17 Gastro Gaffes: When Ignoring GERD Gets Gravely Gutsy

11. Sleep Disturbances

GERD can significantly interfere with sleep quality. Acid reflux episodes tend to worsen when lying flat, as gravity no longer helps keep stomach contents down. This can lead to nighttime coughing, sore throat, chest discomfort, or a choking sensation that disrupts rest. Chronic sleep fragmentation may cause daytime fatigue, irritability, and reduced cognitive performance. Elevating the head of the bed, avoiding late meals, and taking prescribed antacids or PPIs before bedtime can reduce nocturnal symptoms and improve sleep continuity.

12. Vocal Cord Nodules

Chronic acid exposure from GERD can irritate and inflame the vocal cords, leading to the development of vocal cord nodules—small, benign growths that impair voice function. These nodules make the voice sound hoarse, raspy, or strained. Individuals who frequently use their voice, such as teachers or singers, may be especially vulnerable. GERD treatment is essential to reduce vocal irritation, and voice therapy may be recommended to retrain vocal habits. In rare cases, surgery may be necessary to remove persistent nodules.