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However, a large cohort study found that exposure to PPIs in the first trimester of pregnancy was not associated with increased risk of birth defects. With regard to medications, antacids or sucralfate are safe in pregnancy, because they are not systemically absorbed. Note, however, that antacids may interfere with iron absorption. Thiamine supplementation is recommended for women who have had vomiting for longer than 3 weeks.
How Early Are There Signs of Pregnancy?
Most pregnant women have symptoms of gastroesophageal reflux disease (GERD), especially heartburn, at some point. These symptoms may start at any time during a pregnancy.
After meals, pregnant women are prone to heartburn should not lie down. There are severeal types of medications used to relieve heartburn in women who are not pregnent, but it is not kown how safe some of these medications are for the developing fetus. Pregnant women are known for their super sense of smell.
They’re triggered by hormonal changes, which are preparing your milk ducts to feed your baby, and will probably last through the first trimester. Going up a bra size (or more) and wearing a support bra can make you feel more comfortable; you can go back to the lacy bras after your baby is finished nursing. Having a baby is one of the most joyous times in many women’s lives.
Antacids may interfere with iron absorption, and iron is important for the growing fetus so pregnant women may need iron supplementation. If your symptoms do not improve after the above recommended diet and lifestyle changes are in place, talk with your healthcare provider about over-the-counter medicines. Antacids are available as chewable tablets and liquids.
Medical and surgical management
Mild symptoms can be managed by reassurance, avoidance of precipitating factors, and dietary changes (eg, smaller, more frequent meals; increased carbohydrate intake; low fat intake). Other causes of nausea in pregnancy include urinary tract infections, gastroenteritis, peptic ulcer disease, pancreatitis, biliary tract disease, hepatitis, appendicitis, adrenal insufficiency, and increased intracranial pressure.
Hyperemesis gravidarum occurs in 3 to 10 cases per 1000 pregnancies and is characterized by intractable nausea and vomiting that occurs in early pregnancy, leading to fluid and electrolyte imbalances. Data on the harmful fetal effects of other antiemetics (eg, prochlorperazine [class C], diphenhydramine [class C], trimethobenzamide) preclude their use in pregnancy.
During the third trimester, the growth of your baby can push your stomach out of its normal position, which can lead to heartburn. The first question you may have is how to make it stop. You may also wonder if treatments are safe for your baby. Learn what causes heartburn during pregnancy and what you can do about it. Instead of eating a large breakfast, lunch and dinner, eat smaller portions with healthy snacks in between meals.
Nausea, tender breasts and fatigue are the next three symptoms noticed earliest in pregnancy. Itâ€™s rare, but gallstones can also cause heartburn during pregnancy, so itâ€™s important to mention any issues to your doctor. Changing hormone levels cause heartburn by affecting the muscles of the digestive track and your bodyâ€™s ability to tolerate different foods.
Possible contributing factors are an increased lithogenicity of bile, increased stasis of bile, and decreased gallbladder emptying. Histamine 2 (H2) blockers are preferred over proton pump inhibitors (PPIs), because more data are available on the safety of H2-blocker use in pregnancy.
As with any drug, antacids should be used cautiously during pregnancy. Based on a review of published scientific clinical studies (in animals and humans) on the safety of heartburn medications during pregnancy, researchers conclude there are certain drugs that are considered safe for use in pregnancy and those which should be avoided.
Nausea tends to recur in subsequent pregnancies, although it may be shorter in duration. This article focuses on common GI symptoms during pregnancy and the common GI diseases that can be challenging to manage during pregnancy. By working out what foods cause your indigestion, you can reduce your chances of it happening. But Dr Oâ€™Connor adds, be careful you donâ€™t cut out whole food groups which can provide vital nutrients for baby. It is not unheard of for women to crave a curry during pregnancy but eating lots of spicy, fatty or rich food can make indigestion worse.