Pepto-Bismol during pregnancy: Safety, risks, and alternatives

Based on a review of published scientific clinical studies (in animals and humans) on the safety of heartburn medications during pregnancy, researchers conclude there are specific drugs that are considered safe for use in pregnancy and the ones which should be avoided. The role of proton pump inhibitors in the treatment of heartburn during pregnancy.

The sensation might begin in your stomach and work its way up. It also might get worse once you lie down or bend over. Smoking when pregnant can cause indigestion, and will seriously affect the health of you as well as your unborn baby.

When you are downing bottles of antacids, your heartburn could have progressed to gastroesophageal acid reflux disease (GERD). If so, you may need a stronger treatment.

Prevention and Treatment of Heartburn During Pregnancy

Eating meals too quickly escalates the probability of heartburn. Try to relax and enjoy your food. Always speak to your doctor or pharmacist before taking any medicine during pregnancy.

56.1.1 Incidence during pregnancy

Once gastro-oesophageal reflux symptoms are suffering from, there exists a high likelihood (approximately 50% each trimester) of the outward symptoms persisting through the pregnancy. However, generally in most women, symptoms can be improved with lifestyle modifications and can disappear shortly after delivery. Dyspepsia during pregnancy may raise the risk of developing subsequent gastro-oesophageal reflux symptoms later on [Bor et al, 2007]. Symptoms include heartburn and acid reflux disorder. Investigations are generally not necessary.

Antacids, histamine-2 receptor antagonists, and proton pump inhibitors can be utilized safely during pregnancy, as large studies have already been published without evidence of adverse fetal effects. Ask your physician about using over-the-counter medications such as Tums or Maalox, which are generally safe to utilize during pregnancy.

heartburn indigestion pregnancy medications

Don’t lie down after eating. Wait at least 3 hours after eating prior to going to bed. When you lie down, it’s easier for stomach contents (including acid) to back up into the esophagus, particularly when you go to sleep with a full stomach. Avoid eating late at night or before retiring to bed. Common heartburn triggers include greasy or spicy food, chocolate, peppermint, tomato sauces, caffeine, soda pops, and citrus fruits.

What treatment must i consider?

The Department of Health recommends that all women that are pregnant avoid drinking alcohol altogether. When you smoke, the chemicals you inhale can contribute to your indigestion.

From the monograph, physician experts from ACG have compiled important health tips on managing heartburn symptoms, and importantly, identifying which heartburn medications are safe for use in pregnant women and the ones, which should be avoided. If an antacid or alginate, or perhaps a combination of both, don’t ease your symptoms, see your physician.

Lansoprazole (Prevacid®) may be the preferred PPI because of case reports of safety in women that are pregnant. Limited data exists about human safety during pregnancy with the newer PPIs.

heartburn indigestion pregnancy medications

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