Acid reflux, also known as heartburn, is not just a daytime nuisance-it can disrupt your nights, too. When acid from the stomach flows back into the esophagus, it creates a burning sensation that can make falling asleep challenging. For millions of Americans, nighttime acid reflux is a recurring issue that robs them of restorative sleep. The good news? With a few lifestyle changes and targeted strategies, you can manage acid reflux at night and improve your sleep quality. Nighttime acid reflux can disrupt your sleep and negatively affect your overall well-being.

Simply adjusting your meal timing, adopting a better sleeping position, avoiding trigger foods, and making healthy lifestyle choices, you can significantly reduce acid reflux symptoms and enjoy a restful night's sleep.

Why Does Acid Reflux Get Worse at Night?

Gravity is a big factor in keeping stomach acid where it belongs. During the day, when you are upright, gravity keeps acid in the stomach. However, once you lie down, acid can easily seep into the esophagus, causing discomfort. Furthermore, swallowing decreases during sleep, reducing the esophagus's ability to clear acid effectively.

Other lifestyle habits also trigger acid reflux at night. The risk of experiencing acid reflux symptoms is more likely when taking large meals, consuming trigger foods, or lying down soon after dinner. Some medical conditions such as obesity, hiatal hernia, and delayed stomach emptying are other causes of this condition. Additionally, smoking and alcoholism have been linked to this condition.

Importance of Managing Nighttime Acid Reflux

Nighttime acid reflux not only can be uncomfortable, but it is potentially dangerous as well. Excess stomach acid over a period of time exposes the esophagus to these conditions, thereby risking the formation of esophagitis, Barrett's esophagus, and even more perilously, raising the chance for esophageal cancer. Besides, one loses sleep with an attack and eventually becomes weary and cranky in the presence of chronic indigestion or regurgitation of food.

Simple Tips to Manage Acid Reflux at Night

Managing acid reflux requires a combination of dietary, positional, and lifestyle adjustments. Here's how you can ease symptoms and enjoy uninterrupted sleep:

1. Plan Your Meals Wisely

Timing matters in acid reflux. Avoid having heavy meals or snacks close to bedtime, and maintain an upright posture for at least three to four hours after the last meal of the day. Eat small portions of food often during the day instead of a heavy dinner.

2. Elevate Your Sleeping Position

Sleeping flat makes it easy for stomach acid to flow back into the esophagus. Raise the head of your bed by 4 to 6 inches using bed risers or a wedge pillow. The elevated position can decrease the number and severity of symptoms at night time.

3. Monitor Your Diet

Some foods are known to cause acid reflux. These include spicy foods, chocolate, citrus fruits, tomatoes, caffeine, alcohol, and foods high in fat. Maintain a food diary to identify what triggers your acid reflux, and avoid it, especially during the evening.

4. Healthy Lifestyle Habits

Losing weight or keeping fit will also reduce pressure on the stomach and ease acid reflux. Quitting smoking is another significant step since smoking weakens the lower esophageal sphincter, a barrier that keeps acid from coming back. Loose-fitting clothing can help to avoid added pressure on your abdomen, and it may be beneficial to include these changes in your nightly routine.

5. Medication When Necessary

Over-the-counter medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) can manage acid reflux with the neutralization of stomach acid or its reduction in the process of production. Still, these must not be used as a definitive treatment but only as an addition to lifestyle measures. Always make sure to consult your doctor beforehand.

Also Read: Foods That May Be Giving You Acid Reflux: How To Tame The Burn

Best Sleeping Position to Avoid Acid Reflux

The position in which you sleep can significantly impact acid reflux. Experts recommend sleeping on your left side, as this position prevents stomach acid from traveling back into the esophagus. The anatomy of the stomach ensures that acid stays confined to the stomach pouch, minimizing discomfort.

Avoiding Trigger Foods

Apart from eating at the right time, what you eat is also crucial. Some foods like mint, onions, garlic, and carbonated drinks also trigger reflux. Remember, each person has his or her triggers. Keeping a diary of what you eat and your symptoms can help you identify and avoid specific foods that cause reflux.

When to Checking In With A Doctor

It is a very common phenomenon of acid reflux that does not need any specific medical attention unless symptoms are seen several times a week despite some lifestyle modifications. It might indicate GERD in that case, for which the patient would need to seek medical help and follow treatment accordingly.

Disclaimer: This article is for informational purposes only and should not be considered medical advice. Consult a healthcare provider for personalized recommendations regarding any treatment and management.

Association Between Non-erosive Reflux Disease and High Risk of Obstructive Sleep Apnea in Korean Population. J Neurogastroenterol Motil. 2014

Gastroesophageal reflux - discharge. NIH

Acid Reflux / GERD Overview. American College of Gastroenterology

Eating, Diet, & Nutrition for GER & GERD. NIH

As the summer sun rises high, everyone anticipates relief from seasonal sniffles. Yet increasingly, more and more people are falling ill with cold-like symptoms in warmer weather too. The twist? A new Covid strain—NB.1.8.1—is spreading low-key around the world, from Asia to America and the UK. The challenge is distinguishing between a run-of-the-mill summer cold and a COVID-19 infection.

Typically, respiratory illnesses peak in the colder months when more time is spent indoors and dry air allows viruses to be more easily susceptible. Summer, however, is not virus-free. Parainfluenza virus Type 3, enteroviruses, adenoviruses, and even rhinoviruses are still causing issues in warmer climates. Social events, travel, lack of rest, more alcohol consumption, and air conditioning all set the stage for infections.

Complicating the situation further this summer is the discovery of the NB.1.8.1 Covid strain. Although the World Health Organization (WHO) only recently started monitoring it, scientists are closely monitoring its trajectory and possible implications.

Initially discovered in China in January 2025, NB.1.8.1 has a number of mutations that have caught the eye of the world's health authorities. The good news? There is as yet no evidence to suggest it results in more serious disease. In fact, U.K. Health Security Agency statistics indicate a modest rise in COVID cases with 5.2% of patients positive—up from 4.5% last week.

To date, just 13 of the confirmed NB.1.8.1 cases in the U.K. have been sequenced, the majority of them in April and May. While uncommon at present, the fact that it shares features with other variants of Covid means caution is still crucial.

Summer Colds vs. NB.1.8.1 Covid: Why It's Hard to Tell the Difference?

Both summer colds and Covid-19 have common symptoms such as:

• Sore throat
• Nasal congestion or runny nose
• Fatigue
• Muscle aches
• Nausea or vomiting

However some symptoms will tend more towards Covid, such as:

• Fever or chills
• Shortness of breath
• Loss of taste or smell, new
• Gastrointestinal illness such as diarrhea

There is no guaranteed way to tell the difference between a summer cold and Covid without doing a diagnostic test. Mild COVID-19 symptoms are easily mistaken for other seasonal viruses.

What Exactly Is a Summer Cold?

Colds—seasonal or not—are viral illnesses that are transmitted by respiratory droplets, fomites (contaminated surfaces), or close proximity. The main culprits are rhinoviruses, especially during the winter months, but the warmer months experience an upsurge in viruses such as parainfluenza, enteroviruses (coxsackie and echovirus), and adenoviruses.

Summer activities—weddings, concerts, holidays—promote intimate contact between groups, and typical summer behaviors such as drinking, bad sleep, and poor diet compromise immune systems. Air conditioning units, by dehydrating nasal passages, also impair the body's resistance to viral invaders.

The Centers for Disease Control and Prevention (CDC) urges anyone with cold-like symptoms to monitor closely. Covid-19 symptoms can appear two to 14 days after exposure and vary from mild to severe. The virus can be contagious two days before symptoms emerge and up to 10 days—or more—in immunocompromised individuals.

If you’re feeling unwell, the best course of action is to:

• Stay home and rest
• Wear a mask if around others
• Get a COVID-19 test
• Talk to your healthcare provider

Timely treatment, such as antiviral therapy with Paxlovid, is ensured through accurate diagnosis, particularly among high-risk individuals.

Can Vaccines Protect Against NB.1.8.1?

While a newer vaccine aimed at fall variants is being developed, the existing vaccines remain protective against NB.1.8.1. The variant is of the "drifter" type from the Omicron lineage, which indicates earlier immunity could still help prevent severe disease.

Dr. Aaron Chen, a Johns Hopkins University virologist, observes, "Although mutation is unavoidable, current vaccines remain effective in preventing hospitalization and complications from new variants, such as NB.1.8.1."

How To Avoid Getting Sick This Summer?

There's no surefire way to completely avoid viruses, unfortunately. But here are some practical tips from experts:

• Drink plenty of water and moderate your booze
• Consume a nutrient-dense diet full of fruits, vegetables, and lean proteins
• Get good rest and reduce stress levels
• Clean those surfaces that are touched most often such as airplane trays, phones, and exercise equipment
• Supplement with vitamin D if one is deficient since it enhances immune function
• Wash hands frequently, do not share food or beverages, and wear a mask in public indoor areas

What If You Do Get Sick?

Most people recover from summer colds and mild Covid-19 at home. Supportive care—hydration, over-the-counter pain relief, and rest—is typically enough. Nasal decongestants and lozenges can ease symptoms, while more serious or persistent cases warrant medical consultation.

If you suspect Covid, getting tested is crucial—not only for your health but for the wellbeing of those around you.

The terrifying crash of an Air India flight in Ahmedabad killing 241 people with just one British passenger surviving has sent shockwaves around the world. Although flying is statistically one of the safest ways to travel, such traumatic incidents can revive old terrors in even the most experienced of travelers. To the 25 million Americans who already suffer from aerophobia, the technical name for the fear of flying, this awful news might be more than just upsetting. It might be debilitating.

Mental health experts caution that such events can amplify already-existing anxiety, fueling catastrophic thinking and resulting in severe avoidance of travel. And yet, despite the fear, there are ways to deal with flight anxiety that are evidence-based and even get over it.

What is Aerophobia?

Aerophobia refers to a severe, irrational fear of flight. While some may equate it with fear of a plane crash, most individuals afflicted by the condition actually fear more the sense of intense panic that grips them before or in transit. This encompasses fear of confinement in an airplane, losing control of one's flight, or experiencing a panic attack at altitude.

"Aviophobia or aerophobia is very prevalent," states Clinical Psychologist Akansha Tayal. "Prevalence rates are 10% to 35%, and most people feel very uncomfortable, particularly when faced with reports of aviation accidents. The fear itself is usually irrational and disproportionate to the real danger posed."

Symptoms tend to occur across three areas:

Physical: Palpitations of the heart, sweating, dizziness, nausea.

Emotional: Irritability, restlessness, overwhelming fear.

Cognitive: Catastrophic thinking, obsessive worry, avoidance activities.

Even as frightening as crashes might appear, aviation safety has only enhanced. According to a 2023 analysis by MIT scientists, the probability of being killed in a commercial airline accident around the world is approximately 1 in 13.7 million. Even so, the public eye and emotional intensity of aviation disasters often overshadow their statistical infrequency when it comes to those suffering with aerophobia.

This psychological effect availability bias is the reason why tragic headlines seem so close to home and threateningly personal. "Our brains are hardwired to respond to threat cues," says Ms Tayal. "Even an unlikely event will feel like a personal risk when it's sensationalized or emotionally jarring."

How to Recognize the Signs of Flight Anxiety?

If you're avoiding travel, unwilling to get on airplanes, or preoccupied with air safety, you might have clinical aerophobia. In addition to discomfort, you might experience:

• Panic attacks during or prior to flying
• Flight avoidance media
• Overresearching crash records or airline safety
• Repetitive behaviors (reviewing weather forecasts, switching seats)
• Interference with sleep prior to departure or illness due to tension

Expert-Backed Strategies to Overcome Aerophobia

While aerophobia can feel paralyzing, it’s highly treatable. Experts recommend a mix of self-help techniques and professional interventions.

1. Cognitive Restructuring

Challenge irrational fears by learning facts about flight safety. Avoid sensational news and instead focus on what you’re looking forward to. Keep a mental list of safe flight experiences.

2. Relaxation Techniques

Practice slow breathing with a soothing word such as "peace." It reduces the heart rate and quenches stress hormone activity. Mindfulness techniques and progressive muscle relaxation can also keep your body connected.

3. Cope Ahead Visualization

Rehearse a peaceful flight experience in your mind—from getting on the plane to arrival. Visualization can get your brain thinking about flying as an ordinary, safe thing.

4. Use Distraction Tools

Crossword puzzles, backward counting, reading, or soothing videos can break the worry loop mid-flight.

5. Support System

Travel with a supportive friend and inform them of your triggers. Advance briefing with sympathetic airline personnel can also smooth pre-flight anxiety.

6. Gradual Exposure Therapy

Begin with short flights or utilize flight simulators to rewire gradually, exposing yourself to incrementally longer flights. Safe repetition is shown to decrease sensitivity over time.

7. Professional Assistance is Effective

Cognitive Behavioral Therapy (CBT) and Exposure Therapy are gold-standard treatments. EMDR (Eye Movement Desensitization and Reprocessing) and Virtual Reality Therapy are increasingly proving to be effective treatments.

"Any psychologist can help the person walk through CBT in order to cope with irrational thoughts," Ms Tayal says. "For tackling these maladaptive thoughts and irrational fears, we do graded exposure, EMDR, or virtual reality. Relaxation training, mindfulness, and grounding are all important too."

Coping Tools to Practice on the Ground

Grounding Techniques: Utilize the 5 senses to remain engaged in the moment.

Mindfulness: Practice non-judgmental attention to your thoughts and bodily sensations.

Progressive Muscle Relaxation: Release tension to decrease physiological arousal.

Professional Monitoring: When anxiety arises from underlying trauma or generalized anxiety disorder, a psychiatrist may assist in regulating underlying causes.

Can Aerophobia Come Back After Treatment?

Yes—but long-term results are promising. Research indicates that individuals treated with CBT tend to sustain outcomes for three years or longer. Occasional therapy "booster shots" or regular practice of coping techniques can ward off relapse.

How to Prevent and Manage Aerophobia?

There is no guaranteed way to prevent aerophobia, but there are some habits of daily living that can definitely minimize its effect. Steering clear of such stimulants as alcohol or caffeine prior to a flight will keep anxiety under control. Open discussion of your apprehension with intimate family members, friends, or a support group is also crucial, as it helps lessen the emotional load. Shying away from solitary confinement is equally crucial—sharing space with people who are going through the same thing can provide reassurance and confirmation. Finally, remaining attuned to your own mental health and being proactive in seeking assistance early, particularly if symptoms persist or intensify, can make a tangible difference in dealing with flight-related anxiety.

Flight anxiety exists, and tragedies such as the Air India crash can be daunting but you are not alone, and your fear is not something to be ashamed of. With appropriate tools, techniques, and support, the skies don't have to be so frightening.

Ananda Lewis, celebrated TV host known for her authenticity and warmth, passed away at 52 after a long and brave battle with breast cancer. Once a beloved face on BET’s Teen Summit and MTV’s Total Request Live, she used her platform to engage young audiences with pressing social issues and celebrity interviews that left a mark.

A Powerful Presence on Screen

Lewis first came into the spotlight through BET’s Teen Summit, where she led candid conversations on challenges facing Black youth. Her interviews with figures like Kobe Bryant, Tupac Shakur, and Hillary Clinton earned her critical acclaim, including an NAACP Image Award.

In 1997, she joined MTV, becoming a key voice on MTV Live, Hot Zone, and TRL. Though her move sparked criticism, she remained unapologetic. “Growth is necessary,” she told the Associated Press. “You’ve got to get out there and live your life.”

She later launched The Ananda Lewis Show in 2001, a daytime talk show aimed at real conversations, even if it followed a familiar format. The show lasted one season, but Lewis remained a powerful presence, later joining The Insider as a correspondent.

Breast Cancer Journey That She Shared With The World

In 2020, Lewis revealed that she had been living with stage 3 breast cancer since 2018—later advancing to stage 4. Her diagnosis came after years of ignoring persistent inflammation linked to mastitis from breastfeeding. A lump discovered in her right breast led to a biopsy, confirming it was invasive carcinoma.

Instead of following a conventional medical path, Lewis chose alternative treatments. “I wanted to understand why my body created cancer and how to change the terrain,” she explained. She focused on diet changes, stress management, detoxing, and holistic therapies like high-dose vitamin C, acupuncture, and cryoablation.

A Different Kind of Battle

Lewis moved to Arizona in 2020 for 16 weeks of intensive integrative treatment. Her cancer reduced from stage 3 to 2 and was no longer in her lymph nodes. But the journey wasn’t without hardship—financial struggles and insurance lapses made consistent treatment difficult.

In early 2023, a scan showed the tumor had grown slightly, but it had not spread. She underwent electrical ablation in Mexico, which unfortunately didn’t succeed. By October 2023, a PET scan confirmed the cancer had advanced to stage 4. Still, Lewis continued treatment and saw significant improvement by January 2024.

Lewis was candid about her journey, using her story to raise awareness about early detection and holistic health. “Stage 4 doesn’t mean the end,” she said. “It means I have to do more.”

Her message to women was clear: be proactive. Prioritize mammograms, manage stress, sleep well, and adopt a clean lifestyle. “If I had known what I know now ten years ago, perhaps I wouldn’t have ended up here,” she said.

“I want to look back and say—I did that exactly how I wanted to,” Lewis reflected. Her legacy is one of resilience, wisdom, and an enduring belief in the right to choose one’s own path—even through cancer.