If Youre Taking Prescription Medicines
Speak to your GP if youre 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 youre advised to do so by your GP or another qualified healthcare professional whos responsible for your care.
Can You Take Heartburn Pregnant
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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.
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Does Water Help With Acid Reflux During Pregnancy
Water can be a bit of a mixed bag when it comes to affecting GERD symptoms in pregnancy. Dr. Johnson notes that some women find that drinking water after a meal helps. It is thought that it may reduce the level of acidity in the stomach. However, Dr. Ross suggests saving the water for non-meal times, as drinking large amounts while eating may fill up the stomach and increase the risk of acid reflux and heartburn.
Because stomach volume is reduced due to the growing uterus, consuming too much water can provoke GERD symptoms. Any extra water you drink can overwhelm the lower esophageal sphincter, causing uncomfortable symptoms. In other words, drink water in moderation, preferably after or between meals, to avoid provoking symptoms.
Antacids And Medications For Treating Heartburns During Pregnancy
If the above lifestyle changes and natural remedies do not provide relief, then you should consult your doctor. The doctor would prescribe the right antacid or check for any other problem. Do not take any medicine without the permission of the doctor as even a small mistake can have severe consequences on the health of your child. All the mothers-to-be are advised to stay as careful as possible during this time.
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Is It Okay To Take Nexium While Pregnant
Currently, the Food and Drug Administration has categorized Nexium in the pregnancy category B. This category indicates Nexium is generally considered safe to use while pregnant. However, there have been some reports of fetal re-absorption and lethality in the embryo in animal studies. In these studies, animals were given between five to 56 times more Nexium than the average human dose.
Before using Nexium for acid reflux, schedule a meeting with your doctor to determine if using this medication while pregnant is safe for you and the growing fetus.
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Elevate The Head Of Your Bed
Some people experience reflux symptoms during the night .
This may disrupt their sleep quality and make it difficult for them to fall asleep.
One study showed that patients who raised the head of their bed had significantly fewer reflux episodes and symptoms, compared to those who slept without any elevation .
Additionally, an analysis of controlled studies concluded that elevating the head of the bed is an effective strategy to reduce acid reflux symptoms and heartburn at night (
Elevating the head of your bed may reduce your reflux symptoms at night.
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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 dont 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.
How Can You Care For Yourself At Home
- Eat small, frequent meals.
- Do not eat chocolate, peppermint, or very spicy foods. Avoid drinks with caffeine, such as coffee, tea, and sodas.
- Avoid bending over or lying down after meals.
- Take a short walk after you eat.
- If heartburn is a problem at night, do not eat for 2 hours before bedtime.
- Take antacids like Mylanta, Maalox, Rolaids, or Tums. Do not take antacids that have sodium bicarbonate or magnesium trisilicate. Be careful when you take over-the-counter antacid medicines. Many of these medicines have aspirin in them. While you are pregnant, do not take aspirin or medicines that contain aspirin unless your doctor says it is okay.
- If you’re not getting relief, talk to your doctor. You may be able to take a stronger acid-reducing medicine.
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Tips To Ease The Heartburn Of Pregnancy
- American College of Gastroenterology
- Physician experts have compiled important health tips on managing heartburn symptoms during pregnancy, and importantly, identifying which heartburn medications are safe for use in pregnant women and those, which should be avoided. Heartburn symptoms are one of the most commonly reported complaints among pregnant women. Heartburn usually starts during the first trimester and tends to worsen during the second and third trimesters.
Heartburn symptoms are one of the most commonly reported complaints among pregnant women. Heartburn usually starts during the first trimester and tends to worsen during the second and third trimesters.
Studies have shown elevated levels of the hormone progesterone accompanied by increased intra-abdominal pressures from the enlarging uterus, may lower esophageal sphincter pressure in pregnant women contributing to heartburn symptoms, according to research highlighted in the newly updated Pregnancy in Gastrointestinal Disorders monograph by the American College of Gastroenterology .
From the monograph, physician experts from ACG have compiled important health tips on managing heartburn symptoms, and importantly, identifying which heartburn medications are safe for use in pregnant women and those, which should be avoided.
Strategies to Ease Heartburn Symptoms during Pregnancy
Proton Pump Inhibitors
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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What Treatments Are Available For Heartburn In Pregnancy
- Alginates, which form a protective coating over the walls of your stomach and gullet . They tend to be better for preventing reflux .
- Antacids, which neutralise stomach acids. They are more useful for episodes of indigestion . It may help to take an antacid at mealtimes or before bed if you often get night-time indigestion .
Don’t Eat Right Before Bed
Having a hearty meal and then heading to bed is a recipe for heartburn, warns Joel Richter, MD, director of the division of gastroenterology and nutrition and the esophageal diseases center at the University of South Florida, in Tampa, who has studied heartburn during pregnancy. He recommends trying not to eat for at least three hours before you go to sleep. You should also try to avoid liquids starting a few hours before bedtime.
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Heartburn During Pregnancy Remedies
Preventing heartburn is the best way to deal with it! Here are some helpful tips for avoiding heartburn:
- Eat five to six smaller meals throughout the day rather than three large meals
- Wait an hour after eating to lie down
- Avoid spicy, greasy, and fatty foods
If you are experiencing heartburn, there are a few natural ways to relieve the symptoms:
- Eat yogurt or drink a glass of milk
- Try a tablespoon of honey in a glass of warm milk
Over-the-counter antacids may prove helpful in relieving your heartburn, but do not take antacids without speaking to your healthcare provider. Some antacids contain high levels of sodium, which can cause fluid buildup in body tissues. Some also contain aluminum, which is not considered safe for pregnancy.
If your heartburn is severe, your healthcare provider may prescribe medication for you.
Want to Know More?
Vinegar To Cure Heartburn
Vinegar has long been used to get rid of heartburn. Although there is no medical proof of vinegar being a remedy for heartburn, people who use it swear by its efficacy. You too can use vinegar- white or apple cider vinegar- to treat your heartburn but only after diluting it with water. It may or may not give you the required relief from acid reflux but you can know that only after experimenting with it at least once.
- Add the vinegar to your glass of water and mix well.
- Now have this water.
- You may have it 2-3 times a day if you dont notice any discomfort.
- Take it before meals or before bedtime if you cant sleep due to heartburn at night.
Warning: Never use vinegar undiluted. When done so, vinegars acidity may cause damage not only to your esophagus but also to your tooth enamel. Always dilute the vinegar with water before consuming it and wash your mouth with clean water after having it to protect your tooth enamel. If you are not comfortable after having diluted vinegar, immediately stop having it.
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Ginger Can Also Be Taken For Heartburn While Pregnancy
A few ladies feel that ginger candies or ginger tea can help in relaxing a painful tummy. Opt for lukewarm ginger tea as hot tea can worsen the acid reflux signs. Ginger can likewise counteract vomiting and nausea, that occurs with a heartburn issue in pregnancy.
As it is said, prevention is better than cure. Thus, you must adopt these lifestyle methods to secure yourself from heartburn during the pregnancy.
Small Meals Can Prevent Heartburn during Pregnancy
If you have a healthy appetite, make sure to abstain from eating a lot as your stomach feels full. Because when youre not pregnant, an excessively stuffed stomach can add to acid reflux.
Thus, rather than having three meals in a day, have five or six smaller meals for prevention of heartburn.
Stand or Sit After Eating to Prevent Heartburn during Pregnancy
After having your meal, do a little housework, take a walk, sit for a while and watch TV. Simply do not rest or lay down and do not do anything that makes you bend. As in this way you can make acid head back into the esophagus and cause heartburn during pregnancy.
Another Way to Prevent Heartburn during Pregnancy is by Wear Loose Garments
Tight garments put more pressure on your belly and could exacerbate heartburn. Thus, wear the loose garments or opt for maternity wear.
|Written, Edited or Reviewed By:Pramod Kerkar, M.D., FFARCSI, DA Pain Assist Inc.This article does not provide medical advice. See disclaimerLast Modified On: April 4, 2018|
What Heartburn Medicine Is Safe For Pregnancy
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Why Does It Happen In Pregnancy
Many women who have heartburn during pregnancy have never had problems before. Unfortunately, if you had heartburn before becoming pregnant, youre more likely to have symptoms while you are pregnant. Although the exact reasons arent clear, most experts believe that pregnancy hormones, particularly progesterone, play a role. Hormones cause relaxation of the esophageal sphincter. This is a tight circular band of muscle at the top of the stomach. This allows partially digested food and stomach acids to backflow, or reflux, into the esophagus. In addition, progesterone also slows the digestive process. This keeps food in the stomach longer. The pregnancy itselfthe upward pressure of the growing uterusalso may play a role.
Safe Antacids During Pregnancy
If your symptoms dont improve after making these changes, talk to your OB/GYN or midwife about taking an over-the-counter antacid like Tums or Alka-Seltzer.
These antacids coat the lining of the esophagus and stomach, neutralize stomach acid, and are a quick and effective way to alleviate heartburn.
For approximately 30 to 50% of women, antacids will do the trick.
Antacids that are made up of aluminum, calcium, or magnesium hydroxides are considered safe during pregnancy.
However, high doses of antacids, and those that contain magnesium trisilicates and bicarbonate have been associated with certain risks, so its important to speak with your provider before you take an antacid.
Its unclear whether proton pump inhibitors such as Prilosec and Prevacid, and histamine-2 receptor antagonists such as Pepcid and Zantac, for acid reflux are safe during pregnancy.
According to a January 2018 study in the journal Pediatrics, pregnant women who used PPIs and H2RAs were 45 percent more likely to have children with asthma than women who didnt use these medicines.
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Is Prilosec Safe During Pregnancy
Prilosec is in a family of medications called proton pump inhibitors and it should be taken with caution during pregnancy. It has a category C rating. According to the U.S. Food and Drug Administration , this rating means that it is not known whether a particular medication will cause harm to an unborn baby if the medication taken during pregnancy. This also means that, if possible, other alternative therapies should be tried.
Board-certified obstetrician and assistant professor at the New York University School of Medicine, Daniel Roshan, M.D., who specializes in high-risk fetal medicine, explains that while there are no known risks to the fetus, there are other medications that are safer for pregnant women. If you are taking Prilosec and find out that you are pregnant, you should consult your doctor immediately.
Dr. Roshan advises his pregnant patients against taking Prilosec in the first trimester, since it is classed as a category C, but Dr. Roshan says women can take it in the second and third trimesters, if necessary.
Nursing mothers should avoid breastfeeding while taking Prilosec, since omeprazole can pass into the breast milk and may harm your infant.
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