If antacids, alginic acid/antacid, and sucralfate are not effective in controlling heartburn, probably the safest absorbed drugs that can be given are the H2 antagonists, such as cimetidine (Tagamet), ranitidine (Zantac), and famotidine (Pepcid). 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. 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.
Signs and symptoms in late pregnancy include leg swelling and shortness of breath. Options for relief of pregnancy symptoms include exercise, diet, and other lifestyle changes.
So, when what’s in the stomach backs up into the esophagus, it causes irritation that feels like a burning sensation. And, even though itâ€™s in your gastrointestinal (GI) tract, the spot of the burning feels like itâ€™s near your heart, which gives it the name of “heartburn.” Itâ€™s sometimes called acid reflux or indigestion, too.
Your health care provider can recommend or prescribe a safe medicine to treat heartburn or reflux depending on your symptoms. Heartburn is a common discomfort during pregnancy. Between 40 and 80 percent of women have symptoms of heartburn, indigestion, or acid reflux while theyâ€™re expecting. It can start anytime during pregnancy, but itâ€™s more common in the second and third trimester as the baby grows. Most spicy, greasy, fatty foods known for causing heartburn are also likely to cause problems for pregnant women.
- Eating a healthy diet, getting a moderate amount of exercise, also are recommended for a healthy pregnancy.
- Although the exact reasons arenâ€™t clear, most experts believe that pregnancy hormones, particularly progesterone, play a role.
- During pregnancy, your body makes more of the hormone progesterone.
- 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.
However, it may be best to avoid magnesium during the last trimester of pregnancy. Magnesium could interfere with contractions during labor. Many women are afraid to take medication for heartburn during their pregnancy, as they are afraid it will harm their baby. But there are steps you can take to relieve heartburn and over-the-counter treatments, such as Gaviscon, which will see you through this uncomfortable time of your pregnancy.
Conditions such as food poisoning or pregnancy are self-limited and symptoms should decrease over time. Hernias and gallstones, for example, usually require surgery, and the associated indigestion should resolve post-operatively. Advise women that the causes of reflux vary between individuals and avoiding the food and drinks that cause them reflux may reduce symptoms.
Investigations are generally not necessary. Once gastro-oesophageal reflux symptoms have developed, there is a high likelihood that they will persist throughout the pregnancy. However, in most women symptoms will disappear shortly after delivery.
GERD symptoms are common during pregnancy. But they rarely cause complications, such as inflammation of the esophagus (esophagitis). Most of the time, symptoms of heartburn improve after the baby is born. The effect of heartburn and acid reflux on the severity of nausea and vomiting of pregnancy. A Cochrane systematic review on interventions for heartburn in pregnancy (search date June 2015) found a small study of 30 women in which the intervention group were given ranitidine 75 mg daily plus antacids and the control group were given placebo plus antacids.