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How To Reduce Heartburn During Pregnancy

Heartburn Medication To Avoid During Pregnancy

Acid reflux remedy pregnancy | 5 Ways to Reduce Heartburn During Pregnancy

Talk to your doctor before taking any antacids. Some contain ingredients that may harm you or your baby. Be sure to not to take these medications:

Ranitidine. In 2020, the FDA stopped sales of an H2 blocker called ranitidine because it was contaminated with a cancer-causing agent. If you take OTC ranitidine, stop your use. If you have a prescription for ranitidine, talk to your doctor about other options before you stop your medication.

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Indigestion And Heartburn In Pregnancy

Indigestion, also called heartburn or acid reflux, is common in pregnancy. It can be caused by hormonal changes and the growing baby pressing against your stomach.

You can help ease indigestion and heartburn by making changes to your diet and lifestyle, and there are medicines that are safe to take in pregnancy.

When Should I Talk To My Doctor

If you have heartburn that often wakes you up at night, returns as soon as your antacid wears off, or creates other symptoms , you may have a more serious problem that requires attention.

Your doctor may diagnose you with GERD. This means that your heartburn needs to be controlled to protect you from complications such as damage to the esophagus.

Your doctor may prescribe certain acid-reducing medications to reduce your symptoms. Research indicates that medications called H2 blockers, which help block the production of acid, appear to be safe.

Another type of medication, called proton pump inhibitors, is used for people with heartburn that doesnt respond to other treatments.

If youre concerned about the effects of medications, be sure to talk to your doctor. Doctors can help you control your symptoms while keeping your unborn child safe.

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Risk Of Bias In Included Studies

The three included studies were placebo controlled trials with blinding of participants and clinical staff. None of the studies provided information on how the randomisation sequence was generated. The sample sizes in the three studies were small, ranging from 30 to 156. One of the studies was carried out almost 50 years ago and examined a treatment rarely used nowadays.

What To Drink For Heartburn Relief

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Some liquids and foods can help reduce heartburn. Such these include:

  • Coconut WaterCoconut water is very hydrating and can help in preventing heartburn. It soothes the heartburn, and on top of that, it promotes the health of the stomach. Regular consumption of coconut water will reduce acid reflux and it is very safe for pregnant women.
  • Whole GrainIt is vital that you keep better eating habits as a pregnant woman. This will lead to balanced health during the second and the third trimester. Whole grain such as brown rice and cereals are rich in minerals, fiber, enzymes, and vitamins. All these nutritional benefits will help reduce heartburn. Other whole grain foods that you can eat include oat, barley, and white rice.
  • PapayaPapaya is helpful in maintaining a balanced acidic environment in the stomach. It helps in preventing acidity and thus can reduce heartburn. Papaya also takes care of an upset stomach. Hence papaya can help pregnant women reduce the number of stomach related issues.

Its called heartburn, although that burning feeling in your chest has nothing to do with the heart. Uncomfortable and frustrating, it bothers many women, particularly during pregnancy.

The first question you may have is how to make it stop. You may also wonder if treatments are safe for your baby. Learn what causes heartburn during pregnancy and what you can do about it.

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Safer Options For Pregnancy Reflux

The safest option for pregnancy is to not use any medication at all but instead manage the reflux and heartburn conservatively through dietary and lifestyle measures. However, this is not always practical or desirable. When medication is to be used, pregnant women may want to consider raft-forming agents first since most of the ingredients are not absorbed into the bloodstream. Therefore it would not have any effect on the growing fetus. When these drugs are not sufficient then antacids may be tried. Proton pump inhibitors and H2-blockers should be considered as the last option. It is always advisable to first consult with a doctor before starting any of this medication in pregnancy.

Changing Your Eating Habits

  • 1Eat fewer, smaller meals.XResearch source Switching from three large meals a day to six smaller ones can have a significant impact on heartburn during pregnancy. Eating less food reduces stomach pressure that can cause food particles and acid to back up into the esophagus.
  • 2Eat more slowly. Slowing down your eating can also help you feel full faster, so you may tend to eat less at your meals.XResearch source Take your time chewing and swallowing. You should be eating smaller meals, so you can also try to make them last longer by eating slowly.
  • 3Dont lie down after meals. Lying down after a meal can increase your chance of heartburn. Instead, you should go for a quick walk or run an errand. Even if you are tired, try to spend at least an hour or two being on your feet or sitting in a chair before you lie down.XTrustworthy SourceMedlinePlusCollection of medical information sourced from the US National Library of MedicineGo to source
  • 4Avoid eating too close to bedtime. Try not to eat for at least two to three hours before you go to bed. You should also be drinking less liquid during this time.XTrustworthy SourceMedlinePlusCollection of medical information sourced from the US National Library of MedicineGo to source
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    Causes Of Heartburn During Pregnancy

    Heartburn in pregnancy may happen because of changing hormone levels, which can affect the muscles of the digestive tract and how your body handles different foods.

    Pregnancy hormones can cause your lower esophageal sphincter to relax, allowing stomach acids to flow back up into your esophagus. Also, as your baby grows, your enlarged uterus can crowd the abdomen, pushing stomach acids upward. Although it’s rare, gallstones can also cause heartburn during pregnancy.

    Medications To Treat Gerd During Pregnancy

    How can I ease heartburn during pregnancy? – Reston Hospital Center

    Beyond the dietary and lifestyle measures listed above, safe antacids are the next step in treating GERD during pregnancy. The first-line medications that are safe to use during pregnancy include:

    Dr. Ross explains that these medications help coat the esophagus, minimizing the burning sensation. They also help neutralize stomach acid. These medications should be taken 30 minutes before each meal and before bedtime for optimal results, or they can simply be taken on an as-needed basis.

    If you find that you are taking large and frequent doses of the above medications to treat your GERD symptoms, you may need an acid reducing medication, such as the following treatments are also safe during pregnancy:

    • Tagamet
    • Zantac*Though ranitidine was previously recalled, Zantac is back on the market with the same active ingredient as Pepcid.

    These are considered second-line medications. Antacids work more quickly and are less expensive. Many women with mild symptoms wont need to try Pepcid or Tagamet.

    According to Dr. Garza, it is best to avoid sodium bicarbonate or aspirin containing antacids during pregnancy. For severe reflux cases requiring care beyond the safer medications listed above, it is best to talk with your healthcare professional. He or she may prescribe proton pump inhibitors if the medications above dont work. These popular medications, like Prilosec and Nexium , are also generally considered to be safe during pregnancy.

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    Checklist Of Foods To Avoid In Your Daily Diet

    I have mentioned earlier certain foods will alleviate the pregnancy symptoms indigestion and heartburn. The same sort of food which causes indigestion causes heartburn too.

    Unfortunately, pregnancy heartburn is the worst in the last trimester. So, the best way is to completely staying away from those foods even if it is your favorite.

    The list is as follows:

    • Chocolates
    • Caffeinated beverages like tea and coffee
    • Carbonated drinks
    • Tomato and store bought tomato products
    • Pickles

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    Why Does It Happen In Pregnancy

    Many women who have heartburn during pregnancy have never had problems before. Unfortunately, if you had heartburn before becoming pregnant, youre more likely to have symptoms while you are pregnant. Although the exact reasons arent clear, most experts believe that pregnancy hormones, particularly progesterone, play a role. Hormones cause relaxation of the esophageal sphincter. This is a tight circular band of muscle at the top of the stomach. This allows partially digested food and stomach acids to backflow, or reflux, into the esophagus. In addition, progesterone also slows the digestive process. This keeps food in the stomach longer. The pregnancy itselfthe upward pressure of the growing uterusalso may play a role.

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    Discuss H2 Blockers With Your Doctor

    If an antacid isn’t working, it may be time to consider stronger medications.

    Your first option will likely be an H2 blocker like Tagamet or Zantac. These drugs suppress stomach-acid production. All four H2 inhibitors on the market are now available without a prescription and considered to be safe during pregnancy. But talk to your doctor before taking them.

    “They really work,” says Einarson. “You only have to take one or two a day.”

    Foods That Help Heartburn

    How to get rid of heartburn when pregnant naturally

    If you want to know how to get rid of heartburn during pregnancy fast, one of the best ways is to look at what youre eating.

    A good rule of thumb is to stick to whole foods, including plenty of fruits and vegetables.

    Try to avoid processed foods and cook at home so you can control the ingredients.

    Heres a list of foods that help heartburn.

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    When Will It End

    Heartburn symptoms are usually mild and manageable. Tell your healthcare provider if your heartburn is severe, if you spit up blood, or have dark-colored bowel movements. This is a sign of blood in your digestive tract. Fortunately, heartburn usually ends with the birth of your baby and your body goes back to its nonpregnant state.

    Ways To Prevent Pregnancy Heartburn

    You canât really know if youâll have heartburn during pregnancy until it happens, but there are ways to make it less likely to occur, starting with your diet. Avoiding known food triggers like intense spices, citruses, and acidic, tomato-based dishes can be helpful. âYou should also try to eat meals slowly and avoid lying down immediately after eating,â Shepherd tells Romper. âBe sure to get enough rest and keep up your water intake.â

    There are also foods you can consume to try to stave off heartburn, Lyon tells Romper. âTraditional wisdom tells us that almonds are really helpful, so if youâre really invested in managing the heartburn without medication, you can prepare sprouted almonds to snack on and make fresh almond milk.â Eating smaller meals with low pH foods more frequently throughout the day can also help prevent pregnancy heartburn.

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    Heartburn During Pregnancy Remedies

    Preventing heartburn is the best way to deal with it! Here are some helpful tips for avoiding heartburn:

    • Eat five to six smaller meals throughout the day rather than three large meals
    • Wait an hour after eating to lie down
    • Avoid spicy, greasy, and fatty foods

    If you are experiencing heartburn, there are a few natural ways to relieve the symptoms:

    • Eat yogurt or drink a glass of milk
    • Try a tablespoon of honey in a glass of warm milk

    Over-the-counter antacids may prove helpful in relieving your heartburn, but do not take antacids without speaking to your healthcare provider. Some antacids contain high levels of sodium, which can cause fluid buildup in body tissues. Some also contain aluminum, which is not considered safe for pregnancy.

    If your heartburn is severe, your healthcare provider may prescribe medication for you.

    Want to Know More?

    Talk To Your Doctor About Heartburn Medications

    How to prevent heartburn during pregnancy?- Dr. Shefali Tyagi

    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.

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    When Should I Call My Healthcare Provider About Heartburn During Pregnancy

    If heartburn isnt going away, talk to your provider. They can prescribe medications that are safe to take while pregnant.

    You should also call your provider if you:

    • Have heartburn that wakes you up at night.
    • Have trouble swallowing.
    • Have black poop.
    • Are losing weight.

    Heartburn can have similar symptoms to a heart attack. If youve never had heartburn before and youre having chest pains, call your provider or head to the nearest ER.

    A note from Cleveland Clinic

    Heartburn during pregnancy is a common pregnancy symptom, especially in the third trimester. You can prevent or get relief from heartburn during pregnancy by making a few changes to your diet, like eating more frequent but smaller meals and avoiding spicy or fried foods. Some yogurt or milk may also help relieve symptoms. Before you take antacids, be sure to check with your provider for the safest option to take during pregnancy.

    Last reviewed by a Cleveland Clinic medical professional on 01/29/2021.

    References

    What To Drink For Heartburn During Pregnancy

    If youre wondering what to drink when expecting a baby and plagued by indigestion, there are many beverages that you can sip on throughout the day for relief.

    • Milk. The alkaline composition of milk including cows milk and nut milks can provide immediate relief from heartburn. Just stay away from milk that is high in fat, as fatty foods can cause even worse heartburn.
    • Coconut water. Coconut water is very high in electrolytes which promote pH balance and help to neutralize stomach acid.
    • Herbal tea. Ginger, fennel, peppermint, and marshmallow root are all heartburn remedies that can be found in tea form. Sip on herbal tea in between meals to prevent or relieve heartburn.
    • Water. Thats right good old water. Sip on it throughout the day to make sure that you stay hydrated so that your digestive system can work as efficiently as possible without any hitches in the form of indigestion.

    Avoid beverages that may exacerbate symptoms include caffeinated drinks such as coffee or green, white and black tea, carbonated drinks, and acidic drinks such as orange juice.

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    Watch Your Weight Gain

    Your growing belly is a sign of a normal, healthy pregnancy and although it may be one of the reasons for your heartburn, you dont want to exacerbate the problem further.

    Extra pounds can put additional pressure on your abdomen and increase the chances of heartburn, so aim to keep your weight within the recommended guidelines.

    Stick with a healthy diet, made up of mostly whole foods, and get enough exercise.

    The American College of Obstetricians and Gynecologists recommend women with normal, healthy pregnancies get between 20 and 30 minutes of moderate-intensity exercise mostor all daysof the week.

    Why Is Gerd Common During Pregnancy

    Ways To Relieve Acid Reflux During Pregnancy

    GERD is practically a hallmark of pregnancy because changing hormone levels can affect the smooth muscles of the digestive tract. The hormone progesterone, producedin large amounts by the placenta, is a smooth muscle relaxant, according toHeather Johnson, MD, an OB-GYN at Reiter, Hill and Johnson of Advantia Health in the Washington, D.C. area. The relaxation of muscles in the digestive system also causes the lower esophageal sphincter muscles to relax. This allows stomach acid to more easily make its way into the esophagus. This, combined with the increasing size of the uterus in the second and third trimesters, pushes the stomach upward and intensifies uncomfortable symptoms. Hence, symptoms tend to worsen as the pregnancy progresses, Dr. Johnson notes.

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    Tackling Heartburn During Pregnancy

    Management of heartburn in pregnancy is a bit more difficult than in normal conditions because medications such as antacids, proton pump inhibitors, natural herbs, and other acid reducers may pose unwanted threats to the baby or the expecting mother.

    It is unwise to take any kind of natural or allopathic medication during pregnancy without prescription. However, some of the common practices may be followed but with the high amount of precautions.

    Given below is a list of some common food items to be avoided to prevent heartburn and a number of things that are followed normally to reduce heartburn that ought to be avoided during pregnancy.

    Please do consult a doctor before taking anything which is new or you feel uncomfortable taking. This is very important.

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