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 can cause irritation and pain. And that can lead to difficulty in 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.

Type Firmness Price Sleep Trial Warranty
Amerisleep AS3 Partially plant-based memory foam Medium $1399 100 nights 20 years
Avocado Green Latex & Pocket coils Gentle Firm/Luxury Plush $1349 or $1799 365 nights 25 years
The Botanical Bliss Latex Medium/Medium-Firm $2699 or $2999 or $3399 100 nights 25 years
Purple Hybrid Poly-foam and Pocket Coils Medium/Firm $1599 100 nights 10 years
The Bear Memory foam Medium-Firm $800 100 nights 10 years
The Alexander Signature Hybrid Memory foam & Pocket coils Plush/Medium/Luxury firm $1499 100 nights Lifetime

1. Amerisleep AS3

amerisleep is a great mattress for back sleepers

The most popular offering from Amerisleep is the AS3. It’s terrific for those with acid reflux because it’s designed to make side sleeping more comfortable and keep your spine in a healthy position, two things those with acid reflux need from a good bed. Amerisleep is also an environmentally-conscious mattress brand. Their beds are made with plant-based materials and delivered right to your door in an eco-friendly box.

The Amerisleep AS3 features a soft, breathable cover and plant-based memory foam, making it one of the best mattresses of 2022. Bio-Pur®, plant-based memory foam, is more breathable and responsive than traditional memory foam.

The Affinity transition layer relieves pressure 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. You won’t have to worry about sagging or loss of support as the years go by.

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

2. Avocado Green Mattress

avocado green mattress

The Avocado Green hybrid mattress is rated as one of the best mattresses in a variety of categories. Plus, it is GREENGUARD Gold Certified and made with organic materials. Reviewers of the Avocado Green love its overall comfort and superior quality. Many praise its firm support for both back sleepers and side sleepers. However, this bed does come with an optional pillow-top to add a bit of plush comfort.

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-certified wool right under wicks away moisture for temperature control and comfort. Wool also doubles as a all-natural fire barrier, too.

Then comes the GOLS-certified latex comfort layer. It is 2 inches thick and it contours the body of the sleeper, keeping the spine aligned. Organic Dunlop latex has natural antimicrobial properties, and it also helps to keep the mattress cool throughout the night.

Next, is a pocketed coil system designed in five strategic zones to ease pressure points. It features individually-wrapped coils to support your hips, back, and shoulders. This layer works especially well for sleepers with acid reflux since its designed to ease discomfort while side sleeping and keep you lifted in a neutral position.

Avocado Green has one of the best warranties and sleep-trial policies in the 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. As for the sleep trial, Avocado offers one-year of risk-free returns.

3. PlushBeds Botanical Bliss® Mattress

plushbeds botanical bliss

This 100% natural latex mattress is customizable. Buyers can choose between medium and medium-firm, along with three different mattress heights. The organic latex foam provides excellent support to cradle pressure points. It is also antimicrobial, non-allergenic, and sleeps cooler than memory foam.

Each Botanical Bliss mattress comes with a breathable, certified organic cotton cover. Not only is it sustainable, but it also absorbs moisture and improves breathability. Next comes a layer of certified organic New Zealand wool. It provides plush support and regulates your body temperature while you sleep.

Finally, 2-4 layers of organic Dunlop latex provide your choice of firmness level. For sleepers with acid reflux, Simply Rest recommends opting for the softer version. This will allow you to sleep comfortably on your side with good pressure point support.

PlushBeds provides a 25-year limited warranty with all of their latex mattresses. Also, their 100-night sleep trial guarantee promises free pickup if you’re not satisfied with your mattress. This comes with a full refund, too.

4. Purple® Hybrid Mattress

Best All-Foam Firm Mattress – The Purple Mattress

Customer reviews of the Purple Hybrid Mattress praise its support for side sleepers, and 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. Yet it still remains firm enough to provide support to your pressure points.

Beneath the knit fabric mattress cover is a top layer of hyper-elastic polymer. This 2-inch layer is Purple’s famous Purple Grid™. It 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 most foam materials.

A base layer of responsive support coils lies between two layers of CertiPUR-US® poly-foam. These coils have a zoned support system that works together with the Purple Grid™. They also use motion-isolating technology to minimize motion transfer.

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 full price. And if you decide to keep the mattress, Purple will provide you with a 10-year warranty.

5. Bear Mattress

bear mattress

All Bear mattresses are known for restoring tired muscles thanks to Bear’s responsive memory foam. It provides contouring and support for the shoulders, lower back, and hips. If you have acid reflux or GERD, you will also appreciate this bed’s ability to maintain a healthy spine and make side sleeping more comfortable.

The Bear mattress starts with a breathable Celliant® cover. This fabric is made with patented infrared yarn technology which regulates body temperature. Next comes a layer of graphite-gel memory foam. It works to contour your body and channel excess heat away.

Underneath, the responsive transition foam provides support and pressure relief. And the high-density support foam base layer makes this mattress firm and durable.

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

6. The Alexander Signature Hybrid

Best Hybrid Mattress For Your Money – Nest Alexander Signature Hybrid

The Alexander Signature Hybrid comes in three levels of firmness—plush, medium, and luxury firm. This mattress is suitable for any type of sleeper, as long as you choose the right firmness option.

Side sleepers, back sleepers, restless sleepers, and people with acid reflux will find the medium to be the most comfortable. The Alexander Signature Hybrid in medium eases pressure under the shoulders and hips while providing targeted support for the rest of your body.

The cover of this mattress is made from polyester and cotton blend. It’s quilted with a thin layer of gel-infused memory foam for better temperature control and plushness. Right under comes a 3-inch thick TitanChill Endurance Foam®. This is their specialty memory foam infused with titanium for extra buoyancy and response. Underneath the titanium-infused memory foam lies a 1-inch thick transition layer to provide extra cushioning.

The 8-inch tall pocketed coils within this mattress relieve the pressure points of the body by adapting to the sleeper’s position. The coils also improve motion isolation and further increase the breathability. They rest on a 3-inch thick Base Support Foam, which supports the structure of the mattress.

Another great thing about this mattress is the new addition of the cover zipper. This allows sleepers to customize the firmness level without a full mattress replacement. Instead, they can ask Nest Bedding for another TitanChill Endurance Foam® layer in a different firmness. Then, simply replace it themselves.

All Nest Bedding’s mattresses have a 100-night sleep trial. During this time you can customize the firmness and see if this mattress is right for you. After that, you’ll get a Lifetime Warranty.

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?

Over 60% of Americans experience acid reflux at some point in their lives. Acid reflux occurs when stomach acid flows up to the esophagus through the lower esophageal sphincter (LES), causing irritation. This backward flow of acid creates a burning sensation we know as heartburn.

There are many triggers for acid reflux: large meals, spicy foods, eating late at night, and coffee. These are only a few common causes. Conditions like obesity, pregnancy, and hiatal hernia can be significant risk factors for acid reflux as well.

Chronic, severe acid reflux is known as gastroesophageal reflux disease (GERD). Those with GERD usually experience heartburn a few times a week. GERD may also cause 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 is an erosion of tooth enamel, and gum disease. As well as esophageal conditions like stricture, cancer, and inflammation (esophagitis). GERD has also been linked to obstructive sleep apnea. This is a condition in which people temporarily stop breathing in their sleep.

How does acid reflux affect sleep?

Acid reflux is often worse at night. Once you’re lying in bed, gravity no longer helps to keep your stomach acid down, making it difficult to fall asleep and stay asleep. People who sleep flat on their backs are also at a higher risk for acid reflux, especially if they sleep without a pillow or with one which doesn’t provide enough head support.

Avoiding trigger foods, taking antacids, and losing weight can relieve nighttime acid reflux. Another solution to help you get a good night’s rest is changing your sleep position. Always sleep on your side or with your head elevated. Even better, sleep in an elevated position on your side.

How can I improve my mattress for acid reflux?

If buying a new mattress is not within your budget, don’t worry. You can improve your existing mattress by using a wedge pillow to keep your upper body elevated. And if your mattress doesn’t offer good side support, a mattress topper may help by adding contouring comfort.

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 with an elevated head keeps acid from climbing back up and irritating the esophagus because, 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 the angle of your head and feet to find the most comfortable position for sleep. Keep in mind that if you buy 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 and indigestion is one that will allow you to sleep on your side. When you sleep on your side, your lower esophageal sphincter is more relaxed. This makes 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. They cradle pressure points and ensure correct spinal alignment. And if you’d rather look at more options, try to focus on medium firmness 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, and this helps to keep acid from flowing up to the esophagus. With an adjustable bed base, you’ll need a compatible mattress.

If purchasing a new adjustable bed base isn’t an option, a wedge pillow 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 and online. When browsing wedge pillows, look for one that’ll keep your head elevated at least 6 inches above your feet.

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 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. More often than not, side sleepers love medium and medium-firm beds since these mattresses offer both contouring cushion for pressure points and firm support.
All in all, changing your mattress is not the only remedy for acid reflux, but 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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