Gastroesophageal reflux disease (GERD) occurs in up to 80% or more of pregnant women. GERD is brought about by relaxation of the lower esophageal sphincter which results in lower pressure between the esophagus and the stomach causing stomach contents to regurgitate into the esophagus. Although there are many causes of GERD, it is believed that in pregnancy the decreased esophageal sphincter pressure is due to an increase in maternal hormones, particularly estrogen and progesterone. (1)
Some of the signs and symptoms of GERD include: (2)
*Acid Regurgitation
*Sour taste
*Epigastric pain
*Chest pain
*Early satiety
*Abdominal bloating
*Belching
*Postnasal drip
Life-style modifications
Avoid dietary fat, chocolate, and beverages such as coffee, citrus juices, tomato products and carbonated beverages. Wait between 2-3 hours after eating before lying down in bed. Elevate the head of the bed by 10-15 cm. Sleep on your left side. (1)
Medications
Medication against GERD and reflux symptoms include antacids, histamine 2-receptor antagonists (H2RA), promotility agents, and proton-pump inhibitors. It is recommended that you start with aluminum, calcium, or magnesium containing antacids which include Tums, Maalox, Riopan, and Rolaids. These are considered first-line in the treatment of GERD in pregnancy. They are considered safe to use in pregnancy and are sold over the counter. Avoid any sodium containing antacids. (1)
For more information on this topic and on which medications you can safely use during pregnancy, please call us at 806-352-2519.
References:
1. Ali RA, Egan LJ. Gastroesophageal reflux disease in pregnancy. Best Pract Res Clin Gastroenterol. 2007;21(5):793-806.
2. May 26, 2010.http://www.thomsonhc.com/hcs/librarian. Micromedex Healthcare Series.
