What causes acid reflux during pregnancy and how to soothe symptoms
If small meals don’t work for you, try to eat your main meal at lunchtime and your evening meal as early as possible. This will allow plenty of time for food to pass down through the stomach and minimise the risk of acid reflux before bedtime.
This keeps food in the stomach longer. The pregnancy itself-the upward pressure of the growing uterus-also may play a role.
In its mild form, nausea is known as morning sickness. The pathophysiology of this condition is debatable but has been attributed to hormonal fluctuations, gastrointestinal motility disorders, and psychosocial factors. Persistence of nausea and vomiting into the second or third semester should prompt a search for other causes. and occurs in 50%-90% of pregnancies, whereas vomiting is an associated complaint in 25%-55% of pregnancies. Risk factors for nausea in pregnancy include youth, obesity, first pregnancy, and smoking.
This procedure is required in less than 0.1% of cases. The second trimester is the best period for surgery in affected pregnant women. Pregnant women with cholelithiasis may present with right upper quadrant or epigastric pain, fever, vomiting, jaundice, tenderness in the right upper quadrant that may be difficult to elicit because of an enlarged uterus, and/or pancreatitis. Nausea in pregnancy occurs in 91% of women in the first trimester, generally in the first 6 to 8 weeks.
UKTIS found conflicting evidence on the effect of gastric acid suppression during pregnancy on the risk of atopy in childhood, but was unable to draw conclusions from this [UKTIS, 2015a]. A small, double-blind crossover RCT (18 women at 29 or 31 weeks’ gestation) compared ranitidine 150 mg twice daily or once daily with placebo. It found that only the twice daily regimen significantly reduced symptoms of heartburn compared with placebo (mean reduction of 44%, 95% CI 15 to 73). Adverse fetal outcomes were not reported [Larson et al, 1997]. This study was not included in the Cochrane systematic review because of its crossover design [Phupong and Hanprasertpong, 2015].
Thus, if sucralfate is being used, it should be taken one-half hour before or after doses of antacids or alginic acid/antacid for maximal effect. A small study in pregnant women showed sucralfate is successful in relieving heartburn and studies in animals have not shown adverse effects of sucralfate on the fetus. LBG Although most pregnant women with GERD do not report having prior heartburn symptoms, one of the risk factors for having GERD during pregnancy is the presence of pre-existing GERD.
Pregnancy is associated with an increased risk of gallstone formation, which in turn is an important cause of pancreatitis in pregnancy. Cholecystectomy is the second most common nonobstetric surgical procedure in pregnancy, exceeded only by appendectomy. With regard to medications, antacids or sucralfate are safe in pregnancy, because they are not systemically absorbed. Note, however, that antacids may interfere with iron absorption. Thiamine supplementation is recommended for women who have had vomiting for longer than 3 weeks.
It is okay to use antacids that have calcium carbonate (such as Tums).
Can I prevent heartburn during pregnancy?
Although it’s rare, gallstones can also cause heartburn during pregnancy. Some women experience relief from their nausea and vomiting symptoms from dietary supplements such as ginger and Vitamin B6 (25 mg). The over-the-counter sleeping aid, Doxylamine (Unisom sleep tabs, 12.5 mg in the morning and evening and 25 mg at bedtime), has also been known to help with nausea and vomiting.
When does heartburn generally start during pregnancy?
Dyspepsia is a term used to describe a number of symptoms associated with the upper gastrointestinal tract that may include upper abdominal pain or discomfort, a feeling of upper abdominal ‘fullness’ or ‘heaviness’, reflux, heartburn, belching, nausea, and vomiting [Neale, 2010; NICE, 2014]. Between 30% and 80% of women suffer from dyspepsia at some time during their pregnancy, with symptoms starting at any stage of pregnancy. There appears to be an increased risk of symptoms in women who have had symptoms of gastro-oesophageal reflux prior to pregnancy, women of increasing gestational age, and women who have had a previous pregnancy. • Avoid extra weight gain beyond what is recommended.
What causes heartburn in pregnancy? The top of your stomach has a valve to keep down the food you’ve swallowed and the stomach acid that digests your food.
Try to drink most of your fluids between meals. Avoid trigger foods. If a food brings on the burn or other tummy troubles, take it off the menu for now. Some foods are known to trigger heartburn, including highly seasoned or spicy food, fried or fatty foods, processed meats, chocolate, caffeine, carbonated beverages, mint and citrus.
So, eating large meals or overeating in general can also increase the risk for heartburn. Eating right before bedtime can cause problems, too.
Six small meals are the solution to many pregnancy symptoms, from heartburn to bloating to lagging energy. Early in pregnancy, your body produces large amounts of the hormones progesterone and relaxin, which tend to relax smooth muscle tissues throughout your body, including those in your gastrointestinal (GI) tract. As a result, food sometimes moves more slowly through your system, resulting in indigestion issues of all kinds, from that bloated, gassy feeling to heartburn. This may be uncomfortable for you, but it’s actually beneficial for your baby.