There are also many nocturnal symptoms of GERD, which usually affect people’s quality of life. Specifically as follows: 1, GERD patients are at work during the day, easy to divert attention, these symptoms are not very strong feelings, but some patients at night symptoms tend to affect sleep, such as nighttime symptoms are obvious when acid reflux heartburn affect sleep; there are some reflux and position is obviously related to the standing position without obvious symptoms, once lying down reflux is back up to affect sleep, so reflux causes some Patients sleep in a high pillow position all year round or can only sleep sitting down; 2. Nocturnal symptoms tend to cause patients to wake up easily at night, usually by 1-2 a.m. Patients are parasympathetically excited at this time, the anti-reflux ability decreases, reflux to the throat or heartburn, choking awake, causing choking and coughing, or cause nighttime asthma attacks, resulting in awakening. Some patients even experience nocturnal laryngospasm, suddenly holding it in and needing emergency care; others present with severe chest pain, thinking they are having a heart attack. So, there are very many problems with GERD causing sleep disturbances at night, which can cause problems with falling asleep, choking awake, and some may be misdiagnosed as asthma attack or heart attack and need to go to the emergency room for treatment. So the nighttime symptoms of GERD can have a very significant impact on a person’s quality of life.