Acid Reflux: Why it's Worse at Night

What's the Root Cause? by Dr Vikki Petersen · Jun 15, 2026 · 12m

If your acid reflux is worst at night - waking up with acid coming up, chest pressure, throat burning, or palpitations - you are not imagining it.

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Nighttime is mechanically the hardest time for a sliding hiatal hernia, and most patients have never had anyone explain why

In this video I'm walking you through exactly why your hiatal hernia behaves differently at night - and for each reason, a practical tip you can…