How Can I Deal With Heartburn During Pregnancy
I’m in my second trimester. No matter what I eat, I get heartburn. Is this normal? If so, what can I do to feel better? Cari
Heartburn, despite its name, has nothing to do with the heart. It’s a burning feeling in the throat and chest when the stomach’s contents move back up into the esophagus .
Heartburn is common during pregnancy. Pregnancy hormones can make the valve at the entrance to the stomach relax so that it doesn’t close as it should. This lets acidic stomach contents move up into the esophagus, a condition known as gastroesophageal reflux , or acid reflux. It can get worse later in pregnancy when the growing uterus presses up on the stomach.
To help ease heartburn pain:
- Skip foods and drinks that can make it worse, such as citrus spicy, fatty foods caffeine and carbonated drinks.
- Eat several small meals throughout the day.
- Take your time when eating.
- Drink liquids between not during meals.
- Avoid eating or drinking for 3 hours before bedtime.
- Resist the urge to lie down after meals.
- Raise your head when you sleep.
- Talk to your doctor about medicines that are safe to take for heartburn during pregnancy.
What Should You Know About Heartburn
Heartburn is a symptom that feels like a burning in your chest, and is a symptom of acid reflux .
Do most people get heartburn?
Heartburn is more common during pregnancy. Most people get heartburn after meals, but can also awaken people while they are sleeping. People also may experience heartburn after eating specific foods or drinking certain beverages.
What can heartburn be a sign or symptom of?
How can you tell if you are having a heart attack or heartburn?
- If you think that you are having a heart attack, call 911 immediately to save your life.
- A heart attack and heartburn can have the same symptoms, for example, be the same, for example, heartburn is a symptom of another disease or condition, for example, chest pain, shortness of breath, and nausea and vomiting.
- Heart attack signs and symptoms that are not the same as in heartburn include, for example, dizziness, toothache, and headache while heartburn symptoms include problems swallowing, persistant sore throat, hoarseness, laryngitis or reflux laryngitis.
How can you get rid of heartburn?
Heartburn can be relieved and cured for many people with lifestyle changes, for example,
- eat a healthy diet,
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How Is Gerd Diagnosed
Usually your provider can tell if you have simple acid reflux by talking with you about your symptoms and medical history. You and your provider can talk about controlling your symptoms through diet and medications.
If these strategies dont help, your provider may ask you to get tested for GERD. Tests for GERD include:
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Foods That Cause Heartburn
Some foods and drinks can trigger heartburn symptoms or irritate the esophagus.
As everyone may react differently to foods, a person should try monitoring their symptoms after eating different foods to determine which may be causing heartburn.
The following foods and drinks are those that commonly cause heartburn.
Treatment For Heartburn In Teenagers
Your doctor may suggest dietary modifications and lifestyle changes to reduce acid reflux. Chewing sugarless gums after eating and sleeping on the side or with an elevated head position may be useful in some teens. If conservative management fails to resolve heartburn, your teen will have to undergo pharmacological treatments.
Heartburn can be treated with medications depending on the causes. The following medications are used :
Almost all of the following drugs, except prokinetics are available OTC , one or two doses may be taken for acute relief. But a doctors advice should be sought if they are needed more than that not only because they have potential adverse effects but also because their abuse may mask the underlying condition which could be dangerous.
- Antacids:This medication neutralizes stomach acid, and it is available as Maalox, Alka-Seltzer, Riopan, Mylanta, etc. Seek a doctors advice for dosing since it may cause side effects such as constipation and diarrhea. Also prolonged consumption of antacids for symptom relief is not advisable and treatment of cause is needed to avoid long-term complications of acid reflux.
- H2 blockers: These drugs decrease the production of stomach acid. Cimetidine , ranitidine , or famotidine are H2 blockers.
- Proton pump inhibitors : These drugs also reduce stomach acid production. omeprazole , esomeprazole , and pantoprazole are a few examples of PPIs.
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Things To Stop Doing If You Have Gerd
When you suffer from chronic heartburn that can be associated with gastroesophageal reflux disease , this condition can affect your entire life. It may be necessary to stop eating some of your favorite foods. The heartburn may interfere with your sleep. It may even interfere with your availability to work well.
Are There Any Tests For Heartburn
If it is obvious from the symptoms that a person has heartburn, no tests or exams may be necessary. Advice in regard to lifestyle modifications, diet, or medications may begin immediately.
If your health care professional is not sure about the diagnosis, or if he or she is concerned about damage done by chronic heartburn, tests may be ordered. This is true especially if the patient has already been prescribed medications that are not relieving the heartburn.
There is no simple blood test for heartburn. The tests used to diagnose heartburn include the following:
How Do Acid Blockers Work To Treat Heartburn
Products like Pepcid AC® are called histamine H2 blockers, or acid blockers. Acid blockers reduce the production of stomach acid. They relieve heartburn, acid indigestion and sour stomach. Always follow the directions on the packaging or talk to your healthcare provider about how to take this medication. Acid blockers you can buy without a prescription include:
- Pepcid AC®.
- Tagamet HB®.
Take your acid blocker medicine regularly for as long as directed by your healthcare provider, even if you do not have any pain or if your symptoms get better.
Stronger acid blockers are prescription medications. These can be used to block stomach acid, treat stomach and duodenal ulcers, erosive esophagitis, and GERD. They work by reducing the production of stomach acid. Your healthcare provider will give you a specific prescription for this type of acid blocker.
The United States Food and Drug Administration recently reported elevated levels of a possible carcinogen, NDMA, in the drugs ranitidine and nizatidine . You should speak to your healthcare provider if you are taking one these medications.
Tests And Surgery For Heartburn And Acid Reflux
If medicines do not help or your symptoms are severe, a GP may refer you to a specialist for:
- tests to find out what’s causing your symptoms, such as a gastroscopy
- an operation on your stomach to stop acid reflux called a laparoscopic fundoplication
Page last reviewed: 09 September 2020 Next review due: 09 September 2023
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Pharmacy First Scotland: Indigestion Treatment From Your Pharmacy
Most people will not need to seek medical advice for their indigestion. However, your pharmacist may advise you see your GP if you have recurring indigestion and any of the following apply:
- you are 55 years old or over
- you have lost a lot of weight without meaning to
- you have increasing difficulty swallowing
- you have persistent vomiting
- you have a lump in your stomach
- you have blood in your vomit or blood in your stools
An endoscopy is a procedure where the inside of the body is examined using an endoscope .
Severe indigestion can cause long-term problems with parts of your digestive tract, such as scarring of the oesophagus or the passage from your stomach. Read more about the possible complications of severe indigestion.
Heartburn Or Heart Attack
A heart attack is when the arteries connected to the heart become blocked. Heartburn, on the other hand, occurs when stomach acid travels back up the esophagus.
Some symptoms of heartburn and a heart attack could be similar, such as chest pain. As a result, some people who are having a heart attack do not take action as they think they have heartburn.
If a person experiences heartburn pain alongside shortness of breath or sweating, this could be a heart-related issue.
Other symptoms of a heart attack can include:
- discomfort in the chest, such as squeezing, fullness, pressure, or pain
- pain or discomfort in one or both arms, stomach, neck, jaw, or back
If a person has some or all of these symptoms, they should seek emergency medical attention. In the words of the American Heart Association , If in doubt, check it out.
Knowing how to distinguish a heart attack from heartburn can save lives.
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Prevent Coffee Heartburn By Getting A Safe Amount Of Caffeine
A big player in the cause of acid reflux is overcaffeination. When your caffeine intake is too high, the muscle that connects the stomach to the esophagus is relaxed.1 When this happens, an opening is created for stomach acid to come up into your esophagus, which causes acid reflux. Ew! Thats pretty gross.
So how do we make sure we have a safe amount of caffeine? Most experts agree 600mg per day is overcaffeination.2 For some such as pregnant mothers, its advised to be 200mg .3 According to Health Canada the federal health department in Canada 400mg is a safe daily caffeine consumption rate.4
Treating Heartburn And Acid Reflux
Your GP may prescribe a medicine called a proton pump inhibitor . This reduces how much acid your stomach makes. PPIs include omeprazole and lansoprazole.
You’ll usually need to take this type of medicine for 4 or 8 weeks, depending on how serious your acid reflux is.
Go back to the GP if your symptoms return after stopping your medicine. You may need a long-term prescription.
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When Heartburn Becomes Acid Reflux
There is a fairly simple way to know if heartburn is caused by gastroesophageal acid reflux disease, commonly known as acid reflux. As Andrew Gawron, MD, a gastroenterologist with University of Utah Health puts it, The definition of gastroesophageal acid reflux disease is when reflux of stomach contents into the esophagus cause troublesome symptoms or complications that impact the quality of life.
In other words, if heartburn is frequent enough that it causes problems that make your quality of life diminished, you may have acid reflux disease. This might mean that youre unable to sleep at night because of pain, or you might go so far as to find that acid is eating away at the lining of the throat or esophagus. In some cases, GERD can also predispose someone to a pre-cancerous condition in the esophagus called Barretts esophagus.
When Should I Call The Doctor
Because indigestion can be a sign of a more serious health problem, let your doctor know if you have any of the following symptoms:
- Vomiting or blood in your vomit. It may look like coffee grounds.
- Weight loss you canât explain
- Loss of appetite
- Stools that are bloody, black, or tarry
- Severe pain in your upper-right belly
- Pain in the upper- or lower-right parts of your belly
- Feeling uncomfortable even if you havenât eaten
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Health Conditions That Can Cause Heartburn
When the valve that separates the stomach from the esophagusthe lower esophageal sphincter, or LESisnt closed tightly, it can lead to heartburn. “The LES has to relax to allow the meal to go down,” says Kenneth R. DeVault, MD, professor of gastroenterology and chair of the department of medicine at the Mayo Clinic, in Jacksonville, Fla. “But when those relaxations become too many or occur at the wrong time, that allows acid to reflux.”These 5 conditions can affect the LES, boosting your heartburn risk.
Beyond Food: Other Causes Of Heartburn And Gerd
3 mins readBesides foods, Overeating can trigger heartburn, heavy meals, symptoms, 2021 admin How Marijuana Works 32, When heartburn occurs at night, since heartburn can also be aWhat causes heartburn? Rusha Modi, from my research it looks like there can be various causes for heartburn in general both too much and too little stomach acid can cause this., also called acid indigestion, Eating too rapidly can be a heartburn trigger, such as gastro-esophageal reflux disease , taking HCL with Betaine can be a solution.Why Do I keep getting Heartburn every day?4 mins readReasons for getting heartburn every day Heartburn that happens occasionally is considered normal, what are other causes of heartburn? Overeating, causing an astringent taste in the back of the throat or an inflammation in the chest, rather than a condition of its own, of years, making it a common complaint worldwide.
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How Is It Diagnosed
If you’re experiencing heartburn, make sure to track your symptoms. For example, how often does it happen in a day? Does it happen after eating? You can bring this list to your provider to help make a faster and better diagnosis.
After discussing your symptoms and medical history with you, your provider can usually diagnose heartburn easily.
What Else Should I Know
Early diagnosis and treatment can help reduce or even stop uncomfortable GERD symptoms. Untreated GERD can cause permanent damage to the esophagus.
You’ll probably find that one of the simplest ways to make living with GERD easier is to avoid the things that trigger your symptoms. Some people will have to limit certain foods others may have to give them up entirely. It all depends on your symptoms.
It can be hard to give up sodas or favorite foods at first. But after a while, lots of people discover that they feel so much better that they don’t miss the problem foods as much as they thought they would.
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Why Heartburn Drugs Can Fail
Its possible that PPIs arent curing your heartburn because youve been misdiagnosed, says gastroenterologist Joel Richter, MD, the chair of the department of medicine at Temple University, in Philadelphia.
Many conditions cause symptoms that mimic those of gastroesophageal reflux disease , the medical term for persistent acid reflux that damages the esophagus. Muscle contractions, stretching, and non-acidic reflux in the esophagus can all lead to heartburn , as can unrelated conditions such as heart disease. There is a big group of people who get put on these medications and dont get better, and most of the time its because they dont have an acid-related problem, says Dr. Richter.
Many times symptoms arise because people arent taking their medication correctly or at a time that optimizes its effectiveness, Dr. Johnson explains. Typically, the proton pump inhibitors are given 30 to 60 minutes before breakfast, he says. However, some people do better taking two doses a day to stave off nighttime symptoms, he adds.
And missing a pill may readily ignite that familiar burning sensation in the chest and throat and sour taste in the mouth.
What Are The Signs & Symptoms Of Gerd
Often, people who have GERD notice that they regularly have the pain of heartburn in the chest or stomach. This can last up to a couple of hours. Many notice their heartburn is worse after eating.
Regurgitation when food and liquid containing stomach acid comes back up into the throat or mouth is also a sign of GERD. But, like heartburn, occasional regurgitation is common for everyone.
Other symptoms of GERD include:
- a sore, raw throat or hoarse voice
- a frequent sour taste of acid, especially when lying down
- a feeling of burping acid into the mouth
- trouble swallowing
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How Do I Know Im Having Heartburn And Not A Heart Attack
Chest pain caused by heartburn may make you afraid youre having a heart attack. Heartburn has nothing to do with your heart, but since the discomfort is in your chest it may be hard to know the difference while its going on. But symptoms of a heart attack are different than heartburn.
Heartburn is that uncomfortable burning feeling or pain in your chest that can move up to your neck and throat. A heart attack can cause pain in the arms, neck and jaw, shortness of breath, sweating, nausea, dizziness, extreme fatigue and anxiety, among other symptoms.
If your heartburn medication doesnt help and your chest pain is accompanied by these symptoms, call for medical attention right away.
Prevention Of Gerd After Eating
- Avoid foods that trigger or worsen heartburn. While the more common foods associated with GERD have been mentioned above, some people may react to specific foods even though there is no scientific explanation for why these foods would lead to GERD.
- Do not drink alcohol before, during or immediately after meals. Wait a short period of time after eating and limit the intake of alcohol.
- Eat smaller meals more frequently instead of large meals. Overeating is often associated with having skipped meals as well as intoxication. By eating many smaller meals, overeating can be avoided.
- Do not eat too fast as it may increase air swallowing, hamper proper chewing and even lead to overeating. Meals should be consumed calmly during suitable times.
- Never lie down or sleep after a meal as it can trigger or worsen heartburn. Try not to eat for at least 2 hours before bedtime and avoid late night snacking.
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