Heartburn in pregnancy: GP-approved treatment guide
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Summary: Heartburn is a common pregnancy symptom caused by hormonal changes and pressure from the growing uterus, often starting in the second trimester. Symptoms include a burning sensation in the chest, indigestion, and regurgitation. Managing heartburn naturally involves dietary adjustments, lifestyle changes, and home remedies like drinking milk or eating smaller meals. Avoiding trigger foods, staying upright after eating, and practicing good posture can help prevent discomfort. If symptoms persist or worsen, consulting a doctor—especially via telehealth—can provide personalized advice and safe treatment options, ensuring a more comfortable pregnancy experience.
Heartburn, a common symptom experienced by expectant mothers, occurs when stomach acid flows back into the oesophagus, resulting in a painful, burning sensation in the upper chest. It is common in the second and third trimesters, affecting between 30 to 50% of pregnant women. Let’s explore the causes, risk factors, and effective GP-approved treatments for heartburn in pregnancy.
Heartburn, a common symptom experienced by expectant mothers, occurs when stomach acid flows back into the oesophagus, resulting in a painful, burning sensation in the upper chest. It is common in the second and third trimesters, affecting between 30 to 50% of pregnant women. Let’s explore the causes, risk factors, and effective GP-approved treatments for heartburn in pregnancy.
What causes heartburn in pregnancy?
Hormonal changes and physical pressure from the growing uterus (womb) cause heartburn in pregnancy.- Hormonal changes: During pregnancy, the body produces more progesterone, a hormone that relaxes smooth muscle, including the lower oesophageal sphincter (LES), a muscular barrier that separates the stomach from the oesophagus. When relaxed, stomach acid can flow back into the oesophagus (gullet), resulting in heartburn.
- Physical pressure: As the pregnancy progresses, the growing uterus puts pressure on the stomach, which increases the risk of gastro-oesophageal reflux whereby stomach acid is pushed upward into the oesophagus.
Symptoms of indigestion and heartburn
Symptoms of indigestion and heartburn include:- Burning sensation in the chest
- Sour or bitter taste in the mouth
- Regurgitation of food
- Feeling heavy or bloated
- Frequent burping
- Difficulty swallowing or feeling that the food is stuck in the throat
- Feeling sick
When does heartburn in pregnancy start?
Heartburn in pregnancy usually starts in the second trimester (around 13 to 26 weeks) but may start earlier for some women. The hormonal shifts that relax the lower oesophageal sphincter (LES) and the physical pressure from the expanding womb often become more pronounced during this period, making heartburn more likely.For many women, heartburn may intensify in the third trimester (27 weeks and beyond), as the uterus continues to expand, putting additional pressure on the stomach. However, some women may experience heartburn throughout their pregnancy, while others may not experience it at all.
What is heartburn in pregnancy a sign of?
Heartburn during pregnancy is common and is usually not a sign of a serious underlying health issue. The primary causes of heartburn during pregnancy include hormonal fluctuations and the expanding uterus, which puts pressure on the stomach and loosens the lower oesophageal sphincter (LES), leading to stomach acid refluxing into the oesophagus.Though heartburn is generally harmless, it may occasionally indicate gastroesophageal reflux disorder (GERD) if it occurs regularly or severely. GERD may need further medical attention and treatment to control symptoms effectively.
In general, heartburn is just a sign of the body’s adjustment to pregnancy and can be managed through nutritional changes, lifestyle shifts, and safe medication. It is essential to consult a healthcare professional about persistent or intense heartburn to exclude complications.
How to relieve heartburn in pregnancy naturally?
Heartburn is common during pregnancy due to hormonal changes and the growing baby putting pressure on your stomach. Here are some natural ways to relieve heartburn:1. Dietary changes
- Aim for smaller portion sizes and eat to comfortable fullness.
- Avoid foods that upset your stomach. Some common ones are spicy foods, fatty foods, fried items, chocolate, and sugar-sweetened beverages.
- Avoid lying down immediately after meals.
- Eat slowly.
2. Natural Remedies
- Drinking cold milk may ease the burning sensation.
- Eating a banana or oatmeal is easy on the stomach and can help soak up acid.
- Ginger tea may assist digestion and help with nausea.
- A spoonful of yogurt can also help balance stomach acid.
What helps heartburn in pregnancy – lifestyle changes
Heartburn during pregnancy is a common discomfort caused by hormonal changes and the growing baby putting pressure on the stomach. Simple lifestyle adjustments can help prevent and relieve symptoms without the need for medication: Eat smaller, more frequent meals: Having smaller meals more often can help stop acid reflux since big meals can pressure your stomach.- Avoid lying down immediately after meals.
- Sleep with your upper body elevated: Using extra pillows or a wedge pillow when you sleep can help prevent acid from rising, giving you some relief.
- Wear loose, comfortable clothing. Tight clothes around your waist can worsen heartburn by increasing stomach pressure. Choose loose, comfortable outfits instead.
- Avoid eating close to bedtime: It’s a good idea to avoid eating right before bed. Ensure your last meal or snack is at least two to three hours before going to bed to help with digestion.
- Practice gentle movement after meals. Light activities, like taking a short walk, after eating can help your digestion and ease acid reflux symptoms.
- Maintain good posture while sitting: Sitting up straight can relieve pressure on your stomach and keep acid from rising, which is a smart way to handle heartburn.
Prevention techniques
To lower the chances of heartburn and indigestion during pregnancy, you can try these tips:- Take your time eating and chew well to help with digestion.
- Avoid overeating by having smaller, more frequent meals.
- Stay upright after meals to cut down on acid reflux.
- Keep a healthy weight to reduce pressure on your stomach.
- Drink plenty of water during the day, but don’t overdo it during meals.
- Manage stress with calming activities like deep breathing, prenatal yoga, or meditation.
Foods to avoid preventing heartburn and indigestion
Some foods can trigger heartburn and indigestion:- Spicy foods like chilli peppers, hot sauces, and curries.
- Fried and fatty foods like fast food, chips, and heavy creams.
- Citrus fruits and juices like oranges, lemons, and grapefruits.
- Tomato-based products such as pasta sauce, ketchup, and salsa.
- Carbonated drinks can cause bloating and add pressure to your stomach.
- Processed foods should be avoided as they are packed with preservatives and artificial additives.
When to speak to a doctor?
Although occasional heartburn is typical during pregnancy, consult a healthcare professional if:- Symptoms continue despite making lifestyle and dietary adjustments.
- Heartburn is intense, recurrent, or getting worse.
- You have trouble swallowing or ongoing nausea and vomiting.
- You experience unintentional weight loss.
- There is blood present in your vomit or stool.
How can telehealth with an online doctor help?
Telehealth services provide a convenient method to obtain medical advice without visiting a clinic. An online doctor can evaluate symptoms, suggest lifestyle changes, and offer dietary recommendations to manage heartburn during pregnancy. If needed, they can also prescribe medications that are safe for pregnancy to alleviate discomfort. Moreover, telehealth appointments provide reassurance by helping to exclude serious conditions and ensuring that symptoms are effectively managed.Heartburn is common during pregnancy due to hormonal changes and pressure from the growing uterus. Hola Health’s telehealth service provides convenient support for managing heartburn symptoms:
- Telehealth appointment: Connect with an online doctor 24/7 for an assessment of your symptoms and tailored advice.
- Instant Prescriptions: Receive electronic scripts for safe antacids or other medications, ready for local pharmacy pickup or delivery.
- GP Referrals: If needed, your doctor can provide referrals for specialist care.
- Medical Certificate: Easily obtain a certificate if heartburn impacts your ability to work.
FAQs
How can I get immediate relief from heartburn while pregnant?
For immediate relief from heartburn during pregnancy, you may try these natural remedies:- Drink water to dilute and wash down the acid.
- Mix a tablespoon of honey into warm milk and drink it.
- Eat yoghurt or drink milk.
Does drinking water help heartburn?
Yes, drinking water can assist in diluting stomach acid and flushing it down into the stomach, offering relief from heartburn.What worsens heartburn in pregnancy?
Spicy, fatty, or fried food items, large meals, lying down after eating, tight-fitting clothes, and stress can worsen heartburn in pregnancy.Can heartburn and indigestion hurt my baby?
No, heartburn and indigestion during pregnancy do not harm the baby. They are common symptoms and usually harmless, though they can lead to discomfort for the mother. In conclusion, while heartburn is common during pregnancy, it can be controlled with the right blend of dietary changes, lifestyle adjustments, and medications. It is important to consult a healthcare provider before starting any treatment to ensure the well-being of both the mother and the baby. With appropriate care, most women may find relief and enjoy greater comfort during pregnancy.See a GP online within just 15 minutes.
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Disclaimer
This content is created for informational purposes only. It is not intended to be a substitute for professional medical advice. Always seek the guidance of your doctor or other qualified health professional with any questions you may have regarding your health or a medical condition. For emergencies please immediately contact 000.
Get affordable healthcare on your terms, with quick access to qualified, Australian-registered telehealth doctors & health practitioners, 24/7, 365 days a year. No more searching for ‘doctors near me‘ – Hola connects you instantly.
Address: 79 St Georges Terrace, Perth WA 6000
Email: support@hola.health
Call 000 for emergency or urgent medical help
Get affordable healthcare on your terms, with quick access to qualified, Australian-registered telehealth doctors & health practitioners, 24/7, 365 days a year. No more searching for ‘doctors near me‘ – Hola connects you instantly.
Call 000 for emergency or urgent medical help.
Address: 79 St Georges Terrace, Perth WA 6000
Email: support@hola.health
© Hola Health, a brand of Packapill Pvt Ltd