Causes of heartburn at night

Lying down removes gravity’s help in keeping stomach contents below the oesophagus. A large or late meal, fatty food, alcohol, caffeine, smoking, or tight clothing may make reflux more noticeable. Acid Reflux is a common explanation, while a Hiatus Hernia can alter the position of the stomach and weaken the barrier to reflux.

Gastritis or a Peptic Ulcer may cause upper abdominal burning that is mistaken for heartburn. Obesity can increase pressure on the stomach. Burning chest discomfort can also overlap with heart or lung problems, so its location and associated symptoms matter.

Keep a brief diary of meals, medicines, posture, and symptoms. Try smaller evening meals, avoid lying down soon after eating, and identify personal triggers. Raising the upper body during sleep may help some people; use a stable arrangement rather than loose piles of pillows.

Ask a pharmacist or clinician about suitable treatment if symptoms recur. Acid Reflux Medication may be appropriate for some people, but ongoing symptoms, difficulty swallowing, vomiting, or unexplained weight loss need medical review rather than repeated self-treatment.

Seek emergency care for severe or squeezing chest pain, pain spreading to the arm, back, neck, or jaw, breathlessness, sweating, fainting, or sudden weakness. Arrange prompt medical review for black stools, vomiting blood, persistent vomiting, or food sticking when you swallow.

Ask whether your pattern fits reflux, whether medicines could irritate the stomach, how long to try treatment, and which symptoms should lead to an examination or further testing.