Heartburn after delivery: what to know

Pregnancy-related pressure and hormonal changes can take time to settle, while irregular meals, tiredness, constipation, pain medicines, or lying down soon after eating may keep reflux going. Burning behind the breastbone is typical of [Heartburn](/symptoms/heartburn/), but it should not be assumed to be reflux if it is severe or unusual. Other possibilities include [Gastritis](/conditions/gastritis/) or a [Peptic Ulcer](/conditions/peptic-ulcer/).

Eat modest portions when possible, remain upright after meals, and avoid personal food triggers. Ask a doctor or pharmacist which antacid or acid-reducing medicine is compatible with breastfeeding, other medicines, and your health history. Do not stop prescribed postpartum medicines without advice. If symptoms are frequent, a clinician can assess for [Acid Reflux](/conditions/acid-reflux/) and create a plan that fits feeding and recovery.

Seek urgent help for severe chest pain, trouble breathing, fainting, heavy sweating, or pain spreading to the arm or jaw. Obtain prompt medical advice for severe upper-abdominal pain, repeated vomiting, blood in vomit, black stools, difficulty swallowing, fever, severe headache, vision changes, or rapidly worsening swelling. These symptoms may signal a problem needing examination rather than simple reflux.

Ask which treatment is suitable while breastfeeding, whether a current pain medicine could contribute, and whether your symptoms need examination for a non-reflux cause.