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Bedding and sleep conditions are critical for those living with acid reflux. Most experts advise people with GERD to sleep on their sides; sleeping on the back can aggravate symptoms and lead to more reflux, while stomach sleeping often causes inordinate neck and back pain.
As a result, most people with acid reflux find that mattresses designed to support side sleepers are the best option. These mattresses cushion the shoulders, hips, and other areas of the body in order to align the spine with the pelvis and minimize pressure points.
Read on to learn more sleep tips and mattress recommendations for people with acid reflux, including our picks for the best mattresses for acid reflux sold today. Our choices are based on verified customer and owner experiences, as well as intensive product research and analysis.
Hop down to our Buyer’s Guide for a crash course on finding the best mattress for acid reflux.
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Best for Lightweight Sleepers
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Best for Average Weight Sleepers
Loom and Leaf
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Best for Heavyweight Sleepers
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Our Editor’s Pick is the Avocado Green, an eco-friendly latex hybrid mattress that provides excellent support for people with acid reflux and other side sleepers. The Avocado Green is available in two firmness options, ‘Medium’ (5.5 on the 1-10 firmness scale) and ‘Medium Firm’ (6.5). This selection accommodates most sleepers of average weight (130 to 230 pounds) or heavier.
The mattress features comfort layers of 100% organic, GOTS certified wool and natural, GOLS certified Dunlop latex, which conform closely to the sleeper’s body without absorbing too much body heat or feeling excessively hot.
The Avocado Green is also constructed with a transitional natural latex layer and a support core made of pocketed coils, which provide great reinforcement and help maintain an even sleep surface. Additionally, the mattress isolates motion transfer very well and produces minimal noise, making it a good option for couples.
Avocado ships mattresses anywhere in the U.S. free of charge. Customers may also choose White Glove delivery – which includes in-home mattress assembly and old mattress removal – for an additional charge. The Avocado Green is backed by a 365-night sleep trial and a 25-year warranty.
The Avocado Green is a high-quality mattress that provides premium support for sleepers suffering from any physical condition, including acid reflux. The bed’s latex hybrid construction provides good contouring and supports healthy spinal alignment for any sleep position, helping to reduce or alleviate GERD symptoms.
Although preferences vary by weight, most side sleepers prefer mattresses that are ‘Medium Firm.’ This setting offers a balance of pressure-relieving softness and bodily support needed for this sleep position.
The Nectar mattress offers a ‘Medium Firm’ (6) surface that is suitable for the majority of side sleepers, including those with conditions like acid reflux that often require exclusive side sleeping. The bed also isolates motion and is virtually silent when bearing weight.
The Nectar mattress is designed with layers of gel memory foam and standard memory foam in the comfort system, as well as two layers of high-density polyfoam in the support core. This four-tier design provides excellent cushioning and pressure relief while ensuring the sleep surface remains even and supportive. The Nectar’s cover is made from cotton and lyocell, which are cooler and more breathable than fabrics like polyester.
The Nectar’s below-average price-point, despite its quality construction, makes it our Best Value Mattress for Acid Reflux. Customers anywhere in the contiguous U.S. qualify for free shipping when they order a Nectar mattress, which is backed by a 365-night sleep trial – much longer than average – and a 10-year warranty.
The Nectar’s accommodating feel makes it popular among a variety of sleepers, but it’s especially supportive for side sleepers, which makes it a great choice for anyone suffering from acid reflux. With a low price-point and generous 365-night sleep trial, it’s a clear top value pick.
The EcoCloud Mattress from WinkBeds is a 13-inch latex hybrid bed that comes in a popular ‘Medium’ firmness setting. The bed is made from premium materials, offers high breathability and durability, and comes in an optimal firmness setting for side sleepers and those with acid reflux.
The mattress is designed with comfort layers of organic wool and natural Talalay latex, as well as a tencel and wool cover. These breathable materials sleep very cool, while the latex offers close conforming and great pressure relief. The support core, made from individually pocketed coils, helps the bed maintain a comfortable sleep surface.
Latex is also highly durable, giving the EcoCloud mattress a longer expected lifespan. Other key strengths of EcoCloud mattress include good motion isolation and edge support. EcoCloud mattresses have above-average price-points compared to other mattresses, and are a good pick for shoppers with bigger budgets.
WinkBeds offers a 120-night sleep trial as well as free shipping or white glove delivery for a small fee. All WinkBeds mattresses are also backed by a lifetime warranty, which is much longer than the average mattress warranty.
The EcoCloud Mattress has much to offer sleepers with acid reflux. The bed’s ‘Medium’ feel and latex hybrid construction provide excellent support for the side sleeping position. It sleeps very cool, lasts significantly longer than the average mattress, and is backed with a lifetime warranty.
The Helix Moonlight is part of the innovative hybrid series unveiled by Helix Sleep. Like other models in the collection, the Moonlight is constructed with a comfort layer of soft polyfoam, a foam transitional layer, and a pocketed coil support core reinforced with a high-density foam base.
The mattress is considered ‘Soft’ (3.5), making it ideal for people with acid reflux who weigh less than 130 pounds, along with other side sleepers in this weight group.
The Helix Moonlight’s thick foam support layers provide strong reinforcement throughout the entire bed, which prevents the sleep surface from sagging excessively and minimizes sinkage along the edges. The mattress also circulates air well through the coil layer, which helps keep the bed fairly cool throughout the night. Other benefits include better-than-average motion isolation and minimal noise when bearing weight.
The Helix Moonlight qualifies for free standard delivery anywhere in the U.S. The mattress is also backed by a 100-night sleep trial and a lifetime warranty.
The Helix Moonlight comes in one of the softest firmness settings you’ll find today, making it an ideal mattress option for lightweight sleepers, especially those who sleep on their side or suffer from acid reflux.
Because most people with acid reflux must continually sleep on their side, a mattress that will provide proper support and spinal alignment is important. The Loom & Leaf by Saatva is a great pick for sleepers weighing 130 to 230 pounds due in part to its firmness selection. The mattress is available in ‘Medium’ (5.5) and ‘Firm’ (8) options, which should accommodate nearly all side sleepers weighing 130 pounds or more.
The Loom & Leaf also conforms closely with comfort layers of gel memory foam and standard memory foam. As a result, the bed will alleviate pain and pressure to a significant extent.
Unlike many all-foam beds, the Loom & Leaf absorbs minimal body heat and sleeps fairly cool; this is largely due to its organic-cotton cover. The mattress also minimizes motion transfer very well and is virtually silent when bearing weight.
Like other mattresses from Saatva, the Loom & Leaf qualifies for free White Glove delivery anywhere in the contiguous U.S.; most competitors will charge customers an additional fee of at least $100 for this service. The mattress is backed by a 120-night sleep trial and a 15-year warranty, as well.
The Loom & Leaf offers a true ‘Medium’ feel that’s perfect for average weight sleepers, with an all-foam construction that’s especially comfortable for side sleeping — making it easier for those with acid reflux to maintain this sleep position throughout the night.
Unveiled in 2018, the Purple Hybrid – like the Purple Mattress – is constructed with the unique ‘Smart Grid’ comfort system that consists of buckling-column gel dispersed throughout an elastic polymer grid. This layer hugs the body closely to align the spine and alleviate pressure points in sleepers, much like memory foam, but the polymers do not deteriorate as quickly and the Purple Hybrid’s expected lifespan is much longer than most all-foam beds.
The Purple Hybrid also sleeps exceptionally cool. This is due to good airflow through the ‘Smart Grid’ and the pocketed coil support core. The mattress comes in an 11-inch profile and a ‘Medium Firm’ (6.5) firmness setting, providing just enough “give” to relieve pressure points without compromising support for heavyweight individuals who sleep on their side.
The Purple Hybrid carries a higher-than-average cost, making the Purple Hybrid a good pick for shoppers with bigger budgets. Purple will ship this mattress anywhere in the contiguous U.S. at no extra cost. The Purple Hybrid is backed by a 100-night sleep trial and a 10-year warranty.
With its proprietary ‘Smart Grid’ comfort system, the Purple Hybrid cradles the sleeper’s body and relieves pressure, without breaking down as quickly as other all-foam beds. This enhanced durability, along with its ‘Medium Firm’ feel, make it a top mattress pick for heavier sleepers with acid reflux.
Acid reflux is the primary symptom of gastroesophageal reflux disease (GERD), a condition that affects roughly 20 percent of the U.S. population.
Acid reflux occurs when stomach acid enters the esophagus, which connects the mouth to the stomach. This backwash can seriously damage stomach lining and may lead to severe discomfort — particularly after evening meals. As a result, people who regularly experience acid reflux often have a hard time falling and staying asleep.
Sleep experts have noted that people who sleep flat on their backs with minimal head support are most susceptible to acid reflux during the night. One potential solution to this issue is an adjustable bed base that allows the sleeper to elevate their head. However, it’s important to note that some mattresses are better suited for adjustable beds than others.
This guide will explore the best mattress choices for sleepers with acid reflux who use an adjustable bed. Below you’ll find some general information about the causes and symptoms of acid reflux, tips for first-time mattress buyers, and sleep strategies for sleepers who experience GERD on a regular basis.
According to the Mayo Clinic, frequent acid reflux often leads to GERD. The root cause of most acid reflux cases is a weakened esophageal sphincter, the ring of soft muscle that relaxes when you eat and drink, and then closes when you finish. Weak esophageal sphincters can allow stomach acid to flow into the esophagus, which can lead to the following symptoms:
People who experience acid reflux should consider seeing a physician if their GERD episodes become more severe and/or more frequent, or if they take heartburn medication more than twice per week. Over time, GERD and severe acid reflux can lead to the following complications:
Most people experience acid reflux occasionally. People with GERD typically report at least one or two reflux incidents per week, while those with mild to severe acid reflux usually experience one incident per week. Certain risk factors can lead to more frequent reflux, such as:
Next, let’s look at how acid reflux affects sleep — and effective measures people with acid reflux can take in order to get a good night’s sleep.
People with GERD or acid reflux often experience sleep disruption due to the following factors:
Additionally, GERD has been linked to sleep apnea, a condition characterized by temporary loss of breath while sleeping. The most common form of sleep apnea, obstructive sleep apnea (or OSA), occurs when a physical obstruction hinders air circulation in the breathing passages. Many people with OSA experience frequent heavy snoring, but the condition has been linked to more serious conditions such as cancer and chronic heart disease.
Numerous sleep studies have revealed that certain measures can effectively reduce the symptoms of acid reflux, as well as minimize snoring for people with OSA. These measures include elevating the head during sleep, sleeping on the left side, and avoiding certain foods before bedtime.
Stomach acid is more likely to flow into a sleeper’s esophagus when their head is flat or barely raised. By elevating the head at least six inches, via an adjustable bed or wedge pillow, gravity controls the backwash and reduces the amount of acid that enters the esophagus. Elevating the head can also cut down on snoring, since many people snore when their breathing muscles relax and the tongue partially blocks the airway.
Back sleepers are at higher risk for both acid reflux and snoring, while side sleeping is considered the best position for both conditions. Additionally, people with acid reflux are urged to sleep on their left side. Sleeping on one’s right side triggers more relaxation in the esophageal sphincter, and can worsen symptoms of acid reflux.
Because nocturnal heartburn often occurs after evening meals, sleepers with acid reflux are encouraged to avoid eating at least three hours before bedtime. Lighter meals with low amounts of fatty, salty foods and no alcohol or caffeine are often the best option.
For many people with acid reflux, adjustable beds make a world of difference. Adjustable beds allow sleepers to elevate the head of their bed, which (as we’ve discussed) can help prevent both snoring and acid reflux symptoms. Many adjustable beds can also be raised or lowered at the foot, which can aid sleepers with poor circulation.
Not all mattresses are compatible with adjustable beds. The mattress warranty will state whether the mattress can be used with an adjustable base. When shopping for a mattress for an adjustable bed, here are a few factors to take into account:
Adjustable beds can cause more wear and tear due to the constant motion. As a result, mattresses with longer-than-average lifespans — such as memory foam and latex models — tend to be more suitable for these beds than mattresses with typically shorter lifespans.
Thicker mattresses tend to be the least flexible, whereas lower-profile mattresses tend to offer the most flexibility. The general rule of thumb is that any mattress that measures 12 inches thick or less will be suitable for an adjustable bed.
Finding the right firmness is important for sleepers with acid reflux. Mattresses that are excessively firm or excessively soft may provide inadequate support and cause discomfort. Both of these issues can cause sleepers to shift positions during the night, which can leave them susceptible to more intense acid reflux symptoms.
The most popular firmness settings are ‘Medium’ to ‘Medium Firm,’ or a 5 to 6.5 on a 1-to-10 scale. Lighter individuals may prefer softer settings while heavier sleepers find more support from a firmer mattress.
Sleepers with acid reflux who are committed to a spring-based mattress should consider hybrid models, which have pocketed coils that offer better flexibility. Traditional innersprings with border wires or rods are generally incompatible with adjustable beds. Innersprings also have shorter-than-average lifespans.
Most mattresses sold today come with a sleep trial, which allows customers to test out their new mattress for a certain length of time (typically 90 nights or longer). If they are dissatisfied with the mattress before the trial expires, then they will be able to return their mattress for a full or partial refund.
Sleep trials can be a useful way to try out different mattress options before committing to a full purchase. Before purchasing a mattress, make sure using it on an adjustable base won’t void the warranty or sleep trial.
Today’s mattresses fall into five main categories: foam, hybrid, latex, innerspring, and airbed. Due to their construction, innerspring and airbed models are less compatible for use with an adjustable base. Innerspring beds are less flexible because of their innerspring support grid, while airbeds may run into functional issues if the adjustable base blocks airflow to any of the air chambers.
Foam, hybrid, and latex models, on the other hand, all perform well with adjustable bases. We review each of these mattress types below.
Foam mattresses are made entirely from foam, with higher-density polyfoam in the support layers and memory foam and polyfoam in the comfort layers. Memory foam mattresses are known for their pressure relief and body-hugging cradle. These beds offer high levels of conforming and often create the feeling of sleeping “in” as opposed to “on” the mattress.
This quality is ideal for side sleepers, as well as those with GERD who have trouble adjusting to the side sleeping position. The foam will conform closely to the sleeper’s body, encouraging healthy spinal alignment and helping them stay put in the side sleep position.
Additional benefits of foam mattresses include their superior levels of pressure relief and more affordable price-points. However, these beds do have a tendency to trap body heat, especially if they have softer firmness levels. Some mattresses, like our picks the Nectar and Loom & Leaf, infuse their memory foam with cooling gel to help neutralize the mattress temperature.
Hybrid mattresses get their name from their design. These beds feature thick comfort systems of memory foam, latex, and/or polyfoam, and use a coil-based system for support — effectively combining elements from both the foam and innerspring mattress types.
While they don’t conform quite as closely as an all-foam model, hybrid mattresses still offer good pressure relief and support for the side sleeping position. They also sleep much cooler than all-foam models, thanks to airflow throughout the pocketed coil layer. Some hybrid models will use gel-infused foams in their comfort system, like the Purple Hybrid, to further improve the bed’s temperature neutrality. With or without gel-infused foam, however, these beds can be a good option for hot sleepers who have acid reflux.
The key with choosing a hybrid mattress for an adjustable bed is finding a thinner model. Because these beds have both thick comfort systems and support layers, they tend to have larger profiles overall.
The term “latex mattress” describes a broad category including beds made entirely from organic or synthetic latex, beds made from a blend of both, and beds that feature a hybrid construction with a pocketed coil support layer and a latex-based comfort system.
Latex mattresses are extremely durable, boasting some of the longest lifespans of all the mattress types. This is particularly true for those made with higher amounts of natural latex. Latex-hybrids and latex models using organic latex will resist sagging and sleep cooler for a longer time, which makes them a good pick for value-seekers as well as heavier individuals who have acid reflux.
While any of these three mattress types have good motion isolation (memory foam is the best for light sleepers), latex beds offer the benefit of maintaining a certain level of responsiveness as well, so they may be favored among couples and those who use their mattress often for sex.
Here are a few key questions to ask when shopping for a new mattress to be used with an adjustable bed:
The average mattress costs more than $1,000 in a Queen-size. However, memory foam models are typically much cheaper than latex and hybrid mattresses.
Side sleeping can benefit people with acid reflux. Among all mattress types, side sleepers tend to feel most comfortable and supported on memory foam and latex mattresses.
Sleeper weight is closely tied to firmness preferences. People who are heavier than average (more than 230 pounds) tend to prefer firmer surfaces that don’t sink too deeply and provide even support. On the other hand, lighter-than-average sleepers (less than 130 pounds) often feel most comfortable on softer sleep surfaces that conform to their bodies.
Generally, the thinner the mattress, the more flexible and better suited for an adjustable bed it will be. Mattresses that measure 12 inches or thinner are considered the best option for adjustable beds, so sleepers with acid reflux that prefer thicker-than-average mattresses may need to compromise in order to find a workable mattress model.
Most adjustable beds are compatible with any flexible mattress that measures 12 inches thick or less. However, you should double-check the manual and contact the manufacturer if you are concerned the mattress you want is incompatible with the bed. Likewise, be sure to read the product warranty for any mattress you are interested in buying; some explicitly state that using the mattress with an adjustable bed will void the warranty.
All of our top mattress picks for acid reflux are compatible with adjustable bases. In fact, all of their manufacturers (with the exception of the Avocado Green) also sell their own adjustable bed. Many allow you to add this to your cart when purchasing your mattress to enjoy bundled savings.
It’s always recommended to carefully review the sleep trial and warranty terms before purchasing a new mattress. This is even more important if you plan on using the mattress with an adjustable bed, as many individuals with acid reflux do, as using a bed with the wrong base can void the warranty.
Most sleep trials last 90 nights or longer, which is a sufficient break-in period for determining if the mattress will work. All of our top mattresses for acid reflux offer sleep trials of at least 100 nights, with the Avocado Green and Nectar offering the longest, at 365 nights.
However, be sure to read the fine print — some brands charge expensive return fees and/or require customers to cover return shipping and handling costs, which can be fairly expensive. Others may require you to try out the mattress for a mandatory break-in period (usually 30 to 60 nights) before allowing you to return or exchange it under the sleep trial.
In some cases, customers will be able to exchange their mattress during the sleep trial, rather than returning it for a refund. Again, fine print is key. In some cases, the replacement mattress will not qualify for an additional sleep trial — and the purchaser will essentially need to commit to the replacement, even though it still might not be their best option.
Most mattress warranties span at least 10 years, and a large number extend beyond the 20-year mark. However, warranty length is not as important as the length of nonprorated coverage, during which time the owner can have a defective mattress repaired or replaced at little to no charge. Some warranties are entirely nonprorated, while others offer only one to two years of nonprorated coverage.
Mattresses used with adjustable beds are susceptible to more wear and tear than models used with standard frames or foundations. Wear and tear can lead to sagging or indentations in the sleep surface that cause discomfort and disrupt sleep; they can also lead to shifting positions during the night, which can aggravate acid reflux symptoms.
Most mattress warranties cover sagging and indentations that measure a certain depth, but this depth varies by brand. Keep in mind that sagging and indentations measuring one inch or deeper cause the most sleep disruption, but this depth falls below the coverable defects listed in some warranties.
If you’re not quite ready to invest in an adjustable bed, or only have mild acid reflux from time to time, you can try sleeping with a wedge pillow instead. These are longer than your average pillow, with a sloping shape that lets you sleep with your head and torso in an elevated position, alleviating reflux and snoring.
Wedge pillows are also heavier and wider than an average head pillow, in order to provide good support and prevent you from slipping down during the night. Wedge pillows offer different angles of inclination, ranging from 7 to 12 inches. Inclinations of up to 8 inches are better for sleeping, while steeper models may be used as backrests when reading or watching television in bed.
Wedge pillows are usually made from memory foam, so they provide good conforming for the side sleeping position. LIke mattresses, they’re available in different firmness settings, so you can choose the one that feels most comfortable for you.
View our top wedge pillow picks and learn more in our Guide to the Best Wedge Pillows.