Why is heartburn common during pregnancy?
Heartburn during pregnancy is a burning sensation behind the breastbone or in the throat caused by stomach contents moving back into the oesophagus. Pregnancy hormones relax the lower oesophageal sphincter and slow digestion; later, the growing uterus also increases pressure on the stomach.
Symptoms often worsen after food, when lying down, or when bending. Acid taste, belching, throat irritation, and bloating may occur. Heartburn is usually uncomfortable rather than dangerous to the pregnancy.
How can heartburn be relieved safely?
- Eat smaller meals more often and avoid overfilling the stomach;
- Eat slowly and chew well;
- Remain upright for 2–3 hours after eating;
- Raise the head and upper torso during sleep;
- Wear loose clothing around the abdomen;
- Identify personal triggers such as fatty, spicy, or acidic foods, chocolate, mint, caffeine, and fizzy drinks.
You do not need to eliminate every possible trigger. A symptom diary can show which foods matter for you. Some people find left-side sleeping helpful.
Can medication be used?
If lifestyle measures are not enough, a clinician or pharmacist may recommend a pregnancy-appropriate antacid, alginate, or acid-suppressing medicine. Not every over-the-counter product is suitable; ingredients and sodium content vary, and antacids can affect absorption of iron and other medication.
Do not use baking soda, herbal mixtures, or another person's medicine without professional advice.
When should you seek medical advice?
Arrange review if heartburn frequently wakes you, prevents eating, does not improve with appropriate measures, or occurs with difficulty swallowing, persistent vomiting, weight loss, black stool, or blood.
Severe chest pain is not always heartburn. Seek emergency care when pain is accompanied by shortness of breath, cold sweats, marked weakness, pain radiating to the arm or jaw, or severe headache and visual symptoms.
When may ultrasound be relevant?
If burning is accompanied by significant right upper abdominal pain, nausea, or symptoms after fatty food, your clinician may request gallbladder and liver assessment. A hepatobiliary ultrasound can help evaluate these organs.
When should you see Lana Ezieshvili?
Heartburn is often diagnosed clinically and does not always require imaging. When upper abdominal symptoms suggest another cause, radiologist Lana Ezieshvili can perform a targeted ultrasound of the liver, gallbladder, and other abdominal organs.
If imaging has been recommended, book an appointment with Lana Ezieshvili. Discuss medication for reflux with your obstetric clinician and seek urgent care for warning symptoms.