,000 or more. However, the best mattress for acid reflux is an investment that can save you plenty of money — and sleepless nights — in the years to come. The right mattress can reduce reflux, snoring, and reliance on antacids, leaving you feeling better in the long run and potentially cutting back on costly visits to the doctor.

Do Mattresses Come with Warranties?

Before you make your final purchase, be sure to review the mattress’ warranty, sleep trial information, and return policy. Many companies offer a sleep trial that begins after a certain initial break-in period, and most offer some kind of warranty. However, warranties are often contingent on the type of foundation the mattress is used with. If you plan to use your new mattress with an adjustable bed, be sure that this type of use is covered in the warranty.

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