Learn which fruits to eat during pregnancy here. Certain medications may be safe to use while pregnant, as long as a person does so under a doctor’s care and instructions.
Proton pump inhibitors are similar to the H2 antagonists with respect to safety. Lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), and esomeprazole (Nexium) have been shown to be safe when tested in pregnant animals, but because they are newer, experience with them is less than with the H2 antagonists. They should be used only when H2 antagonists in normal doses fail to control heartburn. Omeprazole (Cimetidine, Zegerid) probably should be avoided since although there are no studies in pregnant women showing problems, it has been shown to have effects on animal fetuses at very high doses in some studies. Medications that may be safe for pregnant women to relieve heartburn include antacids, alginic acid/antacid combinations, and sucralfate.
Keep a food diary
Sugarless gum is fine in moderation. If you’re among the women who find that mint-flavored gum exacerbates heartburn, choose a non-minty gum. Heartburn occurs when the ring of muscle that separates the esophagus from the stomach relaxes (like all the muscles in the GI tract), allowing food and harsh digestive juices to back up from the stomach to the esophagus. These stomach acids irritate the sensitive esophageal lining, causing a burning sensation right around where the heart is located; thus the term heartburn, though the problem has nothing to do with your heart. Tons of women feel the burn during pregnancy – heartburn, that is.
Stool softeners such as sodium docusate are probably safe. Stimulant laxatives are probably safe for intermittent use, but these agents should not be used regularly. Castor oil and mineral oil should not used in pregnancy. Treatment for H pylori gastritis should be initiated after the pregnancy and breastfeeding periods are complete, because some of the recommended medications are relatively contraindicated in pregnancy.
Acid reflux is â€œvery, very commonâ€ during pregnancy, says Michelle Collins, CNM, an assistant professor of nurse-midwifery at Vanderbilt University. More than half of all pregnant women will experience acid reflux.
Although there are no studies in pregnant women, animal studies have shown no effects on the fetuses of animals. Nizatidine (Axid) should not be used because it has been shown to have adverse effects on animal fetuses, although at much greater doses than those used in humans.
Gastroesophageal reflux disease (GERD), generally known as heartburn, is common in pregnancy and can have a negative impact on their healt-realted quality of life, particularly late in pregnancy. Hyperemesis gravidarum occurs early in the first trimester, usually within weeks 4 through 10.
I really didnâ€™t expect to get such bad heartburn when I first got pregnant. Sometimes itâ€™s hard to carry on with the day.
Possible contributing factors are an increased lithogenicity of bile, increased stasis of bile, and decreased gallbladder emptying. Histamine 2 (H2) blockers are preferred over proton pump inhibitors (PPIs), because more data are available on the safety of H2-blocker use in pregnancy.
It is not known whether unexplained, transient relaxations of the sphincter, a common cause of reflux in women who are not pregnancy, it also occurs during pregnancy. It is not known if the contraction (motility) of the esophagus above the sphincter, a common contributor to GERD in women who are not pregnant is impaired in pregnancy, and is responsible for delaying the clearance of acid from the esophagus back into the stomach.
Exercising and drinking a lot of water made my stomach go back to normal the next day, but if you are feeling extra bloated, it could mean pregnancy. Belly bands will be your best friend at this time.
Pregnant women with GERD present similarly to individuals in the general population; heartburn and regurgitation are the cardinal symptoms. The clinical evaluation consists of a thorough patient history and physical examination; diagnostic studies are rarely needed. Endoscopy may be indicated in patients with complications of GERD, and 24-hour ambulatory pH studies can be useful in those with atypical presentations (eg, cough, wheezing, sore throat) and refractory symptoms. The prognosis for the mother and child is generally good.
Morning sickness. Nausea is one of the most universal pregnancy symptoms, affecting up to 85% of pregnant women. It’s the result of hormone changes in the body, and it can last through the entire first trimester. For some pregnant women, nausea is mild; others can’t start their day without vomiting.
Why? Experts don’t really understand the very real connection between pregnancy and cravings but suspect it has something to do with hormonal changes and your body’s need for extra nutrients in you diet. While you should listen to your body when you crave certain foods, it’s not always a good idea to eat exactly whatever you want – months and months of an ice-cream diet won’t do much to keep you and your growing bub healthy. 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.