Diagnosis In The Pregnant Patient
As in the non-pregnant patient, the initial diagnosis of GERD in pregnancy can reliably be made based on symptoms alone. Barium radiographs are not necessary and should be avoided because of radiation exposure to the fetus. Oesophageal manometry and pH studies are rarely necessary during pregnancy but can be performed safely. Upper gastrointestinal endoscopy is the procedure of choice to evaluate intractable reflux symptoms or complications. This procedure can be safely performed without harm to the mother or fetus by carefully monitoring blood pressure and oxygen and judicious use of conscious sedation and fetal monitoring., , Midazolam and diazepam are category D, fentanyl is category C and meperidine and propofol are category B drugs during pregnancy . Although not approved by the FDA for these indications during pregnancy, clinical experience suggests that these medications are safe with appropriate monitoring, particularly after the first trimester.,
|Contraindicated in pregnancy, fetal abnormalities in animals or humans. Risks outweigh benefits|
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 youâre 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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What Is Heartburn During Pregnancy
Heartburn is a common issue for pregnant women which involves acidic stomach contents being regurgitated back up the individuals oesophagus, which can cause burning in the throat and chest. Symptoms are often worse immediately after eating or while lying down.
The reasons for the increase in heartburn in pregnancy are complicated and not completely understood, with multiple factors potentially at play:
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Estimation Of Due Date
Due date estimation basically follows two steps:
- Determination of which time point is to be used as origin for gestational age, as described in the section above.
- Adding the estimated gestational age at childbirth to the above time point. Childbirth on average occurs at a gestational age of 280 days , which is therefore often used as a standard estimation for individual pregnancies. However, alternative durations as well as more individualized methods have also been suggested.
Naegeles rule is a standard way of calculating the due date for a pregnancy when assuming a gestational age of 280 days at childbirth. The rule estimates the expected date of delivery by adding a year, subtracting three months, and adding seven days to the origin of gestational age. Alternatively there are mobile apps, which essentially always give consistent estimations compared to each other and correct for leap year, while pregnancy wheels made of paper can differ from each other by 7 days and generally do not correct for leap year.
Furthermore, actual childbirth has only a certain probability of occurring within the limits of the estimated due date. A study of singleton live births came to the result that childbirth has a standard deviation of 14 days when gestational age is estimated by first trimester ultrasound, and 16 days when estimated directly by last menstrual period.
Natural Ways To Relieve Pregnancy Heartburn
There isnt much that can be done about preventing the organic causes of heartburn during pregnancyhormones and babys growth are natural and wanted aspects of pregnancy. So what can you do?
First, its important to avoid over-the-counter options, like Zantac. Although some practitioners will tell you these conventional medications are safe during pregnancy, new research suggests they arent safe during pregnancy or ever. In fact, many big name storesCVS, Walmart, and Walgreens, to name a fewrecently pulled these drugs from their shelves over concerns that they contain cancer-causing agents.
The good news is most women with healthy, normal pregnancies will find easy, convenient, and effective measures to relieve heartburn discomfort naturally, including:
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Top Medications To Avoid
Before we get into the exact medications to try, lets focus on the ones that you need to avoid. Read the labels to find out if the medications contain:
- Bicarbonate soda/baking soda
These three are effective heartburn medicine for relieving heartburn, but they can put your unborn baby and your health at risk. They think the blood and can make you a higher risk of miscarriage. Bicarbonate soda is high in sodium, which will cause water retention, raise your bodys sodium levels, and cause other health problems.
Reading the labels will also help you look out for not safe for pregnancy, do not use during pregnancy, or suitable for pregnancy labels.
Avoid Foods That Trigger Heartburn
Certain foods are more likely to cause heartburn symptoms than others. Some examples of foods that may cause heartburn include chocolate, foods containing caffeine, fried food, fatty food, spicy food and carbonated beverages2. Some people may also notice that specific types of foods are more triggering for them than others. Pay attention to the foods that cause your heartburn most often and try to avoid them as much as possible.
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Causes Of Heartburn In Pregnancy
Do you know how people always blaming hormones for any negative thing that happens during pregnancy? Crying all the time? Hormones. Being cranky? Hormones. Feeling tired the moment you wake up? You guessed it hormones.
So it comes as no surprise that hormones can also be a link between heartburn and pregnancy. In the early stages of pregnancy, your body starts to produce large amounts of progesterone that works towards relaxing your muscles. This process is great for your baby, as relaxed muscles lead to better absorption of nutrients, which then travel to the placenta and feed your baby.
However, progesterone can also loosen the lower oesophageal valve that otherwise separates your stomach and your oesophagus. Normally, this muscle opens to let the food or drink into your stomach, but closes tightly right afterwards. Unfortunately, high progesterone levels can cause weakness in this very important muscle, which results in acid backing up from your stomach to the oesophagus. This stomach acid can irritate the lining of your oesophagus and cause a very unpleasant burning sensation around your heart, which is exactly where the term heartburn derives from, even though its not connected to your heart at all.
Now that weve identified the causes of heartburn in pregnancy, lets have a closer look at what heartburn feels like when pregnant, so we dont mix up the symptoms with something else.
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.
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Welcome To Prilosec 20 Mg Capsules
Take this medication by mouth as directed by your doctor, usually once daily before a meal. This medication may also be given through a tube into the stomach . Dosage and length of treatment are based on your medical condition and response to treatment. In children, the dosage is also based on weight.
Prilosec OTC is a 14-day regimen that can be used up to three times a year, but not more often than every 4 months. If you need to use Prilosec OTC for more than the three indicated 14-day courses of treatment, consult with your doctor.
The active ingredient omeprazole works to fight heartburn differently from treatments like acid controllers/H2s or antacids. One of the best benefits of omeprazole is experiencing heartburn relief for 24 hours after only taking 1 pill a day.* But its not the only benefit. Omeprazole is a proton pump inhibitor and PPIs are the strongest class of frequent heartburn medicines.
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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.
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If You’re Taking Prescription Medicines
Speak to your GP if you’re taking medicine for another condition, such as antidepressants, and you think it may be making your indigestion worse. They may be able to prescribe an alternative medicine.
Never stop taking a prescribed medicine unless you’re advised to do so by your GP or another qualified healthcare professional who’s responsible for your care.
Try Out Pepcid For Your Heartburn
One of the branded medications that you can take is Pepcid. This medication is commonly used for treating ulcers in the stomach, and it helps to balance out the amount of acid within the stomach and in the food pipe. It is very commonly recommended to those with GERD, which can flare up during pregnancy.
Since it doesnt cause other effects on your body, it is safe during pregnancy. In fact, doctors recommend it in many heartburn meddicine cases.
There are both liquid and tablet forms. Liquids tend to be the most favored and they may feel like they soothe on the way down. If you want to eliminate the problem completed, consider the above advice of taking a tablet with little water.
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Pepcid Can Be Taken For Heartburn While Pregnancy
This medicine is usually prescribed for treating ulcers in the stomach. Also, it aids in balancing the acid amount inside the stomach as well as in the esophagus. It is ordinarily prescribed to those with GERD, which often occurs in pregnancy. It is a safe option for heartburn amid pregnancy as it has no side effects.
Listen To What Your Body Is Telling You
What you can eat during pregnancy is largely dependent on how certain foods make you feel. In your first trimester, you likely had aversions and foods that induced nausea just by looking at them. Now, certain foods may trigger heartburn. Fat, caffeine, chocolate, and citrus fruits are all common foods that cause heartburn during pregnancy. Know your triggers and stay away from them.
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What Causes Acidity In Pregnancy
When youre pregnant, your body produces increased amounts of progesterone a hormone, which among other things, relaxes certain muscles in your body. This muscle relaxing effect also affects the valve which keeps the stomach contents from moving back to the oesophagus. As a result, the valve allows the acids in your stomach to sometimes move back towards your oesophagus, which irritates the lining of your oesophagus and gives rise to heartburn. Heartburn is likely to increase during your third trimester, since your enlarged uterus presses against your stomach. This places more stress on the valve that regulates its contents, resulting in the reflux that causes heartburn. The good news is that you can both treat it and reduce its occurrence by following some simple tips.
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Acid Reflux During Pregnancy: Causes Diets And Home Remedies
Acid reflux is a feeling that happens when acid from the stomach moves up toward the throat. It can cause regurgitation and a painful, burning sensation in the chest.
The technical name for acid reflux is gastroesophageal reflux, or GER. The main
- regurgitation, where stomach contents come back up the esophagus as far as the throat or mouth
- heartburn, which creates a burning sensation in the middle of the chest
Other possible symptoms can include:
- persistent cough
of pregnant people.
Most of the time, the condition ends soon after the baby is born.
This article considers the causes of acid reflux, what to do about it, and its relationship to pregnancy.
There are several reasons why pregnancy can induce acid reflux.
Hormone changes affect the pressure within the esophageal sphincter , which connects the esophagus to the stomach. This causes a series of processes that ultimately cause acid from the stomach to rise into the esophagus .
The uterus itself might cause acid reflux by putting pressure on the stomach, causing the contents to rise into the esophagus.
Other aspects of pregnancy, such as changes in bowel movements or medications that people take during pregnancy, can also play a role in causing acid reflux.
when the lower esophageal sphincter, which is a group of muscles at the bottom of the esophagus, becomes weak or relaxes.
Reasons behind the changes that cause acid reflux can include:
such as blood in their vomit or stool.
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Pregnancy Itself Ups Your Risk Of Heartburn
Normally, there are certain factors like your weight, whether you smoke, and your genes that can increase your likelihood of heartburn. But when you’re pregnant, it’s the pregnancy itself that makes you more susceptible.
“There are two main factors,” says Renee Wellenstein, DO, who is a double board-certified OB-GYN. One that’s hormonal and one that’s physical.
Heartburn is caused by acid reflux, when food and digestive fluids, which contain acids, back up in your esophagus and create that uncomfortable burn. That backup can happen when you’re pregnant because you have higher-than-usual progesterone levels, which can one slow digestion and two relax the muscle, called the esophageal sphincter, that separates your esophagus and stomach.
Combined, these two factors create the perfect storm for heartburn because the slow digestion can lead to more backup in your esophagus and the relaxed muscle makes it easier for acid to creep through.
“The other factor is the growing uterus that physically pushes up on the stomach as it grows,” says Wellenstein.
As a result, heartburn does tend to get worse throughout pregnancy. Fortunately, all those changes to your body that cause heartburn during pregnancy quickly disappear after you give birth. So, at least that’s something you can look forward to leaving behind at the hospital when you bring your newborn home.
Is It Safe To Use Pepto
There is very little research into the effects of Pepto-Bismol on breastmilk or breastfed infants.
According to the U.S. National Library of Medicine, it may be better to avoid Pepto-Bismol when breastfeeding, as it is possible that breast milk can absorb salicylate.
Many people experience an upset stomach, heartburn, or diarrhea during pregnancy. Persistent diarrhea can interfere with a persons ability to absorb nutrients from food, which may affect the developing baby.
Certain medications may be safe to use while pregnant, as long as a person does so under a doctors care and instructions. Medicines that may be safe can include specific antacids, acid reducers, and proton-pump inhibitors.
It is essential for people to remember that recommendations about various medications are subject to change based on new research, including the information given here.
Due to the ever-changing picture, people should always talk to their doctor before taking any medication while pregnant.
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Lifestyle Changes And Medications
Treating acid reflux in pregnancy is almost the same as treating acid reflux in any other situation.
The first thing to try should always be lifestyle changes. There are a number of things that a person can do at home to ease symptoms of the condition.
Methods of reducing acid reflux during pregnancy can include the following:
- changing eating habits
. This is because these substances significantly reduce the chances of a healthy pregnancy.
Eating habits can have a major influence on acid reflux. The following changes can help:
- Eat smaller, more regular meals throughout the day.
- Sit upright to eat to make it easier for food to travel down the esophagus.
- Wait for 2â3 hours after a meal before lying down to sleep.
- Avoid chocolate and mint, as these loosen the valve between the stomach and the esophagus.
- Avoid caffeine and foods that are rich, fatty, and spicy.
Another lifestyle change to consider is sleeping habits. If acid reflux occurs during the night, it may help to raise the top of the mattress by 6â8 inches. This way, the body position still encourages food to travel downward, but still enables the person to lie down to sleep.
If lifestyle changes are not effective, the next thing to consider is medication. There are medications to relieve the symptoms of acid reflux. However, medicine that would usually be appropriate may be unsafe if the person is pregnant. A person should talk with their midwife or doctor before trying any OTC medications while pregnant.