Had another episode of that nasty acid burp around 4am. Waking up with that burn in the back of the throat that feels like almost suffocating you. The burn seems to last awhile making you feel like you have to slowly carefully clear your throat which makes it seem to get worse. I've tried to gargle with warm water and spit out the surface acid that is at back of throat. This seems to help somewhat but is a slow process and takes a good hour or more. When clearing your throat, it seems to make it worse as it exposes the damaged area of the throat and makes you feel like clearing again and again. I find that sipping warm water and alternating spitting out the lightly gargled acid works a to help calm me down from the panic stricken mode you get into when this type of episode awakes you from sound sleep. I've read and I have tried Raw form honey. Unpasteurized I believe. You get at whole foods or a place like this. Taking a teaspoon of this by mouth and letting it dissolve in your mouth will allow the coating of your throat when you swallow. I would not recommend doing this during an episode as this may cause further irritation. But later the next day when you are felling better and your throat pain is reduced. Raw honey has natural healing properties that should soothe the damaged area of your throat. Raw honey was used as a salve in WWI for field wounded soldiers. So research this yourself.
Causes: Everyone has potentially different causes for these types of episodes, for me I know having some chocolate mini doughnuts in the afternoon for lunch since that was the only appetizing thing at 7/11 at the time,Then combining ginger ale late around 10pm while others had wine most likely was the cause of my episode. I seem to have episodes up to 6 hrs after dinner. I try to eat no later then 6:30pm, light meals and mostly water, but going months without an episode can lead to false sense of security that another episode would happen. I have a hiatel hernia and have had two false positive barretts diagnosis (a pre-cancerous condition) You really need to focus on what causes your individual symptoms an remove those from your diet. I am 50lbs overweight and losing weight will most definitely help as well.
Sleeping on your stomach is another potential cause, raising your head for sleeping by lifting the head board or purchasing a mechanical bed is best. This keeps you head / torso elevated above your stomach and will help somewhat but should only be considered as part of the other things you should do as well. Lose weight, eat right, find your foods that cause your symptoms and stay clear of these. SEE YOUR DOCTOR as even in frequent symptoms should not be ignored. Do not take OTC product for longer then 2 weeks without seeing a doctor for persisting symptoms as these could be serious if left undiagnosed and properly treated.
I've had several endoscopies over the last 10yrs. This is a procedure where they put you out and slide a tube down your throat to inspect for hernia's, ulcer's, esophageal damage from acid reflux, stomach issues. It sounds worse then it is. I would hate to have this procedure done as this is something I really don't like, but I can tell you, I've had several and no knowledge they ever did anything except for a little scratchy throat sometimes after the procedure is done.
I take prescription Aciphex 20mg and that seems to work for me. I take in the morning after failing to see reults when taking in the evening before dinner. So for me, taking in the morning is perfect. If I have a glass a wine (a trigger for me) or something that may be saucy, spicey etc...those foods/condiments that have been known to cause a potential problem, then I also take a OTC acid reducer like Zantac and even possibly some Tums at night an hour or two before bed time.
Hope some of this is helpful for you