Best Mattress for Acid Reflux

Acid reflux is unpleasant at any time of day, but it’s even worse at night when you’re trying to fall asleep. Being flat on your back makes it easier for stomach acid to flow up to the esophagus. This causes irritation and pain, which leads to difficulty going to sleep and staying asleep.

Lifestyle changes and medication can help relieve acid reflux symptoms. Another step you can take is switching out your old mattress for a better option. The choices listed below for the best mattresses for acid reflux have two things in common. They offer pressure point support and contouring cushion to make side sleeping comfortable.

1. Amerisleep AS3

amerisleep is a great mattress for back sleepersThe most popular offering from Amerisleep, the AS3 is terrific for side sleepers because of its combination of softness and support. Amerisleep mattresses are eco-friendly. They’re made with plant-based materials in a zero-emissions manufacturing process, then delivered right to your door in an eco-box.

The Amerisleep AS3 features a soft, breathable cover and plant-based memory foam, which makes it the best mattress of 2020. Bio-Pur™, plant-based memory foam, is more breathable and responsive than traditional memory foam.

The affinity transition layer relieves pressure points to make you feel like you’re sleeping on a cloud. Finally, the Bio-Core™ foam support layer ensures that your mattress will stand the test of time––no sagging or loss of support as the years go by.

The AS3 comes with a 100-night sleep trial and free returns. It’s also backed by a 20-year warranty, with full repair or replacement for the first 10 years and prorated coverage for the next 10.

2. Avocado Green Mattress

avocado green mattressThe Avocado Green hybrid mattress is consistently rated one of the best mattresses in a variety of categories. It is GREENGUARD Gold Certified and made with natural and organic materials. Reviewers love its overall comfort and superior quality. Many praise its firm support for both back sleepers and side sleepers. Others love the plush Euro-style button-tufted pillow-top option.

Without the pillow-top, the Avocado Green mattress measures 11 inches in thickness. The soft white mattress cover is made with 100% GOTS organic certified cotton. A layer of 100% GOTS organic certified wool wicks away moisture for breathable, non-allergenic comfort. GOLS organic certified latex is used to make a 2-inch comfort layer and 1-inch base layer. Dunlop latex has natural antimicrobial properties and keeps the mattress cool throughout the night.

A pressure-point support unit with five strategic zones uses individually-wrapped innersprings to support your hips, back, and shoulders. The materials used to make the Avocado Green mattress are naturally flame resistant. This means Avocado Green mattresses meet federal flammability standards without the use of chemical flame retardants.

Avocado Green has one of the best warranties and sleep trial policies in the mattress industry. Customers get a 25-year limited warranty. Years 1-10 offer full, non-prorated coverage. Limited, prorated coverage is offered for years 11 through 25. Avocado Green provides a one-year risk-free mattresses trial.

3. PlushBeds Botanical Bliss® Mattress

plushbeds botanical blissThis 100% natural latex mattress is customizable. Buyers can choose between medium and medium-firm options, along with three different mattress heights. The latex foam provides excellent support to cradle pressure points. This makes Botanical Bliss a favorite of chiropractors and orthopedic specialists. Organic latex is antimicrobial, non-allergenic, and sleeps cooler than memory foam. PlushBeds manufactures their mattresses in the USA with raw materials sourced from select manufacturers.

Each Botanical Bliss mattress comes with a breathable certified organic cotton cover. Not only is organic cotton sustainable, it also absorbs moisture and boosts airflow. Next, a layer of certified organic New Zealand wool provides support and regulates your body temperature while you sleep. Finally, 2-4 layers of organic Dunlop latex provide your choice of firmness level. With acid reflux, a firm mattress like Botanical Bliss can help you sleep on your side more comfortably.

PlushBeds provides a 25-year limited warranty for all its latex mattresses. Their 100-night sleep guarantee promises curbside pickup if you’re not satisfied with your mattress, along with a full refund.

4. Purple® Hybrid Mattress

Best All-Foam Firm Mattress – The Purple MattressCustomer reviews of the Purple Hybrid Mattress praise its support for side sleepers. This side support makes it a great option for anyone who suffers from GERD or acid reflux. Purple’s claim to fame is superior adaptability. The mattress is designed to contour to your body while still remaining firm enough to provide the support sleepers need.

Beneath the knit fabric mattress cover is a top layer of Hyper-Elastic Polymer™. This 2-inch layer is Purple’s famous Purple Grid™, which is designed to adapt to your unique body shape and stay cool through the night to help you sleep better. While the polymer offers the cradling support of memory foam, it has a longer lifespan than foam material. A base of responsive support coils lie between two layers of CertiPUR-US® polyurethane transition foam. These coils use motion-isolating technology to minimize motion transfer. The Purple Hybrid mattress is made in the USA with nontoxic, hypoallergenic materials.

Purple offers a 100-night risk-free sleep trial. If you’re not happy with your mattress, Purple will arrange for pickup and refund the purchase price. Purple also provides customers with a 10-year warranty.

5. Bear Mattress

bear mattressA favorite choice of athletes and fitness enthusiasts, Bear mattresses help restore tired muscles. This is thanks to Bear’s responsive memory foam, which provides contouring and support for the shoulders, lower back, and hips. If you have acid reflux or GERD, you will also appreciate the support offered by this affordable foam mattress. Because the Bear mattress is not a hybrid option and has no innersprings, it’s a terrific choice for anyone with an adjustable base bed.

The Bear mattress starts with a breathable Celliant® cover. This state-of-the-art fabric is made with patented infrared yarn technology which regulates body temperature. It has also been clinically proven to improve overall sleep quality. Next, a layer of graphite-gel memory foam channels heat away from the body to keep you cool as you sleep. Responsive transition foam provides support and pressure relief. To finish, a base made with high-density support foam makes this mattress firm and durable. The foams used to fabricate Bear mattresses are all CertiPUR-US certified.

Bear mattresses come with a 100-night risk-free sleep trial, including free returns. Buyers receive a 10-year limited warranty with their purchase.

6. Layla Memory Foam Mattress

layla mattress

Like the Bear mattress, Layla is foam only, making it suitable for beds with adjustable bases. What makes Layla different from other foam beds on the market is its copper-infused gel particles. Traditional memory foam has a tendency to retain heat, making it difficult for sleepers to rest undisturbed. Layla infuses their memory foam with copper gel to transfer heat away from the body. The copper is antimicrobial to eliminate odor and germs. It also provides acid reflux sufferers with the support they need to sleep on their sides comfortably.

The other quality which makes Layla unique is that it can be flipped for two different feels: one side offers firm support, while the other side is soft. Both sides have a cooling mattress cover made with Thermo-Gel cooling technology, which is activated by elevated body temperatures. If we take a look at the mattress with the firm side on top, you’ll find a 1-inch layer of copper-gel memory foam under the mattress cover. This layer offers firm support, odor control, and body temperature regulation. Next is a 4-inch layer of support core foam to minimize motion transfer and prevent sagging over time. A layer of max airflow support foam adds customized support and another cooling element. Finally, an additional copper-gel memory foam layer offers variable support and gives the bed a plush feel.

Layla mattresses have a 120-night sleep trial. If you’re not pleased with your mattress, Layla will arrange to have it donated to a local charity and issue you a full refund. Consumers who purchase their mattresses directly from Layla receive a lifetime warranty for sagging, loss of shape, splitting or cracking of the foam, and loss of mattress height.

Frequently Asked Questions

Here are other questions you might have about choosing the best mattress for acid reflux, indigestion, and GERD.

What is acid reflux?

Acid reflux is when stomach acid flows up to the esophagus through the lower esophageal sphincter (LES), causing irritation. When this backwards flow of acid creates a burning sensation, we know it as heartburn.

There are a number of triggers for acid reflux: large meals, spicy foods, eating late at night, and coffee are a few common causes. Obesity, pregnancy, connective tissue disorders, and hiatal hernia can be significant risk factors for acid reflux as well, especially when combined with the above behavioral causes. Over 60% of Americans experience acid reflux at some point in their lives.

Chronic, severe acid reflux is known as gastroesophageal reflux disease (GERD). GERD symptoms include experiencing heartburn a few times a week, having an unpleasant taste at the back of the mouth, and respiratory problems like persistent coughing and asthma.

When stomach contents irritate the esophagus on a regular basis, serious complications may occur. Among these complications are erosion of tooth enamel, gum disease, and esophageal conditions like stricture, cancer, and inflammation (esophagitis). GERD has also been linked to obstructive sleep apnea, a condition in which people temporarily stop breathing in their sleep.

How does acid reflux affect sleep?

Acid reflux is often worse at night because once you’re lying in bed, gravity no longer helps your stomach keep acid out of the esophagus. This can make it difficult to fall asleep and stay asleep. People who sleep flat on their backs, either without a pillow or with one which doesn’t provide enough head support, are also at a higher risk for acid reflux.

Avoiding trigger foods, taking antacids or proton-pump inhibitors, losing weight, and wearing loose fitting pajamas can relieve nighttime acid reflux. Another solution to help you get a good night’s rest is changing your sleep position. Always go to sleep on your side or with your head elevated. Even better, sleep in an elevated position on your side for optimal results.

How can I improve my mattress for acid reflux?

When a new mattress is not in your budget, you can improve your existing mattress for acid reflux by using a wedge pillow to keep your upper body elevated. If your mattress does not offer the side support you need, a mattress topper may help by adding a layer of contouring foam.

How much should I elevate my bed for acid reflux?

The head of the bed should be at least 6 inches higher than your feet to reduce symptoms of acid reflux at night.

Does sleeping elevated help acid reflux?

Yes, it does. When you sleep on your back, it’s easy for the stomach acid to flow back up to the esophagus. Sleeping elevated uses gravity to keep acid from irritating the esophagus. In this position, your stomach is lower than your esophagus and throat. Gravity is one of the simplest solutions for acid reflux relief.

What is the best bed for GERD?

A bed with an adjustable base is the best bed for GERD. These beds allow you to adjust their positioning either manually or with electronic controls. Keep in mind if you purchase an adjustable base bed for acid reflux, you may also need to buy a compatible mattress.

How can you choose the best mattress for acid reflux and GERD?

A good mattress for acid reflux is one that will allow you to sleep on your side. Research has shown sleeping on your side is an effective way to relieve indigestion and acid reflux. When you sleep on your side, your lower esophageal sphincter is more relaxed, making it easier for stomach acid to reach the lining of the esophagus.

The mattresses listed above are all suitable for side sleeping. They each offer the perfect balance of firm support and contouring cushion to cradle pressure points and ensure correct spinal alignment. If you’re shopping for other mattress brands not mentioned in this article, look for medium-firm models.

If you have the budget for a new bed, invest in an adjustable bed base. This is one of the most effective ways to reduce nighttime acid reflux. An adjustable bed base allows you to elevate your upper body by adjusting the head of your bed, which helps keep acid from flowing up to the esophagus. With an adjustable bed base, you’ll need a compatible mattress. Look for one under 12 inches in height and made with foam only, like Layla memory foam or Bear mattresses.

When purchasing a new adjustable bed base isn’t an option, a wedge pillow, which puts your upper body at an incline, can work, too. These pillows can be purchased at most home, linen, or department stores. If you can’t find them locally, they are also available on Amazon. Your head should be elevated at least 6 inches above your feet for maximum effectiveness. If your wedge pillow slips during the night, you can also try putting it between your mattress and box spring or bed base to hold it in place.

We should note that sleeping on a stack of two or three pillows does not work the same way a wedge pillow does. Sleeping like this only increases pressure on the abdomen. This pressure can cause acid reflux and GERD symptoms to become worse. It can also cause neck and shoulder pain.


If you have acid reflux and are shopping for a mattress, look for one which allows you to sleep comfortably on your side. Although everyone is different, this means a medium-firm mattress for most people. Medium-firm mattresses have both contouring cushion for pressure points and firm support. If you’re putting your mattress on an adjustable base bed, look for one no more than 12-inches thick and made with foam rather than innersprings.

Although changing your mattress is not the only remedy for acid reflux, it can be an effective solution to help make sure you get a good night’s sleep.

This article is for informational purposes and should not replace advice from your doctor or other medical professional.

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