Things to help acid reflux while pregnant

Pregnancy can relax the valve between the stomach and food pipe, while the growing uterus can increase pressure on the stomach. Acid moving upwards may cause burning behind the breastbone, a sour taste, burping or cough. Symptoms can be worse after a large meal or when lying down. Similar discomfort may also come from another condition, so do not assume every chest or abdominal symptom is reflux.

Try smaller meals more often and eat slowly. Notice whether fatty, spicy or acidic foods, chocolate, coffee or fizzy drinks trigger symptoms, then reduce the triggers that affect you. Stay upright after eating and avoid bending or lying down soon afterwards. Raise the upper part of your sleeping position if your maternity team considers this suitable. Wear comfortable clothing around your abdomen. Do not start, stop or combine antacids or other reflux medicines without checking with your obstetric clinician or pharmacist.

Get urgent help for severe chest pain, difficulty breathing, fainting, vomiting blood, black stools, or severe abdominal pain. Contact your maternity team if vomiting prevents fluids, swallowing becomes difficult, symptoms are persistent despite self-care, or reflux is affecting sleep and nutrition. Mention any regular medicines at the review.

Ask which antacid or reflux treatment is appropriate in your pregnancy, whether another cause needs checking, and how to manage symptoms at night.