I Wake Up At Night Always Within Two Hours Of

Posted on Thu, 7 Mar 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 7 Mar 2019 Answered on

Last reviewed on

Question : I wake up at night always within two hours of going to sleep bringing up much saliva and remnants of my last meal. I do not eat within 2 to 3 hours of going to sleep, elevate the bed and put extra pillows under my head. This happens to do three nights per week. I take Nexium regularly with thanks. XXXXXXX Rosenfeld DDS

Answered by Dr. Dr. Prasad J (42 minutes later)

Brief Answer:
Add prokinetic agent...

Detailed Answer:
Hi,

The symptoms suggest gastroesophageal reflux disease (GERD). I can see you are trying many means to prevent reflux. I would add a prokinetic agent like domperidone or levosulpride along with nexium. The combination of the two is more effective in treating / preventing GERD.

In addition, it would also be worthwhile to consider an endoscopy if it hasn't been done in the past.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Prasad