Heartburn

Heartburn is a burning feeling or pain in the throat and chest that is common among pregnant women. Heartburn doesn’t mean that something is wrong with your heart. It can be caused by pregnancy hormones, which relax the valve between your stomach and esophagus (the tube leading from the mouth to the stomach). When the valve between your esophagus and stomach doesn’t close, stomach acids leak into the esophagus. As your uterus grows, it adds to the problem by pressing up against your stomach. If you are bothered by heartburn, try these remedies:

• Eat six small meals per day instead of three big ones (a “grazing” eating pattern).
• Eat slowly and chew your food well.
• Don’t drink a lot of liquid with your meals. Drink fluids between meals instead.
• Don’t eat or drink within a few hours of bedtime. Don’t lie down right after meals, either.
• Try raising the head of your bed. Prop a few extra pillows under your shoulders, or put a couple of books or wood blocks under the legs at the head of the bed.
• Avoid foods that are known to make acid reflux worse, such as citrus fruits, chocolate, and spicy or fried foods.

Over-the-counter antacids are safe to use during pregnancy, as long as they do not contain aluminum or a salicylate, such as aspirin (avoid Alka Seltzer and Pepto Bismol). Antacids that contain magnesium or calcium are fine, such as Tums, Rolaids or Mylanta. Read the labels carefully, and if you have any doubts, contact your health care provider.