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Why Do Pregnant Women Get Heartburn? - NoMoNauseaBand

Why Do Pregnant Women Get Heartburn?

Apr 30, 2021

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Dr. Jacqueline Darna

Why it affects pregnant women more than any other group, what can cause heartburn to get worst as your gestational age increases, and of course, how to help stop even the worst pregnancy heartburn, and even a pregnancy product called NoMo Nausea that instantly stops pregnancy induced acid reflux all coming up in this blog.

If you don't have time to read about it, just listen right here as I, your favorite Pregnancy Doctor walks you through all three trimesters and how to deal with pregnancy induced GERD.

What is Heartburn? 

Heartburn is a common symptom in pregnant women. It is estimated that 2 to 5 in 10 moms-to-be experience heartburn. Heartburn means having a gastric reflux-escape of stomach acid into your esophagus (food pipe).  Most pregnant women start experiencing heartburn in the first three months of their pregnancy or during the second trimester. It is usually mild throughout the pregnancy and ends when you give birth.   However, sometimes, heartburn may be severe during pregnancy, and a woman may vomit blood or pass melena (dark-colored) stool. 

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What is Acid Reflux?

Acid reflux is a problem with your stomach valve, called your cardiac sphincter (no, I'm not talking about your heart or your butt sphincter, they are just medical terms we use to characterize parts of the body), opens when it's not suppose to so digestive acidic juices from your stomach travel up to your esophagus.  They call it acid reflux because it really is that acid from your stomach.  Did you know you the acid in your stomach is so powerful it can actually degrade razors?  

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Heartburn is a symptom of acid reflux and is the burning felt mid-chest, especially after meals or at night when you lie down. Heartburn is exactly why it's named heart burn, the burn you feel below your sternum when acid food contents comes back up the wrong way. If you're looking to find out the difference between heartburn in pregnancy/GERD versus morning sickness, check out this pregnancy blog. The best pregnancy podcast Pukeology Episode 2 details: What is morning sickness like?

What helps morning sickness & how to stop heartburn during pregnancy

 

 GERD Symptoms

Gastroesophageal reflux disease, since it's such a "mouthful" we nicknamed it GERD.  This is a more severe form of acid reflux where the stomach contents keep coming back up so frequent that it become problematic for the esophagus.  GERD causes burning in the back of the throat, erosion of the teeth, a chronic cough from food getting into the lungs (we call this mini aspirations), and or a feeling there's a lump in the back of your throat.  Picture throwing up and holding it in like mouthwash, now that's GERD. 

Why Heartburn in Pregnancy?

The exact cause of heartburn during pregnancy is not well understood. It is believed that heartburn during pregnancy occurs due to the interplay between the pregnancy hormone, growing baby, and slow digestion of foods

Pregnancy causes an imbalance of many hormones in your body. It elevates the levels of progesterone hormones which play a crucial role in pregnancy-induced heartburn.  

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Progesterone causes relaxation, including muscles involved in preventing the backflow of acid from the stomach (lower esophageal sphincter muscles). As a result, stomach acid and food reflux to your food pipe causing heartburn. 

Progesterone also slows down the rate of digestion. As a result, food in your stomach stays for long, making it more likely to reflux to the esophagus. 

The growth of your baby can also lead to heartburn. Your baby's growth makes the womb squeeze the stomach, which leads to spilling its content to the esophagus. It is the reason why you are more likely to experience heartburn throughout your pregnancy. 

What Makes Heartburn Worse During Pregnancy? 

The following factors may worse heartburn when pregnant. 
  • Overeating 
  • Eating before going to bed 
  • Smoking  
  • Eating spicy and fatty foods

Acid Reflux Diet

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What Helps with Acid Reflux While Pregnant? 

Here are proven tips to help you cool the burn and make you feel comfortable during pregnancy. 

  • Avoid acidic, fatty, and spicy food. 

You are already experiencing acid reflux, and don't need food that makes your stomach more acidic or slows down your digestion. 

Avoiding foods such as citrus, chocolates, caffeine, onions, and fried fatty food while pregnant can help with heartburn 

  • Do not overeat. 

Rather eat small frequent meals to allow your stomach to empty before the next meal. Overeating put much pressure on the lower esophageal muscle making it open. When it opens, the acid finds its way to the esophagus, causing heartburn. Avoiding large meals, therefore, lowers your chances of having an acid reflux 

  • Take advantage of gravity 

Studies show that gravity help with heartburn by making food stay put. Therefore, sit up straight during meals. Also, prop up yourself during sleep with a pillow under your shoulder. Placing blocks underneath the legs of your bed can also help. 

  • Avoid Smoking 

Smoking during pregnancy can harm you and your child. The chemical you consume while smoking relaxes the lower esophageal sphincter allowing your stomach to spill up acid and undigested foods leading to heartburn. 

  • Avoid drinking alcohol 

Alcohol worsens the symptoms by triggering the relaxation of the lower esophageal sphincter and aggregating the stomach acid. Excess intake of alcohol makes your heartburn. 

  • Avoid tight clothes 

Tight-fitting clothes such as Spanx increase pressure around your belly which can lead to heartburn. Instead, wear loose-fitting clothes. Stretchy clothes are even better in helping with heartburn during pregnancy. 

  • Sleep 3 hours after a meal 

Sleeping slows down your digestion, making your stomach remain full for long. However, allowing your digestion 3 hours before going to bed can help prevent heartburn. 

  • Antacids 

Taking antacids can help with heartburn during pregnancy. They neutralize the stomach acids, thus reducing heartburn. However, not all antacids are safe during pregnancy. You should therefore consult your physician on which one is safe. Sodium, aspirin, and magnesium trisilicate-containing antacids can harm your baby, and better to avoid them during pregnancy. 

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