What intervention is recommended for a patient with GERD who experiences symptoms at night?

For a patient with gastroesophageal reflux disease (GERD) experiencing nighttime symptoms, raising the head of the bed is a highly recommended intervention. This method utilizes gravity to help prevent the backflow of stomach contents into the esophagus during sleep. By elevating the head, typically by 6 to 8 inches, the angle of the esophagus is altered, which decreases the likelihood of reflux and can significantly alleviate nighttime symptoms such as heartburn or regurgitation.

This intervention is particularly effective because many patients experience exacerbation of GERD symptoms when lying flat, as this position can facilitate the escape of gastric fluids into the esophagus. Elevating the head of the bed can lead to improved comfort and reduced incidence of nighttime reflux-related complications, such as aspiration or disrupted sleep patterns.

While other interventions like dietary modifications and medication can be important components of overall GERD management, addressing nighttime symptoms specifically with positional changes often proves to be an immediate and practical solution.