Heartburn during pregnancy – Causes and solutions

Remedies against heartburn

Heartburn during pregnancy is a common discomfort experienced by many pregnant mothers. It happens when stomach acid flows back up into the esophagus, leading to a burning sensation in the chest or throat. This condition, also known as acid reflux or gastroesophageal reflux (GER), can be exaggerated during pregnancy due to hormonal changes and physical factors.

What is heartburn?

Heartburn is a common digestive symptom characterized by a burning sensation or discomfort that typically rises from the stomach and moves up toward the chest or throat. It is also known as acid indigestion or acid reflux. Heartburn occurs when stomach acid flows back into the esophagus, the tube that carries food from the mouth to the stomach.

What causes heartburn?

The primary cause of heartburn is the weakening of the lower esophageal sphincter (LES), a ring of muscle that acts as a valve between the esophagus and the stomach. When the LES doesn't close properly or relaxes too frequently, stomach acid can splash back into the esophagus, leading to the sensation of heartburn.

Several factors can contribute to the development of heartburn, including:

1. Certain foods and beverages: Spicy or fatty foods, citrus fruits, tomatoes, chocolate, mint, garlic, onions, and caffeine can trigger heartburn.
2. Overeating: Consuming large meals or lying down after a meal can increase the risk of heartburn.
3. Being overweight or pregnant: Extra weight, especially around the abdomen, can put pressure on the stomach and contribute to heartburn.
4. Smoking: Smoking can relax the LES and contribute to heartburn.
5. Certain medications: Some medications, such as certain pain relievers, calcium channel blockers, and certain asthma medications, may contribute to heartburn.

Symptoms of heartburn and indigestion

Heartburn symptoms

1. Burning Sensation: The most characteristic symptom of heartburn is a burning sensation or discomfort that typically begins behind the breastbone and may move upward toward the throat.
2. Chest Pain: While heartburn doesn't involve the heart, the burning sensation can be mistaken for chest pain. It is important to distinguish heartburn from chest pain related to cardiovascular issues.
3. Regurgitation: Some individuals may experience the backflow of stomach acid or partially digested food into the throat or mouth, leading to a sour or bitter taste.
4. Discomfort After Eating: Heartburn often occurs after meals or when lying down, as these positions can exacerbate the reflux of stomach acid into the esophagus.
 
Indigestion Symptoms:

1. Upper Abdominal Discomfort: Indigestion, also known as dyspepsia, is characterized by discomfort or pain in the upper abdomen. This discomfort can range from mild to severe.
2. Feeling Full Early During a Meal: Some individuals with indigestion may feel full quickly during a meal, even if they have not consumed a large amount of food.
3. Bloating and Gas: Indigestion can be accompanied by bloating, excessive gas, and a feeling of abdominal distension.
4. Nausea: Some people with indigestion may experience nausea or an uneasy feeling in the stomach.
5. Belching: Belching or burping is another common symptom of indigestion.
6. Acidic Taste: Similar to heartburn, individuals with indigestion may experience an acidic or bitter taste in the mouth.


Overlapping Symptoms:
It's important to note that heartburn and indigestion can share certain symptoms, such as a burning sensation and an acidic taste. Additionally, both conditions may be triggered or worsened by certain foods, eating habits, or lifestyle factors.

Relief and treatment options for heartburn

Relief and treatment options for heartburn and indigestion often involve lifestyle changes, dietary modifications, and, in some cases, medications. Here are some strategies that may help alleviate symptoms:
 
Lifestyle and Dietary Changes:

  • Elevate the Head of the Bed: Raise the head of your bed by 6 to 8 inches. This can help prevent stomach acid from flowing back into the esophagus during sleep.
  • Maintain a Healthy Weight: Losing excess weight, if applicable, can reduce pressure on the stomach and decrease the likelihood of acid reflux.
  • Avoid Trigger Foods: Identify and avoid foods and beverages that trigger your symptoms. Common triggers include spicy or fatty foods, citrus fruits, tomatoes, chocolate, mint, and caffeine.
  • Eat Smaller, More Frequent Meals: Instead of large meals, try eating smaller, more frequent meals throughout the day to reduce pressure on the stomach.
  • Stay Upright After Eating: Avoid lying down or going to bed immediately after eating. Stay upright for at least 2 to 3 hours after a meal.
  • Quit Smoking: If you smoke, consider quitting. Smoking can weaken the lower esophageal sphincter (LES) and contribute to heartburn.
  • Limit Alcohol Consumption: Limit alcohol intake, as it can relax the LES and increase the risk of acid reflux.
  • Wear Loose Clothing: Avoid tight clothing, especially around the waist, to reduce pressure on the stomach.


Natural Remedies:

  • Ginger: Ginger may help alleviate symptoms of indigestion. It reduces stomach acid by regulating gastric acid secretion in the stomach. At the same time, it reduces nausea as heartburn is usually accompanied by nausea.
  • Chamomile Tea: Chamomile tea may have soothing effects on the digestive system. It has anti-inflammatory properties. As inflammation in esophagus may cause heartburn, chamomile tea may reduce the inflammation and relief the discomfort. At the same time, it helps to relax the muscles with its calming properties.
  • Aloe Vera Juice: Aloe vera juice is a natural remedy that may provide relief for some people.It has compounds such as polysaccharides and glycoproteins that have anti-inflammatory and soothing properties. It also contains enzymes that aid digestion by breaking down food and facilitating nutrient absorption.

When should you consult your doctor?

It's important to talk to your doctor if you experience persistent, frequent, or severe symptoms of heartburn or indigestion, or if you notice any concerning changes in your digestive health. Here are specific situations when it's advisable to seek medical attention:
 
Frequent Occurrence of Symptoms:
If you experience heartburn or indigestion more than twice a week on a regular basis, it's time to consult your doctor. Frequent symptoms could be indicative of a more chronic condition, such as gastroesophageal reflux disease (GERD).

Frequently asked questions on heartburn during pregnancy:

What causes heartburn during pregnancy?

Heartburn during pregnancy is a common and normal occurrence. It is primarily caused by a combination of hormonal changes and physical factors related to pregnancy. The main contributors include:

1.      Hormonal Changes:
-         During pregnancy, the body produces higher levels of the hormone progesterone. Progesterone relaxes smooth muscles, including the lower esophageal sphincter (LES), which can lead to increased instances of acid reflux.
 
2.      Pressure on the Stomach:
-         As the developing baby grows, the expanding uterus puts pressure on the stomach. This pressure can force stomach acid to flow back into the esophagus, causing heartburn.
 
3.      Delayed Gastric Emptying:
-         The hormonal changes of pregnancy can slow down the process of gastric emptying, leading to the accumulation of stomach acid.
 
4.      Increased Blood Volume:
-         The body experiences an increase in blood volume during pregnancy, and this can result in changes in the acidity of stomach contents.

How to treat heartburn during pregnancy?

Managing heartburn during pregnancy involves making lifestyle and dietary changes. These include dietary modifications, staying upright after eating, elevating your upper body while sleeping to prevent stomach acid from backflowing, chewing gum, using antacids to provide temporary relief and consider heartburn-friendly foods like lean proteins, whole grains and non-citrus fruits.

How long does heartburn last in pregnancy?

The duration of heartburn during pregnancy can vary from woman to woman and may also depend on individual circumstances. For some women, heartburn may be a temporary issue that occurs intermittently, while others may experience it more consistently throughout the pregnancy. In many cases, heartburn tends to improve after giving birth.

How can you reduce heartburn?

1.      Eat Smaller, More Frequent Meals: Instead of large meals, try eating smaller, more frequent meals throughout the day.

2.      Drink Fluids Between Meals: Limit the amount of fluids consumed during meals to reduce stomach volume.

3.      Avoid Eating Late at Night: Try to have your last meal or snack at least a few hours before bedtime.

4.      Identify and Avoid Triggers: Keep a food diary to identify specific foods or beverages that trigger your heartburn and try to avoid them.

5.      Stay Hydrated: Drink plenty of water throughout the day, but try to limit large amounts of fluids during meals.

6.      Wear Comfortable Clothing:Choose loose, comfortable clothing to avoid putting extra pressure on the stomach.

7.      Consider Your Sleep Position:Elevate your upper body with extra pillows or use a wedge pillow to keep your head and shoulders elevated while sleeping.