Appendix G Economic Evidence Study Selection
Economic evidence study selection for review question: What interventions are effective in treating heartburn during pregnancy?
A single economic search was undertaken for all topics included in the scope of this guideline. No economic studies were identified which were applicable to this review question. See for details.
Slippery Elm Bark And Marshmallow Root
Some mamas find relief from mucilaginous herbs like slippery elm bark and marshmallow root. Due to their gummy consistency, they coat the intestines and soothe digestion. Be sure to use under the guidance of a healthcare practitioner and away from food and supplementsthey can interfere with nutrient absorption.
When Can I Expect The Heartburn To End During Pregnancy
Unfortunately, heartburn is a symptom you’re likely to experience throughout your entire pregnancy if you have it at all.
In fact, even if you escaped indigestion early on in your pregnancy, there’s a good chance you’ll have a surge starting around the second or third trimesters, when your uterus takes over your abdominal cavity and forces your stomach upwards.
Fortunately, the burn should clear up as soon as you give birth.
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Was It Something I Ate
You expected the swollen ankles, the morning sickness, and the burgeoning breasts. But this burning indigestion? Whered that come from?
As the name implies, heartburn feels like a fiery churning that starts behind your breastbone and travels up your esophagus, a tube connecting your throat to your stomach. These acids can even make it all the way up your throat.
In addition to feeling a burning sensation which can last several minutes to several hours you may also:
- feel bloated
- have a sour taste in your mouth
- have a sore throat
- cough frequently
While the burrito you ate for dinner probably didnt help matters , the burning feeling you have has more to do with hormones than jalapenos.
45 percent of moms-to-be experience heartburn. And if you had heartburn before pregnancy, youre even more likely to have it during.
Heartburn can fire up, so to speak, at any point in pregnancy, but its most common during the second and third trimesters. Experts arent exactly sure what causes the smoldering, but they suspect its a three-pronged problem.
Feeling The Burn Tips To Manage Heartburn Gerd In Pregnancy
Heartburn is common in adults especiallyduring pregnancy. While some research suggests women who have moderateheartburn during pregnancy give birth to babies with fullerheads of hair, having symptoms more than twice a week might be asign of gastroesophageal reflux disease , or recurrent heartburn.
According to a study of 510 pregnant women, approximately 26% have GERD symptomsduring the first trimester. The rate jumps to 36% in the second trimester and51% during the third trimester. Thats substantial compared with the 20% of adults in the U.S. who experienceheartburn.
Why the increase in symptoms during pregnancy? Progesterone, a hormone that increases early in pregnancy, relaxessmooth muscle in the body. It helps your uterus stretch to accommodate thegrowing fetus, but also reduces the reliability of the esophageal sphincter aring-like structure that seals off stomach contents from the throat.
Increased pressure placed on the stomachexternally from the growing uterus, especially in the third trimester, can alsoworsen heartburn symptoms such as:
- Burning pain in the center of thechest, especially after eating
- Sour or bitter taste in the mouth
- Sore throat or cough
Thankfully, thereare several pregnancy-safe ways to deal with acute heartburn and ongoing casesof GERD.
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Life Saving Ways To Relieve Heartburn During Pregnancy
Hopefully one of these natural heartburn solutions will give you some relief, mama.
Remember that you may have to try several different remedies before you find the one that works for you.
And dont hesitate to talk with your doctor if heartburn persists.
Over you you what have you tried to beat the pain of heartburn?
Any soothing tips to share? Let me know in the comments below.
Dont forget to pin for later!
Foods That Cause Heartburn During Pregnancy
Certain foods can also trigger heartburn.
In the book, The Whole 9 Months, author Jennifer Lang, M.D. states that although pregnancy heartburn, gassiness, indigestion, constipation, and other bothersome symptoms start from weight gain and as the belly grows:
I strongly believe that all of these symptoms are worsened by eating a lot of animal products. Meats will sit in your digestive system longer, causing increased heartburn, constipation, and hemorrhoids.
Additionally, spicy foods, greasy foods, processed meats, foods high in fat, foods that have caffeine , and citrus foods can trigger heartburn.
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Avoid Big Meals At Night Or Late Night Eating
Make sure to have your last meal of the day at least 2-3 hours before bedtime. This would reduce stomach acid while allowing the stomach to partially empty the contents before sleeping. Large meals can put pressure on the stomach. Therefore, try to take 5-6 small meals a day rather than three big meals. Also avoid heavy meals post evening.
Know Your Triggers Every Mom Is Different
And while some foods have all been shown to be heartburn triggers, they might not be triggers for you. So keeping a food diary to try to identify the particular foods that trigger your heartburn is a MUST!!
I would use my bullet journal to do this its saving my mom life when it comes to getting organized!!
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Otc Medications May Also Help
If changes to your lifestyle and diet don’t work, that’s when doctors may recommend medication.
- Antacids: “Most antacids are considered safe in pregnancy and are compatible with breastfeeding,” Sridhar says. Antacids are OTC medications like Rolaids, Tums, and Maalox. And while they may be OTC, if you’re pregnant, you should consult your doctor before taking them.
- H2 blockers: If antacids don’t work, a doctor may prescribe H2 blockers like Pepcid. H2 blockers can relieve heartburn because they help you produce less hydrochloric acid in your stomach, thereby preventing heartburn before it even starts.
- Proton Pump Inhibitors: If antacids and H2 blockers don’t work, your doctor may prescribe proton pump inhibitors like Nexium or Prevacid.
What Can I Eat To Stop Heartburn During Pregnancy
Soups, smoothies, yogurt, milkshakes, protein shakes, and puddings are good choices. Look for liquids that offer plenty of protein, such as milk and drinkable yogurt, and aim to make solids a little less so: chew solid foods slowly and extremely well, until theyre almost liquefied, Brandeis adds.
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Medicines To Help With Pregnancy Heartburn
If lifestyle changes are not alleviating symptoms, or you need help in managing heartburn, Cockburn recommends that you speak with your GP or midwife. They may suggest you try:
This medicine is often available over the counter and is taken to neutralise stomach acid.
These prevent the acid in your stomach rising to your throat.
Natural Remedies For Pregnancy Heartburn
Diet and lifestyle modifications are the primarytreatments for GERD during pregnancy. Try the following steps to manage acid reflux during pregnancy:
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Opt For Natural Remedies To Avoid Heartburn During Pregnancy
As youve seen, there are natural remedies to combat the discomfort caused by heartburn during pregnancy.
If youre unable to find relief, its best to consult your obstetrician to evaluate the need to incorporate any medication.
Either way, always keep in mind that establishing healthy lifestyle habits is positive in all stages of life. Not only should you eat well, but also exercise frequently and get a good nights sleep.
Other Causes Of Heartburn During Pregnancy:
- Fatty foods, due to increased acid production
- Spicy foods
- Pre-existing medical conditions
- Multiple pregnancies
- H. Pylori is a bacteria that has been associated with stomach ulcers. This is mentioned here more for information purposes for individuals who have had stomach ulcers associated acid reflux. This is not a routine test done for heartburn, though it may be of interest to individuals who have had chronic stomach pain/ulcers.
Since the hormonal and anatomic causes of heartburn during pregnancy cannot be avoided, the management of heartburn during pregnancy is by practicing prevention.
Reducting esophageal sphincter relaxation and decreasing intrabdominal pressure.
2. Decreasing intrabdominal pressure during pregnancy is easier said than done. Here are some suggestions:
- Dont lie flat during pregnancy, especially after eating.
- Avoid lifting heavy objects or any activity that will strain your abdominal muscles. This increases the pressure in your abdomen and will cause gastric contents to reflux up into your esophagus.
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How Can I Help Heartburn
Even though heartburn is very natural and common in pregnancy, please dont lose hope ladies. There are so many tips and tricks to alleviate heartburn.
There are breathing exercises, postures and poses to do and not to do to help heartburn.
There are foods that will help and those, that really wont.
Plus theres a few must have products, to help you along your heartburn helper way.
Medicines For Indigestion And Heartburn
Medicines for indigestion and heartburn during pregnancy include:
- antacids to neutralise the acid in your stomach
- alginates to relieve indigestion caused by acid reflux by stopping the acid in your stomach coming back up your gullet
You may only need to take antacids and alginates when you start getting symptoms. However, your GP may recommend taking them before symptoms come on for example, before a meal or before bed.
If you’re taking iron supplements as well as antacids, do not take them at the same time. Antacids can stop iron from being absorbed by your body.
If antacids and alginates do not improve your symptoms, your GP may prescribe a medicine to reduce the amount of acid in your stomach. 2 that are widely used in pregnancy and not known to be harmful to an unborn baby are:
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Avoid Acid Foods / Liquids
Acid foods and liquids also make heartburn worse. Some of the most popular ones that people incorporate in everyday diet are: tomatoes, chocolate, spicy foods , citrus fruits, coffee or carbonated drinks.
I am Italian and dont even get me started on how much I missed my tomatoes! And, as a general rule, I found that avoiding any kind of takeaway always helped.
What Medications Are Safe To Take During Pregnancy
However, it may be best to avoid magnesium during the last trimester of pregnancy. Magnesium could interfere with contractions during labor.
Most doctors recommend avoiding antacids that contain high levels of sodium. These antacids can lead to a buildup of fluid in the tissues.
You should also avoid any antacids that list aluminum on the label, as in aluminum hydroxide or aluminum carbonate. These antacids can lead to constipation.
Finally, stay away from medications like Alka-Seltzer that may contain aspirin.
Ask your doctor for the best option. If you find yourself downing bottles of antacids, your heartburn may have progressed to gastroesophageal acid reflux disease . In that case, you may need a stronger treatment.
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Talk To Your Doctor About Heartburn Medications
This includes over-the-counter ones some are safe to take during pregnancy.
Antacids help neutralize the acid in your stomach and quell that burning sensation. The University of Wisconsin School of Medicine and Public Health says OTC antacids containing calcium carbonate are safe to use.
If you havent been able to quiet your heartburn with lifestyle changes, your doctor may suggest heartburn drugs like Tagamet and Prilosec, which are generally considered safe during pregnancy. While these drugs are available OTC, you might receive a prescription for a stronger dose if your doctor thinks its warranted.
When youre pregnant, you have to think about the safety of everything you put into and on your body. Some heartburn medications that might be OK for your nonpregnant sister but not for you include:
- Antacids containing sodium bicarbonate, which can increase swelling.
- Antacids containing aspirin, which can be toxic to your baby. Aspirin use during pregnancy has been associated with pregnancy loss, heart defects, and bleeding on the brain in premature infants.
- Antacids containing magnesium trisilicate, which havent been proven safe to use in pregnancy.
Best Cures For Heartburn During Pregnancy
What can you do about this common pregnancy side effect.
When youre pregnant, your body undergoes lots of changes to grow a healthy baby. One of the unfortunate side effects can be heartburn. If you know what might be causing your heartburn and ways you can help stop it, you may find some relief.
Heartburn actually has nothing to do with your heart, but is a burning pain in the chest. It happens when the acid from your stomach backs up into your esophagus-the tube that carries food from your mouth to your stomach. Heartburn can affect anyone, but heartburn during pregnancy is especially common. Eighty percent of women will experience heartburn at some point in their pregnancy, says Erin Bassett-Novoa, M.D., a family doctor in Lawrence, Mass., who provides prenatal and obstetric care. Heartburn happens during pregnancy because of the increasing size of the uterus and a surge in hormones, including progesterone. The uterus pushes up, increasing pressure on the stomach, says Bassett-Novoa. The bigger Baby gets, the more pressure is exerted on the stomach, which is why most women experience the worst heartburn in the second and third trimesters. In one study of more than 600 pregnant women, 72 percent experienced heartburn in the third trimester.
Heartburn is caused by acid going from the stomach back into the esophagus, so eating acidic foods only exacerbates the problem. Limit canned tomatoes and tomato sauces, vinegar, acidic dressings and citrus fruits.
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Medicines For Heartburn: My Secret Weapon
If none of the above remedies work, you can also try talk to your doctor about medicines that are safe to take for heartburn during pregnancy.
I personally did take Gaviscon every now and then. Particularly when over indulging in the evening. Sometimes I just couldnt stop myself! I knew that without it I would have been awake throwing up at 2 am! It was my secret weapon when all else failed.
Gaviscon is totally safe during pregnancy and you only need a spoon before lying down in bed at night. You dont even need a doctors prescription for it. However, some people really prefer to stick to only natural remedies.
Shop for Gaviscon on Amazon < -here.
Treatment For Heartburn And Acid Indigestion During Early Pregnancy
Before jumping into the possible treatment options for pesky heartburn, confirm you are indeed pregnant with your trusted health care provider. They can help you better understand how to approach your symptoms and decide next steps.
If you are indeed pregnant and experiencing heartburn, we recommend taking the following measures to keep your heartburn symptoms at bay.3
- Avoid foods that flare up your symptoms. These might include spicy foods, fried foods or meals, caffeine such as coffee or soda. Create a journal of foods that youve noticed might cause upset stomach.
- Stay away from large meals just before bedtime. This can trigger acid reflux due to your sleeping position.
- Sleep with a pillow wedge that raises your head to deter acid reflux.
- Consult with your doctor to determine whether an antacid, like TUMS, would be right for you.
While its no fun to experience heartburn and acid indigestion, talk to your care provider about the many tools and resources to help you manage. Whether together you decide you should use TUMS to help manage your symptoms or find comfort in pairing antacids with other preventative measures, you have options.
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Change Your Eating And Drinking Habits
You may be able to control your indigestion with changes to your eating habits.
It can help to eat small meals often, rather than larger meals 3 times a day, and to not eat within 3 hours of going to bed at night.
Cutting down on drinks containing caffeine, and foods that are rich, spicy or fatty, can also ease symptoms.
Does Apple Cider Vinegar Help With Heartburn During Pregnancy
When someone gets pregnant there are so many beautiful and miraculous things the body will experience. Youre growing a human, and its truly incredible to see what your body is capable of. But there are also numerous challenges you have to deal with. One of the most common, and unfortunately, uncomfortable challenges pregnant women experience is heartburn during pregnancy.
This is a common symptom due to changes in hormones and increased pressure on your stomach caused by your growing baby. Stomach acids are being pushed back up the esophagus during pregnancy so a lot is going on that isnt necessarily due to what youre eating or drinking. During the first trimester, it is more likely caused by hormonal changes. Whereas during the third trimester the baby growing bigger every day can be the cause.
Heartburn during pregnancy appears as a burning sensation in the stomach and esophagus that moves all the way up to the chest. The pain associated with heartburn is pain coming from behind the breastbone. However, even if the feeling is annoying, its best to try natural remedies first instead of over-the-counter medications.
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