Stomach acid—with a pH that’s lower than vinegar—that regurgitates into the esophagus and mouth can dissolve tooth enamel and create erosive lesions near the back of the mouth. While many people with GERD recognize it by the uncomfortable heartburn symptoms, some patients only experience GERD while they sleep and may not know they have it.
“It’s common for patients to say they’re having trouble sleeping and not know why they’re waking in the middle of the night,” says Dr. Meinecke. She advises patients with GERD symptoms to consider proton-pump inhibitors like Nexium and Prevacid, which reduce acid production.
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