Generally, the first approach is advice on lifestyle and diet, either to reduce acid production or avoid reflux associated with postural change ( Richter 2005 ) . It doesn’t hurt when the acid is in your stomach because the cells that make up the stomach lining are meant to hold acid and the enzymes that break down food. But, the lining of the esophagus is more sensitive than the lining of the stomach.
If you raise the head of the bed by 10-15 cm (with sturdy blocks or bricks under the bed’s legs), this will help gravity to keep acid from refluxing into the gullet (oesophagus). Symptoms tend to occur in bouts which come and go, rather than being present all the time.
Quite often, the terms acid reflux and indigestion are used interchangeably without fully understanding the differences between the two. found that the use of acupuncture in pregnancy might reduce reflux symptoms. Heartburn during pregnancy may mean a greater likelihood a baby will have a lot of hair. Other studies have shown that in pregnant women, high levels of estrogen and other hormones can relax the sphincter at the bottom of the esophagus, causing heartburn.
The hormone you release during pregnancy (progesterone) causes your muscles to relax, to allow your baby to pass through your pelvis during delivery. Unfortunately, it has the effect of relaxing all your muscles – including the one at the top of your stomach that normally prevents acid from travelling up the oesophagus to your mouth.
Fortunately, the burn should clear up as soon as you give birth.. the burn should clear up as as you give birth soon.} Avoid digestive overload. Skip the three big squares.
You may want to keep a glass of milk beside your bed in case you wake up with heartburn in the night. The Department of Health recommends that all pregnant women avoid drinking alcohol altogether.
Although it’s rare, gallstones can cause heartburn during pregnancy also. Heartburn occurs when the valve between the stomach and the esophagus are unable to prevent stomach acid from passing back into the esophagus. During pregnancy, the hormone progesterone causes the valve to relax, which can increase the frequency of heartburn. This allows stomach acid to pass into the esophagus and irritate the lining. During pregnancy, you do not need to go on a special diet, but it is important to eat a variety of different foods every day in order to get the right balance of nutrients that you and your baby need.
- Unfortunately, even if you follow all advice on avoiding heartburn in pregnancy, you might still experience symptoms which should disappear in most women after giving birth.
- During pregnancy, do not use antacids that have sodium bicarbonate (such as baking soda), because they can cause fluid buildup.
- In most cases, antacids and alginates can effectively control the symptoms of indigestion during pregnancy.
This keeps stomach acid in your stomach and away from your oesophagus. In most cases, antacids and alginates can effectively control the symptoms of indigestion during pregnancy. Some antacids are combined with another type of medicine known as an alginate.
The dyspepsia usually goes away after the birth of your baby when your hormones change back to their non-pregnant state and the baby is no longer causing increased pressure on your stomach. Dyspepsia occurs at some point in around half of all pregnant women. It is usually due to reflux of acid from the stomach into the oesophagus. Avoid other heartburn medications during pregnancy unless they’re prescribed by your doctor. However, if your heartburn is persistent, your doctor may suggest that you try an over-the-counter heartburn medicine that controls acid production, like proton-pump inhibitors (PPIs) or H2 blockers.
Heartburn in pregnancy might occur because of changing hormone levels, which can affect the muscles of the digestive tract and how different foods are tolerated. Pregnancy hormones can cause the lower esophageal sphincter (the muscular valve between the stomach and esophagus) to relax, allowing stomach acids to flow up into the esophagus back. In addition, the enlarged uterus can crowd the abdomen, pushing stomach acids upward.
However, if you’re struggling to eat, your symptoms are changing and do not seem typical, or if they are worsening over a short period of time, speak to your doctor, just in case there’s another cause. You are more likely to experience heartburn if you are expecting multiples, carrying a big baby (macrosomia) or if your baby is in breech position in late pregnancy, . as his head may be pressing up under your diaphragm.} Sometimes antacids are combined with alginates; these work by forming a foam barrier on top of the surface of the stomach contents, . keeping the acid from the oesophagus away..
It is unlikely that pregnant women would be taking any of these medicines, but check with your doctor if you think medication you are on could be making your symptoms worse. The following are commonly advised. There has been little research to prove how well these lifestyle changes help to ease acid leaking back up (reflux) and dyspepsia in pregnancy. However, they are worth a try certainly.