When to worry about heartburn in pregnancy with pre-eclampsia

Ordinary reflux can cause a burning feeling behind the breastbone, often after meals or when lying down. Pre-eclampsia can also cause pain high in the abdomen, especially beneath the ribs, and this may be mistaken for indigestion. The concern rises when the discomfort is new, intense, does not settle, or comes with other symptoms such as a severe headache, vision changes, sudden swelling, nausea, vomiting, or feeling very unwell.

Contact your maternity team promptly and describe where the pain is, when it began, whether it is constant, and any associated symptoms. Rest on your side while arranging advice, and take only medicines your pregnancy clinician has approved. Do not wait for a routine appointment if the pain is worsening or feels different from your usual reflux.

Seek urgent maternity or emergency care for severe upper-abdominal pain, a severe headache, blurred or flashing vision, faintness, breathlessness, chest pain, repeated vomiting, heavy bleeding, or reduced fetal movement. These signs require assessment of your blood pressure and wellbeing rather than self-treatment for heartburn.

Ask whether your symptoms could be reflux or upper-abdominal pain linked with pre-eclampsia, which checks you need today, and which pregnancy-safe treatment is suitable. Ask when to call again if symptoms continue after assessment.