Home » Under-Mattress vs. Bed Wedge: Which is Best for Nighttime Reflux?

Under-Mattress vs. Bed Wedge: Which is Best for Nighttime Reflux?

by zain
Under-Mattress vs. Bed Wedge

Hello, fellow nighttime reflux warriors! If you’ve ever been jolted awake by that burning sensation in your throat, you know just how crucial a good night’s sleep is. And if you’re like me, you’ve probably scoured the internet for solutions. 

One of the most common recommendations? A sleeping wedge. But with so many options out there, how do you choose between an under-mattress wedge and a bed wedge? Let’s dive in.

Understanding the Basics

What is a Sleeping Wedge?

Ah, the sleeping wedge. If you’re new to the world of GERD or nighttime reflux, this might sound like some fancy sleep accessory. But trust me, it’s a lifesaver for many. 

A sleeping wedge is essentially a specially designed pillow or foam incline that elevates the upper body during those precious hours of slumber.

Now, you might be wondering, “Why the elevation?” 

Well, let me paint a picture for you. Imagine you’ve just had a delightful dinner, but as you lay down to rest, that delicious meal decides to make a comeback, causing a burning sensation in your throat. Not the kind of nighttime surprise anyone wants. This is where the sleeping wedge comes into play. 

By elevating your upper body, it uses gravity to keep that pesky stomach acid where it belongs – in the stomach, and not causing a ruckus in your esophagus. 

The primary goal here? To give you a peaceful, burn-free night and prevent the stomach acid from flowing back into the esophagus, which, as many of us know, is the leading cause of that dreaded nighttime reflux or Gastroesophageal Reflux Disease (GERD).

The Two Main Types

Under-Mattress Wedge 

Picture this: you love your bed. It’s comfy, it’s cozy, and you’ve spent a good amount of time (and money) getting it just right. Now, you’re told to elevate it. Panic sets in. But fear not! The under-mattress wedge is here to save the day. 

As its name suggests, this wedge sneaks right under your mattress, giving it a gentle lift Starting at the head. The result? A subtle incline that’s almost invisible. Your bed retains its aesthetic charm while still giving you the elevation needed to combat reflux.

Bed Wedge

Now, for those who love a bit of flexibility or perhaps travel often, the bed wedge is your new best friend. It’s essentially a wedge-shaped pillow that you can place right on top of your mattress. 

Going on a trip? Toss it in your bag. Want a steeper incline tonight? Just adjust its position. It’s versatile, portable, and can be your quick fix to a reflux-free night.

In my journey with GERD, I’ve tried both, and each has its merits. But understanding the basics is the first step to making an informed choice. So, armed with this knowledge, which will you choose?

Comparing the Two: Pros and Cons

Under-Mattress Wedge


  • Subtle Appearance: It’s hidden beneath your mattress, so your bed retains its normal look.
  • Stable Incline: Provides a consistent angle that won’t shift during the night.
  • Durability: Typically lasts longer than bed wedges as it doesn’t bear direct body weight.


  • Less Adjustable: Once it’s in place, it’s harder to change the angle.
  • Initial Setup: You have to remove the mattress once.

Bed Wedge


  • Portability: Easy to move and can be used on different beds or even for lounging.
  • Adjustability: Can be easily positioned for one of two inclines.
  • Variety: Comes in different materials and incline degrees.


  • Can Shift: Will move during sleep.
  • Wear and Tear: Direct body weight can cause it to flatten over time.

My Personal Experience

I remember the first time I tried a bed wedge. Excited by its portability, I placed it on my bed, eagerly awaiting a reflux-free night. But halfway through, I found myself sliding down! Frustrated, I decided to give the under-mattress wedge a shot. It was a game-changer. The stable incline meant no more midnight adjustments. However, when I traveled, I missed the convenience of my bed wedge.

The lesson? Both have their merits. It’s all about finding what works best for your lifestyle and sleep habits.

Making Your Choice

When deciding between the two, consider the following:

  • Duration of Use: If you need a long-term solution, an under-mattress wedge might be more durable.
  • Travel Needs: If you’re on the go, a bed wedge is more portable.
  • Bed Aesthetics: For those who prefer a more “normal” bed appearance, the under-mattress option is less noticeable.
  • Budget: Bed wedges are generally more affordable upfront, but will need replacement sooner.

Wrapping It Up

Whether you’re team under-mattress wedge or cheering for the bed wedge, remember that it’s not about instant magic. It’s about sticking with it, being patient, and allowing your body to adjust. After all, our ultimate goal is to catch those Z’s without the burn, right?

For a deeper dive into the nitty-gritty of each wedge type, I’d recommend giving this wedge for bed guide a read. And if you’re curious about the science behind how these wedges work wonders for acid reflux, there’s plenty more to explore.

About The Company

Now, a quick word about Reflux Guard. These folks are the real MVPs when it comes to understanding GERD and nighttime reflux. They’re not just about the business; they truly care. So, if you’re on the hunt for more info or just some solid information and experience, Reflux Guard is where it’s at.

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