Managing GERD and Pregnancy

Managing GERD and Pregnancy

Pregnancy has long been recognized as a condition that predisposes to GERD and GERD symptoms are known to be common in pregnant women [4, 5]. Studies that have addressed the issue of GERD symptoms in pregnancy reported a prevalence between 30 and 80% [6-12]. We have previously reported a prevalence of GERD-related symptoms of 56.3%, in the third trimester of pregnancy [9]. Symptoms of gastro-esophageal reflux disease (GERD) in pregnancy are reported with a prevalence of 30-80%.

You may need to keep up with treatment over the long term to prevent GERD symptoms from coming back. If GERD keeps coming back or gets worse, you may need to think about surgery. Reducing backflow, or reflux, of stomach acid and juices into the esophagus.

Your health-care professional may be able to diagnose gastroesophageal reflux disease just by the symptoms you report. If symptoms continue for more than 4 weeks despite this therapy, you may be referred to a gastroenterologist.

The stomach is tied in such a way as to prevent acid from flowing backward into the esophagus. If prescription drugs are not relieving symptoms, or if you have serious complications, you may need surgery. If you still have symptoms after lifestyle modifications and antacids, your health-care professional probably will prescribe a stronger drug.

There is prospective data on PPIs taken during the first trimester of pregnancy, that showed no increased risk of major birth defects [20]. PPIs can be considered as safe drugs during pregnancy [21, 22]. In most pregnant women reflux symptoms can be managed by lifestyle modifications and intermittent use of antacids.

GERD is caused by a failure of the lower esophageal sphincter. In healthy patients, the “angle of His”-the angle at which the esophagus enters the stomach-creates a valve that prevents duodenal bile, enzymes, and stomach acid from traveling back into the esophagus where they can cause burning and inflammation of sensitive esophageal tissue. Most cases of gastroesophageal reflux disease get better with lifestyle modifications, antacids, or prescription drugs.

The novelty of our study is the methodology employed for the assessment of symptoms. The study is the largest longitudinal study using validated questionnaires to asses GERD symptoms in pregnant women.

gerd pregnant

Doing so for about half an hour after meals increases saliva production, which can neutralize excess acid in your esophagus. Concerned about artificial sweeteners during pregnancy?

We conducted a prospective longitudinal cohort study to investigate the prevalence of GERD symptoms during the time course of pregnancy by using validated reflux-disease questionnaires and further gather information about the treatment patients receive. H2 blockers, such as cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75), impede acid production. They are available in prescription strength and over the counter. These drugs provide short-term relief, but over-the-counter H2 blockers should not be used for more than a few weeks at a time.

If your symptoms are severe, you may have to undergo some tests. Medicine may not prevent all of your GERD symptoms all the time. Even if you’re taking an acid reducer every day, you may still have heartburn from time to time. It’s okay to take antacids when you have heartburn like this.

Sometimes heartburn can feel like the chest pain of a heart attack. If symptoms of acid reflux occur frequently, it can indicate that a person has gastroesophageal reflux disease (GERD). The main symptoms are persistent heartburn and acid regurgitation. Some people have GERD without heartburn. Instead, they experience pain in the chest, hoarseness in the morning, or trouble swallowing.

Every second women suffers from GERD during pregnancy. Heartburn, regurgitation, and acid taste in mouth are bothersome symptoms affecting the women’s quality of life. Not even half of the women with severe or very severe symptoms are treated adequately. Our data and the last publications on safety of PPIs during pregnancy should be implemented in novel recommendations for GERD therapy during pregnancy.

The most frequent symptoms in pregnant and non-pregnant women were acid taste in mouth and regurgitation. In the third trimester of pregnancy 40.7% suffered from regurgitation at least once a week.

Antacids, however, have side effects. Magnesium salt can lead to diarrhea, and aluminum salts can cause constipation. Aluminum and magnesium salts are often combined in a single product to balance these effects.

Heartburn during Pregnancy Causes, Symptoms, Remedies, and Treatments

The doctor may use tiny tweezers (forceps) in the endoscope to remove a small piece of tissue for biopsy. A biopsy viewed under a microscope can reveal damage caused by acid reflux and rule out other problems if no infecting organisms or abnormal growths are found. the lower end of the esophagus to prevent acid from refluxing. is a common symptom caused by the refluxing of stomach acid into the esophagus.

gerd pregnant

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