What contraindications and cautions are associated with antacids and alginates?
Avoid eating late at night or before retiring to bed.
Dyspepsia in pregnancy is predominantly caused by gastro-oesophageal reflux disease (GORD). The diagnosis can be made on symptoms alone, which do not differ from the non-pregnant population. Symptoms include heartburn and acid reflux. Investigations are generally not necessary. “With all medication, we minimize use as much as possible and don’t use it if we don’t need it,” explains Graves.
One of the biggest issues with GERD is that most women do not experience significant relief from treatment, and this includes prescription medications. This is one reason that prescriptions are used infrequently and why prevention is key. Your food choices can play a large part in how many reflux symptoms you experience. Eating spicy foods, for example, can increase the likelihood of a flare-up, while eating green vegetables may help reduce symptoms or prevent attacks. Doctors might also recommend that you avoid certain activities immediately after eating.
Examples of OTC medicine (medicine available without a prescription) and other products that may relieve bloating and gassiness are, Gas-X, Beano, Pepto Bismol, Metamucil, probiotics, and Ex-Lax for constipation associated with bloating. If you have persistent or severe gas and bloating, and if you have any of these symptoms see a doctor or other healthcare professional, shortness of breath, heart palpitations, chest pain, bloody diarrhea, fever, or if you think you are or may be pregnant.
Consider the selective elimination of any dietary triggers that cause heartburn until the underlying disease is resolved. Weight loss decreases pressure on the stomach. While this may not be practical during pregnancy, non-pregnant patients are encouraged to maintain a healthy weight. MacGill, Markus. “What is acid reflux?.” Medical News Today.
These chemicals can cause the ring of muscle at the lower end of your gullet to relax, which allows stomach acid to come back up more easily. This is known as acid reflux. Most antacids contain either calcium carbonate (such as Tums, Rolaids, Mylanta and Maalox) or magnesium hydroxide (Phillips Milk of Magnesia). Sodium bicarbonate, also known as baking soda, can relieve heartburn and indigestion.
Gastroesophageal Reflux Disease (GERD)
Gravity plays an important role in controlling reflux, so elevating the head of your bed might help. When a person is lying flat on their back, stomach contents are more likely to reflux into the esophagus. Studies have documented that, as compared with patients who sleep flat on their backs, patients who elevate the head of the bed have significantly fewer reflux episodes, and the episodes that do occur are shorter and generally produce milder symptoms. Lifestyle changes are the most common ways that you can prevent increases in intra-abdominal pressure and decreases in lower esophageal sphincter pressure that promote reflux during pregnancy.
But talk to your OB or midwife before beginning an OTC med like Tagamet to treat acid reflux. “We want to make sure that it won’t interact with anything else you might be taking,” Collins says.
Up to eight out of ten pregnant women develop heartburn at some point over the course of the nine months. Some doctors may recommend the prescription drug sucralfate, along with lifestyle changes and non-prescription medicines, for treating GERD symptoms during pregnancy. A much wider variety of foods can irritate an already inflamed esophagus and contribute to the discomfort of heartburn. Typical examples are fatty foods, spicy foods, hot beverages, carbonated beverages, alcohol, and citrus juices. A fully healed esophagus is much less sensitive to these foods.
Although it has nothing to do with the heart, heartburn involves a burning sensation in the center of the chest. Pregnant? Don’t Eat ThisDo you know which common foods may be risky during pregnancy? Learn which foods to avoid, while pregnant, such as queso dip, lunch meat, coffee and more. If you are pregnant, nausea and vomiting, or morning sickness, is common.
After meals, pregnant women are prone to heartburn should not lie down. There are severeal types of medications used to relieve heartburn in women who are not pregnent, but it is not kown how safe some of these medications are for the developing fetus.
This happens because pregnancy causes the body’s musculature, including the esophageal sphincter, to relax. Sucralfate acts by coating and protecting the lining of the esophagus and stomach and is more effective in an acidic environment. Thus, if sucralfate is being used, it should be taken one-half hour before or after doses of antacids or alginic acid/antacid for maximal effect. A small study in pregnant women showed sucralfate is successful in relieving heartburn and studies in animals have not shown adverse effects of sucralfate on the fetus. Lying on the left side at night may decrease acid reflux just as it does in non-pregnant women with GERD.