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Not the head, the entire torso. Just elevating the head doesn't elevate the esophagus and won't help with the GERD (you'll also get a neck ache).

Basically, what helps is gravity, in a couple of different ways. First, with the esophagus elevated, the stomach acid doesn't stay in the esophagus for as long and can't do the same amount of damage and it's also less likely to come up in the first place. Second, the entire liquid mass of the abdomen isn't pressing on the stomach as much. This is especially true for pregnant women, many of whom have chronic heartburn during the 2nd and 3rd trimester. And last, there is a potential connection between GERD and sleep disordered breathing and while this may not have a causal relationship (they may both be due to a third or multiple issues, e.g., obesity), there is some speculation that one may cause the other. Also, breathing better during sleep has huge potential health benefits, so there's no downside even if it isn't related. Most specialists recommend at least 6"- 8" of elevation to have a positive effect although I tend to think that any amount that could be tolerated (if 6"-8" can't) would be a good idea. It's also possible to build up the elevation over time so that the sleeper can adapt ergonomically.

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Q: Why is elevation of the head recommended for gastroesophageal reflux?
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