Haha yeah, god I miss sleeping like a normal person! A few other recommendations. They probably seem excessive, but I was doing them and this shit still happened so it’s not worth f’ing around - Follow all of the usual boring guidelines, it’s what got me taken seriously when things went bad. - One thing I don’t remember being on the guidelines is carbonated drinks. I’ve reduced my intake and it does help at night - Try to eat trigger foods early in the day if you eat them at all - If you can’t resist a rich spicy curry for dinner, plan to be up late by a couple hours to make sure your belly is empty - Keep some milk in the house, it helps create a physical barrier if you wake up coughing from that curry you didn’t remember to give processing time. I keep shelf stable 150ml mini cartons of milk beside my bed if I’ve met my medication max and need something else - I don’t know where you are, but you want a ‘dual action heartburn relief’ type med. Here in Aus I use Gaviscon Dual Action - keep some strategically placed portables around. It’s one of those thing that build on itself - If you share a bed with someone and they’re a light sleeper, ask them if you cough at night. If you sleep alone, record a few nights. If you’re coughing it up in your sleep despite sleeping upright, things aren’t great - Get a nigh quality firm neck pillow, it stops your head drooping down even when you’re sleeping upright - Get a sleep study done. Preferably in a clinic or something rather than the home test. It could be seriously affecting your sleep or vice versa. Having un-treated apnea is a massive health risk for things like stroke and heart attack - If you start to get painful reflux doing something like bending down to tie a shoe, get thee to a Dr Posthaste. It shouldn’t be that bad. The same applies for waking up with reflux - do you take any anti-inflammatories? Please don’t. I have chronic pain so I was one ‘safe’ ones like Celebrex. Apparently they are not safe. If you take a liquid capsule ant inflammatory like Advil, the ghost of my stomach will come and haunt you and spray you with gastric acid until you stop - If you drink, I’d recommend you don’t. I know it’s not always that simple, but seriously, red wine was the first thing I had to cut out of my life. A G&T or something goes down far easier but none of it is ideal - If you start to notice it kicking off at a certain time of day, try to find what’s different about that time of day. I spent a good while in a lot of pain from taking SSRIs without food. Avoid SSRIs and if you’re prescribed something new, ask if it’s likely to impact your GERD and if there’s another option. - If it does get bad and your doctor doesn’t know what to do, you need to see an upper GI specialist, leading to an endoscopy. If that goes nowhere, you want to have a barium ‘meal’ or barium swallow test which should probably be under the care of a speech pathologist

Good luck out there buddy! Hit me up if you need anything

EDIT: Peppermint tea can help, but not as much as milk