Abstract. Water exchanges between streams and aquifers influence the quantity and quality of water in both domains. Seasonal river–aquifer interactions were investigated in a tropical coastal area where tidal sand ridges control river discharge to the sea. The study site is located in southwestern Nicaragua, dominated by humid tropical hydro-climatic conditions. The aquifer provides water to the rural town of Ostional. Connectivity between the river and the aquifer influences water quality and water availability for humans and for the downstream estuarine ecosystem. The effect of stream stage fluctuations on river–aquifer flows and pressure propagation in the adjacent aquifer was investigated analyzing high temporal resolution hydraulic head data and applying a numerical model (HYDRUS 2-D). Tidal sand ridges at the river outlet control the flow direction between the river and the aquifer. Surface water accumulation caused by these features induces aquifer recharge from the river. Simulations show groundwater recharge up to 0.2 m³ h⁻¹ per unit length of river cross section. Rupture of the sand ridges due to overtopping river flows causes a sudden shift in the direction of flow between the river and the aquifer. Groundwater exfiltration reached 0.08 m³ h⁻¹ immediately after the rupture of the sand ridges. Simulated bank storage flows are between 0.004–0.06 m³ h⁻¹. These estimates are also supported by the narrow hysteresis loops between hydraulic heads and river stage. The aquifer behaves as confined, rapidly transmitting pressure changes caused by the river stage fluctuations. However, the pressure wave is attenuated with increasing distance from the river. Therefore, we concluded that a dynamic pressure wave is the mechanism responsible for the observed aquifer responses. Pressure variation observations and numerical groundwater modeling are useful to examine river–aquifer interactions and should be coupled in the future with chemical data to improve process understanding.