Horrible heartburn during pregnancy: what to know

Heartburn is a burning feeling behind the breastbone that can rise towards the throat, sometimes with a sour taste or food coming back up. Pregnancy hormones can relax the valve between the stomach and food pipe, while the growing uterus can increase pressure on the stomach. Acid Reflux is a related condition; Gastritis, Hiatus Hernia and Peptic Ulcer can also cause upper abdominal or chest discomfort, but symptoms alone cannot identify the cause. Obesity can increase pressure around the stomach for some people.

Notice whether symptoms follow large meals, spicy or fatty foods, lying down, bending or eating close to bedtime. Tell a clinician if you have pain when swallowing, food sticking, persistent vomiting or unexplained weight loss.

Try smaller meals, eat slowly and remain upright after eating. Avoid lying down soon after food, and identify personal triggers rather than removing broad food groups without guidance. Raising the head end of the bed may help night symptoms; extra pillows alone can sometimes bend the body and worsen reflux. Wear comfortable clothing around the abdomen and keep fluids going in small, regular amounts.

Do not start antacids, acid-suppressing medicines or supplements without checking their suitability in pregnancy. A clinician or pharmacist can choose an option and explain how to take it. Acid Reflux Medication may be considered when lifestyle measures do not provide enough relief.

Get urgent help for crushing or severe chest pain, breathlessness, fainting, sweating or pain spreading to the arm, jaw or back. Seek prompt medical advice for vomiting blood, black stools, severe abdominal pain, repeated vomiting, difficulty swallowing or dehydration. Pregnancy-related chest or upper abdominal pain should not be dismissed as heartburn when it is new, intense or accompanied by feeling very unwell.

Could my symptoms be reflux or another stomach condition? Which foods, positions and medicines are suitable for me during pregnancy? What should I do if swallowing becomes painful, symptoms disturb sleep, or the burning does not improve?