Management of heartburn during pregnancy - Dr. Rashmi Chaudhary. Heart burn in pregnancy is a very common and stressing problem which interferes with the lifestyle of a woman and because of that they are not able to eat. It also causes weight loss which panics the woman as well as their family members. The heart burn is also known as the reflux oesophagitis or acid indigestion. It mostly happens because of the disturbed hormonal status, increased level of the progesterone hormone which causes relaxation of the lower oesophageal sphincter and there is a reflux of the acid from the stomach to the oesophagus which causes a burning which starts from the bottom of the breasts towards the entire throat. Increased levels of progesterone hormone in pregnancy causes relaxation of the lower oesophageal sphincter as well as it decreases the motility of the tract. It increases the constipation as well as the enlarging uterus puts pressure over the diaphragm and the gut motility and all is disturbed. Fatty and fried food also aggravates the problem associated gall bladder also can increase the problem. So the management of heart burn in pregnancy depends upon the life style, healthy eating habits and some sort of modification in the dietary factor. We encourage the lady to have 3 meals, 3 snacks throughout the day. They should eat at a time less, but they should have frequent meals. They should take meals 2at 2 hours intervals. They should not be empty-stomached for 4 to 5 hours or longer than that. They should have lots of fluids. 3 to 4 litres of water intake should be there. They should increase the content of truffles in their normal diet. They should take more of fruits, green leafy vegetables and fibres. All these will relieve the constipation and improve the symptoms of heart burn. Tell them to avoid the very oily spicy foods because all these will cause relaxation of the lower oesophageal sphincters. After eating we advice them not to lie down immediately. We advice them to walk for 15 to 20 minutes so that this reflux problem is reduced. While they are sleeping they should sleep in a proper position, head end should be elevated, they can use 2 to 3 pillows below their shoulder and head. So that the reflux will be less. We can just minimize the problem, decrease the severity but not completely stop the problem of reflux oesophagitis. If the patient is still having constipations with the dietary modifications, it is not improving then we advice them to go for some sort of laxatives like syrup duphalac or some mild lactihusk powder which has no impact on the developing embryo or the foetus. If these measures also doesn’t improve then we go for the syrups like mucaine gel syrup or local antacids either in the form of tablets or in the form of syrups. We advice 3 times a day after breakfast, lunch and dinner. It can be supplemented with the use of some anti acid medicines like rantac or pantoprazole. These medicines are taken twice a day preferably half an hour before meal. It gives an immediate symptomatic relief. It is very severe aggreveted condition when the gastritis is too much, increasing we have to admit the patients to the hospital and we give them a very bland non spicy food and we put them on pantoprazole or IV rantac.
Tags: Management of heartburn during pregnancy - Dr. Rashmi Chaudhary, Heart Burn In Pregnancy, Acid Indigestion, Syrup Duphalac, Mild Lactihusk Powder, Pregnancy Health, Basic, Treatment, Women, 20-29, 30-39, 40-60, 1st Trimester, 2nd Trimester, 3rd Trimester, Reflux Oesophagitis, Pregnancy