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
Drink Some Lukewarm Ginger Tea
Hot tea is going to make your heartburn worse. One of the most popular herbal remedies for heartburn is lukewarm ginger tea. The ginger will help to settle the acid and re-balance the body, while the lukewarm water helps to counter against the heat of the heartburn. Get some GingerTea from here best for pregnancy.
Youll also find that the ginger tea balances an upset stomach. Its perfect throughout pregnancy, but do avoid drinking too much. There are concerns that too much can cause a miscarriage, but there are still studies looking into this.
When To Call The Doctor
If heartburn symptoms are associated withheadaches or swelling of the hands and face, talk with your provider beforetrying these remedies, especially if the symptoms are new and present in thelast trimester of pregnancy.
Heartburn-like paincan be a symptom of preeclampsia, or dangerously high bloodpressure during pregnancy. Preeclampsia puts mothers and babies at risk, andfurther evaluation may be necessary.
As mentioned,heartburn is very common in pregnancy. If your symptoms dont resolve with dietchanges or medication, let your provider know so you can find an effectivetreatment.
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Pain Or Headache Relief
Acetaminophen is the drug of choice for pain during pregnancy. Its widely used with very few documented adverse effects.
Aspirin and nonsteroidal anti-inflammatory drugs , on the other hand, should be avoided during pregnancy.
NSAIDs include:
- ketoprofen
- naproxen
If your pain is particularly severe after a surgery, for example your doctor may prescribe a short course of opioid pain relievers. When taken as directed, they may not affect fetal development.
That said, opioid use during pregnancy does carry the risk of withdrawal, called neonatal abstinence syndrome , after delivery.
Opt For Tums Over Rolaids
You may be tempted to get Rolaids as thats what youre used to. Cut this out during pregnancy.
The best option is to take TUMS. These digest within the stomach to balance out the stomach acid. However, some pregnant women have said that theyre arent as effective as Pepcid during the third trimester.
TUMS is useful when you need on-the-spot treatment, but Pepcid will last longer. There is also the downside of sugar in TUMS, which should normally be managed but especially during pregnancy to avoid gestational diabetes.
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Mild And Severe Allergies
Mild allergies may respond well to lifestyle measures. If you need some extra help, the following OTC oral antihistamines are generally considered safe:
- diphenhydramine
- loratadine
- cetirizine
If your allergies are more severe, your doctor may suggest taking an OTC corticosteroid spray at a low dose along with an oral antihistamine. Options include:
- budesonide
- fluticasone
You may also try the following lifestyle changes:
- Avoid going outdoors or opening windows on high pollen days.
- Take off clothing youve been wearing outdoors. Rinse off pollen from skin and hair with a quick shower.
- Wear a mask while completing outdoor chores or enlist the help of someone else for tasks like mowing.
- Rinse nasal passages with saline spray or a neti pot.
What Causes Heartburn During Pregnancy
During normal digestion, food travels down the esophagus , through a muscular valve called the lower esophageal sphincter , and into the stomach.
The LES is part of the doorway between your esophagus and your stomach. It opens to allow food through and closes to stop stomach acids from coming back up.
When you have heartburn, or acid reflux, the LES relaxes enough to allow stomach acid to rise up into the esophagus. This can cause pain and burning in the chest area.
During pregnancy, hormone changes can allow the muscles in the esophagus, including the LES, to relax more frequently. The result is that more acids may seep back up, particularly when youre lying down or after youve eaten a large meal.
In addition, as your fetus grows during the second and third trimesters and your uterus expands to accommodate that growth, your stomach is under more pressure. This can also result in food and acid being pushed back up into your esophagus.
Heartburn is a common occurrence for most people at one time or another, but it doesnt necessarily mean youre pregnant. However, if you also experience other symptoms, such as a missed period or nausea, these could be signs that you need to take a pregnancy test.
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Or Inquire About Proton Pump Inhibitors
If other medications don’t help, there are also proton pump inhibitors , such as Prevacid. These have a more powerful acid-suppressing effect than H2 blockers, and most are available over the counter.
Although PPIs are, in general, safe for pregnant women, animal studies have raised concerns that omeprazole could harm a developing fetus, Dr. Richter says. “My recommendation to patients would be to avoid that one because there are about five or six out there on the market, with the H2 blockers,” he says. “All of them look to be safe during pregnancy.”
Be sure to discuss any medications with your doctor.
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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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Heartburn Medicines When Your Are Pregnant
All the medications that you would usually take become questionable when youre pregnant. There are some that thin the blood and others that cause problems for the cell growth and structures of your growing little one.
Now you must think twice about what to take and what to avoid regarding heartburn medicine. It can be tricky, especially when it comes to the symptoms of pregnancy. You have to put up with pain, sickness, and heartburn medicine.
The good news is that many heartburn medicine and medications are safe during pregnancy. Here are 15 that you can definitely take, with some over the counter options and some herbal remedies to soothe and treat your acid reflux.
Can I Take Over
Nonprescription heartburn relievers, such as Tums® or Maalox®, can help you feel better. But talk to your healthcare provider before taking antacids. They may contain high sodium levels, which can cause you to retain water. Some also have aluminum in them, which isnt safe to consume during pregnancy. Your provider can recommend an antacid thats safe during pregnancy.
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Take Serious Action With Ranitidine
Doctors will be able to prescribe Ranitidine if your acid reflux doesnt give up. This is important if you constantly feel like you need the help of the medications mentioned above to help settle the heartburn. It is possible that rather than being acid reflux that it has become GERD, which is far more serious.
Ranitidine reduces the amount of acid that your body is able to make. The downside is that this can lead to some problems with digestion. Therefore, its given when GERD is a problem because this means too much acid is being produced.
Your doctor will want to keep the amount of the heartburn medicine you take to a minimum. It is usually given in tablet form and is a long term option.
How Do I Treat Heartburn During Pregnancy
When youre growing a human being, you dont have time for that yucky acid reflux. But your usual go-to methods for treating it may not be safe for your unborn baby.
Instead, here are some of the safest and best ways to get rid of heartburn when youre pregnant:
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How Can Heartburn During Pregnancy Be Prevented
You can take steps to reduce heartburn symptoms without hurting your baby.
Dietary changes:
- Eat several small meals throughout the day instead of three large ones.
- Eat slowly.
- Drink between your meals, but not with meals.
- Avoid fried, spicy or fatty foods.
- Avoid citrus fruits and juices.
- Limit caffeine.
- Dont smoke and avoid alcohol. Besides causing heartburn, smoking and drinking during pregnancy can cause health problems for the baby.
Other tips to avoid heartburn during pregnancy:
- Sit up straight when you eat.
- Dont eat late at night.
- Dont lie down right after eating.
- Keep the head of your bed higher than the foot of the bed. Or try placing pillows under your shoulders. Doing so helps prevent stomach acids from rising into your chest.
Try Chamomile Tea Instead
If the ginger tea isnt working or you want something else to work with it, chamomile tea is the option to go for. Again, opt for lukewarm water if the hot water is making your heartburn worse.
Chamomile is excellent for calming your whole system. If youre struggling to sleep because of the pregnancy symptoms, chamomile tea is highly recommended. Youll also find that it can settle your upset stomach if you suffer from morning sickness.
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When To See A Doctor
You should call your healthcare provider if you:
- Experience heartburn that doesnt go away
- Have heartburn that wakes you up at night
- Have trouble swallowing
- Have black poop
- Are losing weight
If you have chest pain but never had heartburn before, you should see your doctor or seek emergency medical attention right away. It could be a sign of a heart attack.
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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Treatment Of Heartburn During Pregnancy
If your heartburn wonât go away, see your doctor. They may prescribe or recommend OTC medications that are safe to take during pregnancy. Heartburn usually disappears following childbirth.
Medications may include:
Over-the-counter antacids such as calcium carbonate or magnesium hydroxide. These are generally safe to use during pregnancy. You may find that liquid heartburn relievers are more effective in treating heartburn, because they coat the esophagus.
H2 blockers. These medications block chemical signals that produce stomach acid. They include cimetidine and famotidine , and theyâre available in over the counter and prescription strengths.
Proton pump inhibitors . Like H2 blockers, these drugs help cut down on stomach acid. PPIs, which include lansoprazole and omeprazole , are available over the counter and by prescription.
If you take iron supplements, talk to your doctor before you take a PPI or H2 blocker. These medications can make the supplements less effective.
What Heartburn Medicine Is Safe For Pregnancy
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Prescription Medications: Those that may caused by eating spicy or rich what heartburn medicine is safe for pregnancy foods. These foods include those that you must eat the banana into a smoothie or making a 5-10 minutes. To learn more about heartburn? The two most people.
Apples: Try a glass one sip at a time can minimize your throat
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Heartburn Medication To Avoid 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.
Does Heartburn During Pregnancy Mean My Baby Will Be Born With Hair
Suffering from severe heartburn? You may want to stock up on baby shampoo. Research has backed up the superstition that, on average, the more heartburn you have during pregnancy, the more likely your baby will be born with a full head of hair.
From the What to Expect editorial team and Heidi Murkoff, author of What to Expect When You’re Expecting. What to Expect follows strict reporting guidelines and uses only credible sources, such as peer-reviewed studies, academic research institutions and highly respected health organizations. Learn how we keep our content accurate and up-to-date by reading our medical review and editorial policy.
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Which Diet And Lifestyle Changes Relieve Heartburn During Pregnancy
The management of heartburn during pregnancy involves many of the same principles as management in the non-pregnant state. Lifestyle changes may include: