Why It Heartburn Happens
Heartburn is common in pregnancy due to the hormonal changes that happen during this period, as well as being caused by the baby’s development, which can cause stomach compression, which can make the contents of the stomach to go back up the esophagus towards the mouth, leading to heartburn symptoms.
In addition, heartburn during pregnancy can also be caused by your diet. Thus, it is recommend to avoid eating fatty foods, foods with caffeine, and avoid taking in liquids during meals. In some cases, the doctor may also recommend some type of medication, such as Dimethicone to help with digestion.
Why Exactly Does Pregnancy Cause Heartburn
Heartburn during pregnancy will plague most moms-to-be at some point because progesterone, the hormone that relaxes muscles in pregnancy, also relaxes the stomach valve that keeps acid out of the esophagus. In addition, the growing uterus crowds the stomach, forcing acid into the esophagus.
But there are safe, effective ways to stop it. “Pregnant women really don’t need to suffer with heartburn anymore,” says Adrienne Einarson, RN, assistant director of clinical services at Motherisk, a Toronto-based program that investigates the effects of prenatal exposures on maternal and fetal health. Here, experts recommend 12 different ways to soothe heartburn during pregnancy.
Causes Of Heartburn During Pregnancy
When does heartburn start in pregnancy?
Many starts to feel it at the beginning of the first trimester.
However, some see heartburn as a symptom of pregnancy.
Acid reflux during pregnancy third trimester is also quite a common phenomenon.
Here are the causes of heartburn in pregnancy listed down below:
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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:
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.
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Does Pregnancy Cause Heartburn
Pregnancy increases your risk of heartburn or acid reflux. During the first trimester, muscles in your esophagus push food more slowly into the stomach and your stomach takes longer to empty.
This gives your body more time to absorb nutrients for the fetus, but it can also result in heartburn.
During the third trimester, the growth of your baby can push your stomach out of its normal position, which can lead to heartburn.
However, each woman is different. Being pregnant doesnt necessarily mean youll have heartburn. It depends on many factors, including your physiology, diet, daily habits, and your pregnancy.
Relieving heartburn during pregnancy typically involves some trial and error. Lifestyle habits that can reduce heartburn are often the safest methods for mother and baby. The following tips may help relieve your heartburn:
Alternative medicine options include acupuncture and relaxation techniques, such as progressive muscle relaxation, yoga, or guided imagery. Always check with your doctor before trying new treatments.
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.
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Can I Prevent Heartburn During Pregnancy
You may not be able to entirely prevent heartburn while youre pregnant. After all, your uterus is going to continue to expand and put pressure on your stomach, and those pregnancy hormones are still present in your body. But you can take a few steps to reduce the likelihood, such as:
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Change Your Eating And Drinking Habits
You may be able to control your indigestion with changes to your eating habits.
It can help to eat small meals often, rather than larger meals 3 times a day, and to not eat within 3 hours of going to bed at night.
Cutting down on drinks containing caffeine, and foods that are rich, spicy or fatty, can also ease symptoms.
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Herbal Supplements And Vitamins
Some alternative therapies have been found to safely and effectively alleviate some of the uncomfortable side effects of pregnancy but natural doesnt always mean these herbal supplements are safe. As with any over the counter medication, its important to talk with your doctor about every supplement or vitamin you take while pregnant.
Prenatal vitamins are also an important part of a healthy pregnancy. Multivitamins that include folic acid are safe and important before and during the first few weeks of pregnancy because they can help prevent some birth defects. Your doctor or midwife can advise you about which type of multivitamin with folic acid you should take. Medical providers sometimes prescribe extra folic acid or iron supplements, depending on your specific situation.
What Makes It Better
For most women, things that help reduce acid production or prevent reux are helpful in avoiding the discomfort of heartburn. Here are tips that may help:
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Avoid classic spicy foods, as well as those with lots of fat or grease. Many people recommend avoiding citrus and chocolate, as well.
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Eat multiple, small meals spread throughout the day, much like grazing, instead of three big meals.
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Try elevating the head of your bed by several inches, and wait a while after eating before going to bed or lying down.
Some women find that its better to drink fluids between meals, rather than with a meal. This can increase the amount of contents in the stomach.
If your symptoms do not improve after the above recommended diet and lifestyle changes are in place, talk with your healthcare provider about over-the-counter medicines. Antacids are available as chewable tablets and liquids. They work by coating the lining of the esophagus and stomach and neutralizing stomach acid. Heartburn medicines called H2-blockers work by reducing the amount of acid made by your stomach. Although most of these are considered safe in pregnancy, as with all medicines, these should be avoided in the first trimester.
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What Causes Heartburn During Pregnancy
Causes of heartburn during pregnancy include:
- Hormone levels changing: Your hormone levels change during pregnancy, affecting how you tolerate and digest foods. The hormones often slow down your digestive system. Food moves slower, causing bloating and heartburn.
- Esophageal sphincter relaxing: Progesterone, known as the pregnancy hormone, can cause the lower esophageal sphincter to relax. When it relaxes, stomach acid can move up into the esophagus.
- Uterus enlarging: As your baby grows, your uterus gets bigger. It can crowd your stomach and push stomach acids upward, into your esophagus. Thats why heartburn is more common during the third trimester, the last few months of pregnancy. The baby and uterus are biggest then, crowding your other organs.
Consume Apple Cider Vinegar
Raw, unfiltered apple cider vinegar is one of the best things you can have to control heartburn during pregnancy.
Even though apple cider vinegar is acidic, it helps balance the acid production in the stomach or buffer the acid activity.
Apple cider vinegar is also good your health and the baby growing inside your womb.
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Antacids You Shouldnt Take
You should always read the labels and ask your doctor before using OTC medicines, herbs, or home remedies while youre pregnant. Even though it may seem like something should be safe, it isnt always. Some conventional treatments for heartburn that you shouldnt use during pregnancy are:
- Alka-Seltzer
- Pepto-Bismol or Kaopectate
- Bicarbonate of soda
- Products containing aspirin
Learn What Causes Heartburn For Youthen Avoid It
Fat, caffeine, chocolate, citruspregnant women with heartburn have been advised to avoid all of the above at one time or another. But what causes reflux in one woman might not be a trigger for another.
Rather than tell his pregnant patients to avoid a specific food, Dr. Richter says he advises them to stay away from foods that specifically aggravate them. Everybody’s different, Dr. Richter says. Some pregnant women can chow down on spicy Mexican food or a plate of spaghetti and meatballs with no ill effects.
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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 you’re 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:
- ranitidine a tablet you take twice a day
- omeprazole a tablet you take once a day
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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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
Feeling The Burn Tips To Manage Heartburn Gerd In Pregnancy
Heartburn is common in adults especiallyduring pregnancy. While some research suggests women who have moderateheartburn during pregnancy give birth to babies with fullerheads of hair, having symptoms more than twice a week might be asign of gastroesophageal reflux disease , or recurrent heartburn.
According to a study of 510 pregnant women, approximately 26% have GERD symptomsduring the first trimester. The rate jumps to 36% in the second trimester and51% during the third trimester. Thats substantial compared with the 20% of adults in the U.S. who experienceheartburn.
Why the increase in symptoms during pregnancy? Progesterone, a hormone that increases early in pregnancy, relaxessmooth muscle in the body. It helps your uterus stretch to accommodate thegrowing fetus, but also reduces the reliability of the esophageal sphincter aring-like structure that seals off stomach contents from the throat.
Increased pressure placed on the stomachexternally from the growing uterus, especially in the third trimester, can alsoworsen heartburn symptoms such as:
- Burning pain in the center of thechest, especially after eating
- Sour or bitter taste in the mouth
- Sore throat or cough
Thankfully, thereare several pregnancy-safe ways to deal with acute heartburn and ongoing casesof GERD.
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What Medications Can I Take For Heartburn During Pregnancy
Its important to be extremely careful about the medications you take when pregnant.
For heartburn relief, over-the-counter antacids are all considered safe medications to use during pregnancy.
As always, consult with your provider about any medications youre taking even if theyre considered safe.
If you experience any unusual symptoms while taking an over-the-counter medication, call your doctor immediately.
When Can I Expect Heartburn To End
Someday, scientists may very well invent a miracle medication that promises permanent pregnancy heartburn relief. Unfortunately, that hasnt happened yet.
So, if youre wondering how long you can expect to deal with heartburn while youre pregnant, it will probably be throughout your entire pregnancy.
However, just because theres no cure, that doesnt mean you cant find some relief in the meantime.
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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.
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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Avoiding Indigestion And Heartburn
If your symptoms are mild, it’s possible that changes to your diet or lifestyle may help prevent indigestion and heartburn. You could try:
- eating smaller meals, more often
- avoiding eating just before bed
- avoiding foods and drinks that you suspect give you heartburn
- not drinking a lot of coffee at the end of the day
- avoiding eating and drinking at the same time, which can make your stomach more full
- sitting up straight while eating, and not lying down after a meal
- chewing gum, which may cause you to produce more saliva to help neutralise the acid
- stop smoking
- raise the head of your bed by 10 to 15cm
- sleep on your left side
If your indigestion is not helped by diet and lifestyle changes, or your symptoms are more severe, your doctor or midwife may suggest that you take a medicine for indigestion that is safe to use during pregnancy. Medicines can neutralise the acid in your stomach, reduce the amount of acid produced by your stomach and stop the acid rising into your oesophagus.
