When Does The Burning Complaints Show Up During Pregnancy
During pregnancy expectant mothers generally like to rest in a lying position and in this case burns manifest themselves and may even become more severe.
Therefore, candidate mothers whose complaints of stomach burning are exacerbated may want to sleep in a seated position. Being able to sleep while sitting can alleviate heartburn.
Since the growth of the uterus increases after the 20th week of pregnancy an increase in heartburn can occur during this period.
Heartburn is a reflux disease of the expectant mothers If symptoms such as pain in the throat, cough, pain in the chest and noise in breathing are added and a comprehensive examination is required by a specialist.
When Should A Doctor Or Midwife Be Called For Heartburn During Pregnancy
- Have severe heartburn or chest pain,
- Your heartburn symptoms dont improve with lifestyle changes or treatment
- Have a fever, headache, nausea, or vomiting with your heartburn
- Choke when you eat, have difficulty swallowing, or feel as if food is stuck in your throat
- Lose weight without trying
- Vomit bright red blood or your vomit looks like coffee grounds
- Have black, tarry stools
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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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.
What Is Heartburn Again
Despite its name, heartburn has nothing to do with your heart. Instead, the burning sensation is caused by powerful stomach acid that backs up into your esophagus, the tube that connects your throat and stomach, according to the Cleveland Clinic2.
Typically, when you swallow something, your lower esophageal sphinctera ring of muscles that act as a valve at the end of your esophaguswill relax to give food or liquid a clear path to your stomach. Then, if that valve is working properly, it will tighten back up so the contents of your stomach stay where they should. But if your lower esophageal sphincter is malfunctioning for some reason, those acids can bubble their way back up into your esophagus, causing a burning sensation. This is known as acid reflux, and heartburn is a telltale symptom of the condition.
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Talk To Your Doctor About Alginates
Antacids are the most commonly bought heartburn medicine/ medications, but you can get some that also have alginates. These medications help to line the esophagus to eliminate the pain and discomfort that you feel, giving you immediate relief.
At the same time, they create a barrier over the top of your stomach acid. This foamy barrier stops the acid from getting through, preventing the reason for the heartburn in the first place. Its a long-term option.
If you suffer from bad acid reflux during the night, you will want to discuss these as an option during pregnancy with your doctor. They can give the lining throughout the night to help you sleep and then you stick to immediate or other options during the day.
Indigestion And Heartburn In Pregnancy
Many women experience indigestion and heartburn while they are pregnant, which can be painful or uncomfortable. There are ways to help avoid or treat indigestion and heartburn, especially if it is mild. Sometimes the feeling of heartburn can be confused with a more serious condition called pre-eclampsia.
Indigestion, also called ‘dyspepsia’, is a feeling of pain or discomfort in the stomach . This mostly occurs after eating or drinking but can happen some time after.
If you have indigestion in the early stage of your pregnancy, this may be caused by changes in your hormone levels. In the second or third trimester, indigestion becomes more common and may be caused by your baby pushing up against your stomach. As many as 8 in 10 women may have indigestion during their pregnancy.
Symptoms of indigestion may include:
- reflux or regurgitation
- feeling heavy, bloated or full
- feeling sick
Heartburn is a burning pain in the throat or chest, behind the breastbone, caused by stomach acid coming up the oesophagus and irritating the lining.
In pregnant women, indigestion and heartburn can be caused by:
- eating a big meal
- drinking fruit juice or caffeinated beverages
- doing physical activity soon after eating
- bending over
- feeling anxious
It’s a good idea to take note of the particular foods, drinks or activities that give you indigestion while you are pregnant.
Also Check: I Ve Been Having Really Bad Heartburn
Look Out For Medication With Magnesium Oxide
The heartburn medicines that include magnesium oxide are good for pregnancy. They will increase the amount of magnesium in your system to help limit the production of stomach acid and reduce the flare up of your heartburn.
Look out for those in tablet form and use as little water as possible. When you swallow any type of liquid, you will start the acid production in your stomach. By keeping the water to as little as possible, the tablets can just get to work on your system.
Antacids with magnesium in it will neutralize the acidic effects. It doesnt affect any other part of your body, so your baby isnt going to be affected.
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 Heartburn While Pregnant How Does It Go What Is Good For Heartburn During Pregnancy
What Causes Heartburn While Pregnant?
A womans body goes through hormonal changes during pregnancy that can slow down her digestion.
One of the symptoms of pregnancy is stomach irritation. In pregnant women, these ailments usually occur in the second trimester or early in pregnancy. This phenomenon affects almost half of pregnant women and complicates their lives. There are several effective tips to help pregnant women relieve pain. During pregnancy, the body goes through many changes. Gradually, everything adjusts to life as a couple.
l Hormones allow tissues and muscles to relax to make enough room for the baby. As a result, the sphincter at the exit of the esophagus also loses its tone, and acidic stomach contents can move into the esophagus, triggering heartburn.
l The stomach is more crampy, especially in the last weeks of pregnancy. The growing child puts more and more pressure on the stomach, which compresses the stomach contents upwards.
l It also promotes the reflux of aggressive digestive juices into the esophagus. It then irritates the sensitive mucosa and causes this burning sensation.
How to Treat Heartburn While Pregnant?
Pineapples are important for pregnancy. This tip works for young pregnant women. You should use fresh and not canned pineapple. Many enzymes help prevent stomach acid production. You can have a slice for dessert after each meal.
l Choose clothes that are loose, especially at the waist.
What Is Good For Heartburn During Pregnancy?
What Is Acid Reflux During Pregnancy
People use the terms heartburn and acid reflux to mean the same thing. But they have different definitions:
- Acid reflux refers to the LES not tightening as it should. This allows the stomach acid to travel from your stomach up to your esophagus.
- Heartburn, the feeling of pain or burning in your chest, is a symptom of acid reflux.
Women may have acid reflux during pregnancy and experience heartburn due to changing hormone levels and the baby growing.
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Heres What Other Mamas Have To Say About Relieving Heartburn During Pregnancy Naturally
I asked the moms on my Facebook page about their go-to natural remedies for pregnancy heartburn, and here is a sample of their responses.
- Apple cider vinegar, pickle juice, digestive enzymes! Katie Keepman
- An apple in the morning and right before bed. Elsa Silva
- It may sound weird, but I would either drink a little pickle juice, or eat a spoonful of peanut butter and within about 5-10 minutes was gone. Jessica Fields
- Baking soda in a little bit of water helped! Was it gross? A little, but still more enjoyable than heartburn! Erin M. Strand
- Maybe not the healthiest, but I always had ginger snaps next to my bed. I ate one or two at night for the heartburn and another one or two in the morning for the nausea. Sarah Gilroy
- I didnt treat my heartburn with any natural remedies, but did learn that bad heartburn can often present itself as nausea/morning sickness! Women who experiences bad nausea/MS should consider your remedies as well! Renee Jillian
- So far, wearing hazelwood helps some. Not perfect, but helps a little. Susan Miller
- I had heard to eat a few green olives. So when a pregnant friend was needing relief, I suggested her to try itand it works!!! Shawna Beaubien
- Liquid slippery elm works instantly! Ashly Burke-Goike
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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How To Avoid Heartburn During Pregnancy
Heartburn or indigestion may not be new for you. You may have had it during your first trimester and then it went away. But now, it’s back. And you’re likely wondering why.
Many pregnant women have heartburn at some point. The hormone progesterone relaxes the ring-like sphincter at the base of your esophagus. This normally closes off entry to the stomach. When it doesnt close, food mixed with digestive enzymes can back up into your esophagus. The result: irritation and a burning sensation in your chest. And in the third trimester, you can also feel full because your growing uterus is putting pressure on your stomach.
Ask Your Doctor About Prevacid
Prevacid is one of the recommended longer term options for heartburn/ heartburn medicine. It blocks the production of acid, but it doesnt offer the immediate relief. This is often recommended for those who suffer heartburn regularly, such as more than two days a week.
It is a category B heartburn medicine / medication, which means there are no known risks to a baby. Your doctor may not recommend it if you have liver disease or are deficient in magnesium. You will be recommended some of the above options.
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Try Out Tagamet For Longer Term Relief
Another option for longer term relief is a medication called Tagamet. This works in the same way as Zantac 75 and Pepcid, by blocking some acid production but mostly neutralizing the acid that is in the stomach. It is a longer term relief than the likes of TUMS and Maalox.
The benefit is that Tagamet as a category B rating. This is important for doctors as it means that it hasnt shown any signs of causing an unborn baby problems. It is more favorable than Prilosec, which has a category C rating.
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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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.
Can Lifestyle Changes Prevent Pregnancy Heartburn
Heres some good news: Although heartburn is one of the biggest complaints during pregnancy, its also one of the easiest to treat for many people, says Dr. Ruiz.
Lifestyle changes can make a big difference. For example, eating smaller and more frequent meals may be enough for relief. This helps the stomach expand less, potentially reducing any problematic pressure against the lower esophageal sphincter. As an added bonus, the approach tends to be better for keeping energy levels consistent, Dr. Ruiz says. If heartburn at night is a problemand even if its notits helpful to avoid eating within two to three hours before bed, he adds.
The kind of advice given to non-pregnant heartburn sufferers about diet applies here, too. That means staying away from highly acidic foods like tomatoes, citrus fruits, and onions, as well as spicy choices that may kick off more acid production. Dr. Gray says three options that tend to exacerbate heartburn during pregnancy are chocolate, caffeine, and carbonated beverages.
Another hack: Sleep with your upper body elevated slightly7, so its at least above the height of your stomach. You can prop up the top of your bed, use an adjustable bed frame, or sleep on a wedge pillow. That may be difficult as your pregnancy progresses and you cant lie on your back, but if youre in the first or second trimester, it may be a way to get relief from nighttime heartburn.
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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.
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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