I get epigastric pain while sleeping or lying down. Why?

Q. I feel pain in the epigastrium part of my stomach. Is it an acid reflux?

Answered by
Dr. Erioli Braholli
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 16, 2017 and last reviewed on: Aug 21, 2023

Hello doctor,

I feel pain in the epigastrium part of my stomach mostly when I sleep or lay down. It happens only when I lay down at night or daytime.I have heartburn, constipation, gas, bloating in my stomach and I think it may be acid reflux. The interesting part is that all of this happens while lying down. I go to pee very frequently, and this frequent urination becomes worse at sleep time. If I stand up, all of this disappear.



Welcome to icliniq.com. Based on your description it looks like GERD (Gastroesophageal reflux disease). Yes, sometimes it becomes chronic, and it is a very unpleasant feeling. In chronic cases, there can be a potential issue of esophageal sphincter incompetence, resulting in acid reflux. Beginning with conservative measures involving antacids and dietary adjustments is the initial approach to treatment. I recommend using Pantoprazole in the morning and Maalox syrup after meals. It's crucial to consult a specialist doctor, engage in a discussion, and only take medication with their approval. It's advisable to abstain from consuming food before bedtime and to avoid items like caffeine, chocolate, spices, and carbonated beverages. Elevating your head using a pillow during sleep can also be helpful. I suggest considering an upper digestive tract endoscopy to pinpoint the cause of GERD, as well as any stomach or esophagus lesions. If conventional methods prove ineffective, surgical intervention, involving sphincter reinforcement, can be the ultimate treatment option.

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