You need an acidic stomach environment in order to digest food. When you drink water with meals, stomach acid is usually diluted, which leads to incomplete digestion of food. Undigested food may stay longer in your stomach, which can increase acid reflux symptoms. Drinking water with meals also over fills your stomach, which can cause the LES muscle to open and allow stomach contents to leak into the esophagus.
There are those that would argue to the contrary, explaining that since GERD is mainly due to having too little acid in your stomach, actually raising the PH via antacids or, better yet, by drinking water, then water is a good way of fighting GERD. Although I see the merits in this argument, this was absolutely not the case for me.
I paid close attention to my reaction to food, and I found a direct correlation between my water drinking and the amount of acid that I felt crawling up my esophagus. I do mean, that I can't have water about 30 minutes or more before a meal, definitely not during the meal, and at least 1 hour after the meal. So, I fall more on the camp that says that water, either because it dilutes the acid in your stomach or because it feels you up is no good for my GERD.
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