Gastroesophageal Reflux Disease in Pregnancy

This may be uncomfortable for you, but it’s actually beneficial for your baby. This digestive slowdown allows for better absorption of nutrients into your bloodstream and subsequently through the placenta and into your baby. For many women, heartburn is among the earliest symptoms of pregnancy, beginning around month two. The earliest pregnancy symptom is typically a missed period, but others include breast swelling and tenderness, nausea and sometimes vomiting, fatigue, and bloating.

These medications are generally safe and effective, but like any prescription drug, they are not appropriate for all people with reflux disease and can cause side effects. PPIs and H2 blockers decrease acid production and reduce the potential for damage caused by acid reflux. A recent study suggests that dietary choices may be as effective as using proton pump inhibitors (PPIs) in treating acid reflux. The lining of the stomach is specially adapted to protect it from the powerful acid, but the esophagus is not protected. The stomach contains hydrochloric acid, a strong acid that helps break down food and protect against pathogens such as bacteria.

Second trimester symptoms include backache, weight gain, itching, and possible stretch marks. Third trimester symptoms are additional weight gain, heartburn, hemorrhoids, swelling of the ankles, fingers, and face, breast tenderness, and trouble sleeping.

Liquid Gaviscon is a combined alginate and antacid medication most often recommended for use by pregnant women (NICE 2017) . Whichever is recommended for you, it’s important stick to the recommended dose. What treatments are available for heartburn in pregnancy? There are a range of over-the-counter treatments for heartburn. Always check with your GP, midwife or pharmacist before buying one (Harding 2017) .

Contact a doctor or other health care professional if you think you may be pregnant. Food cravings or aversions to certain foods are common in both pregnancy and PMS, but if you are pregnant, the cravings or aversions to foods are more specific and intense.

  • Hypothyroidism During PregnancyHypothyroidism during pregnancy can be treated with synthetic thyroid hormones to maintain the proper thyroid hormone balance.
  • To measure the movement of the contents in your esophagus, your health care professional may order esophageal impedance testing, which involves placing a catheter through your nose and into your esophagus.
  • The prevalence appears to increase with gestational age, with 30-80% of women suffering from dyspepsia at some time during their pregnancy [Gerson, 2012; Malfertheiner et al, 2012; Cardaropoli et al, 2014; van der Woude et al, 2014; Vazquez, 2015].
  • If lifestyle and dietary changes are not enough, you should consult your doctor before taking any medication to relieve heartburn symptoms.
  • Try eating five or six smaller meals rather than three large ones, which are hours apart, to prevent your stomach from becoming too full and pushing up under your diaphragm.
  • You can get symptoms at any point during your pregnancy, but they are more common from 27 weeks onwards.

Chew on sugarless gum. Doing so for about half an hour after meals increases saliva production, which can neutralize excess acid in your esophagus. Concerned about artificial sweeteners during pregnancy? Sugarless gum is fine in moderation.

They are not common symptoms of PMS. Heartburn Foods SlidesLearn the symptoms of heartburn and which foods cause heartburn or GERD. Discover home remedies and which foods may provide treatment for heartburn relief. DyspepsiaIndigestion (dyspepsia) can be caused by diseases or conditions that involve the gastrointestinal (GI) tract, and also by some diseases and conditions that do not involve the GI tract.

Another type of medication, called proton pump inhibitors, is used for people with heartburn that doesn’t respond to other treatments. If you have heartburn that often wakes you up at night, returns as soon as your antacid wears off, or creates other symptoms (such as difficulty swallowing, coughing, weight loss, or black stools), you may have a more serious problem that requires attention. Your doctor may diagnose you with GERD.

Gravity plays an important role in controlling reflux, so elevating the head of your bed might help. When a person is lying flat on their back, stomach contents are more likely to reflux into the esophagus. Studies have documented that, as compared with patients who sleep flat on their backs, patients who elevate the head of the bed have significantly fewer reflux episodes, and the episodes that do occur are shorter and generally produce milder symptoms. Lifestyle changes are the most common ways that you can prevent increases in intra-abdominal pressure and decreases in lower esophageal sphincter pressure that promote reflux during pregnancy.

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