Heartburn in pregnancy: GP-approved treatment guide

Overview

Heartburn is a widespread occurrence during pregnancy, impacting many women at various times. It is typically a result of hormonal changes and the expanding uterus exerting pressure on the stomach. Although it’s not harmful, it can be quite uncomfortable. This guide outlines the reasons behind heartburn, safe relief methods, and when to consult a online doctor.

Signs

These sensations can range from mild to severe:

• A burning sensation in the chest or throat
• A sour or bitter taste in the mouth
• Discomfort or pain following meals
• Symptoms worsening during the night
• Bloating or excessive burping

Causes

Pregnancy-related heartburn occurs due to several factors:

Hormonal fluctuations

Progesterone relaxes the sphincter between the esophagus and stomach, making it easier for acid to rise.

Delayed digestion

Pregnancy inherently slows down digestion, causing food to remain in the stomach longer and increasing acid production.

Pressure from the growing fetus

As the uterus expands in later pregnancy, it applies pressure on the stomach, causing acid to be pushed upwards.

Lifestyle tips

Here are some doctor-approved lifestyle suggestions to alleviate heartburn:

• Consume smaller, more frequent meals
• Avoid eating close to bedtime
• Remain upright for about 30 minutes post-meal
• Elevate your upper body with pillows while sleeping
• Stay away from trigger foods such as spicy, fatty, acidic foods, coffee, and chocolate
• Wear loose-fitting, comfortable attire
• Drink water throughout the day
• Refrain from lying down immediately after eating

Home remedies

Gentle, natural remedies that may provide relief include:

• Ginger tea
• Warm water
• Taking light walks after meals
• Chewing sugar-free gum to stimulate saliva production
• Opting for bland foods during flare-ups

Pregnancy-safe medications

Pregnancy-safe medications (as recommended by a doctor) include:

1. Calcium-based antacids – offer quick, short-term relief
2. H2 blockers – suggested if symptoms persist despite antacids (only with doctor's approval)
3. Proton pump inhibitors (PPIs) – utilised for ongoing symptoms under medical supervision

Avoid medications not endorsed by your doctor, especially those containing added sodium or aspirin.

Foods that may help

Foods that might help alleviate heartburn include:

• Oats
• Bananas
• Melons
• Ginger
• Yoghurt
• Whole grains

When heartburn is more severe

In some cases, women may experience more intense, recurring symptoms that disrupt sleep or eating. Severe heartburn might necessitate medical attention to eliminate other potential causes and ensure safe relief during pregnancy.

When to see a doctor

Consult a doctor if you experience:

• Severe or ongoing heartburn
• Vomiting
• Weight loss
• Chest discomfort
• Difficulty swallowing
• Symptoms not improving despite lifestyle adjustments
• Signs of dehydration

How Hola Health can help

Hola Health can help you connect with an Australian-licensed doctor from home for tailored support. Hola Health offers:

• Evaluation of pregnancy-related heartburn
• Guidance on safe medications
• Assistance in ruling out other causes
• Accessible care seven days a week across Australia

Conclusion

Heartburn in pregnancy is common, uncomfortable, and usually manageable with the right care. By combining safe lifestyle changes with GP-approved treatments, most women can find real relief. If symptoms become severe, persistent, or affect eating and sleep, seeking medical advice ensures you and your baby stay healthy and supported.

FAQs

Is experiencing heartburn common in early pregnancy?

Yes, elevated hormone levels often trigger early symptoms.

Does heartburn indicate that the baby has a lot of hair?

This is a myth, although some studies suggest a slight correlation.

Are antacids safe for use during pregnancy?

Most calcium-based antacids are considered safe, but always consult a doctor.

Can heartburn worsen in the third trimester?

Yes, as the uterus pushes more against the stomach.

What foods exacerbate heartburn?

Spicy, fatty, fried, acidic foods, chocolate, and caffeine are common culprits.

Can heartburn signify a serious issue?

It is rare, but a doctor should evaluate severe or persistent symptoms.

Can dehydration or stress intensify heartburn?

Absolutely, both factors can worsen symptoms.