Heartburn in pregnancy
Template:Infobox medical condition
Heartburn in pregnancy is the common physiological symptom of burning in the esophagus or throat during pregnancy.[1][2] There may also be associated regurgitation.[3] It does not appear to affect pregnancy outcomes; though, affects quality of life during pregnancy.[3] Complications may include inflammation of the esophagus, cough, or asthma.[1][3] In those who are affected, it usually starts near the end of the first trimester, becomes more frequent by the time of the third trimester, and resolves on its own soon after delivery[2][4].
Risk factors may include fatty or spicy food.[3] The underlying mechanism involves the size of the baby as well as hormone changes.[5] This results in stomach acid entering the esophagus.[1] Diagnosis is generally based on symptoms; though, may rarely be supported by upper endoscopy.[1][3]
Initial efforts often include eating small frequent meals and avoiding eating before sleeping.[5] Sleeping with the head raised and reducing caffeine may also be tried.[1] Medications that may help include antacids, sucralfate, H2 blockers, and proton pump inhibitors.[1][3] Magnesium, aluminum, and calcium-containing antacids appear safe.[3] The condition generally resolves after delivery.[3] Heartburn in pregnancy is common, particularly after 12 weeks of gestation.[5] About 17 to 45% of pregnacies are affected at some point.[1]
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 Vazquez, JC (8 September 2015). "Heartburn in pregnancy.". BMJ clinical evidence 2015. PMID 26348641.
- ↑ 2.0 2.1 Template:Cite Q
- ↑ 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 Dunbar, K; Yadlapati, R; Konda, V (1 October 2022). "Heartburn, Nausea, and Vomiting During Pregnancy.". The American journal of gastroenterology 117 (10S): 10-15. doi:. PMID 36194028.
- ↑ Template:Cite Q
- ↑ 5.0 5.1 5.2 "Indigestion and heartburn in pregnancy" (in en). 3 December 2020. https://www.nhs.uk/pregnancy/common-symptoms/indigestion-and-heartburn/.