My last filling was in November and its pretty tight. I've been ok until the last 2 weeks where I've had to keep a cup of water on my bed side and sleep at a propped up angle because ill wake up coughing and choking on spit. What could it be? Also, because I paid out of pocket for the surgery, I'm worried if there is a complication that my insurance won't cover anything I might need to get done to fix it. Any suggestions?

Sounds like you're too tight. Make an appt for a little unfill, maybe half of what your last fill was. Believe it or not, the water can make reflux worse. Don't eat less than 4 hours before bed, try a soft diet till you get to the doctor and take a OTC PPI like Prilosec on an empty stomach (2 hours after eating and an hour before). Take it with a lot of water, but avoid a lot of water before bed.

Hope this helps

Thanks for the info. I will def try that. I didn't know water can make it worse.

Yes, at bedtime, it can.

I concur, sounds like you may be just a smidge too tight. All the advice you have gotten is great!