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Heartburn in pregnancy

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Template:Infobox medical condition Heartburn in pregnancy is the symptom of burning in the esophagus or throat during pregnancy.[1] There may also be associated regurgitation.[2] It does not appear to affect pregnancy outcomes; though, affects quality of life during pregnancy.[2] Complications may include inflammation of the esophagus, cough, or asthma.[1][2]

Risk factors may include fatty or spicy food.[2] The underlying mechanism involves the size of the baby as well as hormone changes.[3] This results in stomach acid entering the esophagus.[1] Diagnosis is generally based on symptoms; though, may rarely be supported by upper endoscopy.[1][2]

Initial efforts often include eating small frequent meals and avoiding eating before sleeping.[3] 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][2] Magnesium, aluminum, and calcium-containing antacids appear safe.[2] The condition generally resolves after delivery.[2] Heartburn in pregnancy is common, particularly after 12 weeks of gestation.[3] About 17 to 45% of pregnacies are affected at some point.[1]

References

  1. ↑ 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. ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 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:10.14309/ajg.0000000000001958. PMID 36194028. 
  3. ↑ 3.0 3.1 3.2 "Indigestion and heartburn in pregnancy" (in en). 3 December 2020. https://www.nhs.uk/pregnancy/common-symptoms/indigestion-and-heartburn/.