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Managing Heartburn During the Second Trimester: The Complete Guide

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Heartburn during the second trimester of pregnancy is a major cause of concern for many mothers. Read below to learn more

Medically reviewed by

Dr. Richa Agarwal

Published At August 29, 2023
Reviewed AtAugust 29, 2023

Introduction:

While being pregnant is a beautiful experience filled with excitement and joy, it can also present unforeseen difficulties. Heartburn is one issue that many pregnant women deal with during the second trimester. As the baby develops and the uterus enlarges, pressure is placed on the stomach, which causes stomach acids to reflux into the esophagus. This unpleasant ailment may result in a burning sensation in the chest and throat and may even cause food to be regurgitated.

This article will examine numerous methods and lifestyle changes that can aid pregnant women in controlling heartburn throughout the second trimester. It will provide helpful guidance to reduce discomfort and encourage a healthier, more pleasurable pregnancy experience, from dietary modifications to natural cures and restorative procedures. Pregnant women can relax and concentrate on appreciating the priceless moments of their pregnancy by putting these methods into practice.

What Is Heartburn During the Second Trimester of Pregnancy?

Heartburn is a familiar sensation that many pregnant women feel throughout their second trimester. Its defining characteristics are a burning sensation in the chest or upper abdomen, frequently accompanied by an acidic taste in the mouth and reflux of stomach contents into the throat. Acid indigestion or acid reflux are other names for this condition. Due to the expanding uterus and higher progesterone levels, heartburn in the second trimester might be more frequent and severe than in the first. Certain things like eating fatty or spicy food, eating large meals, lying down after eating, or leaning over may cause or worsen it.

Heartburn can develop during pregnancy due to hormonal and physical changes. The uterus can exert pressure on the stomach as it grows, forcing stomach acid into the esophagus. Progesterone, in particular, can relax the muscles that keep stomach acid in the stomach, allowing it to flow into the esophagus. This is another effect of pregnancy hormones.

What Is the Incidence of Heartburn During the Second Trimester of Pregnancy?

The frequency of heartburn during the second trimester of pregnancy can differ from woman to woman. Some women may have heartburn more regularly during this time, while others may not. As the pregnancy develops, the prevalence tends to rise, with the third trimester having the highest likelihood.

Pregnancy symptoms can vary considerably from person to person, and not all pregnant women will suffer heartburn.

What Are the Factors That Contribute to Heartburn During the Second Trimester?

Heartburn can occur during the second trimester for a variety of reasons. These consist of the following:

  • Changes in Hormones: Progesterone, a pregnancy hormone, is essential for relaxing the body's smooth muscles, especially the lower esophageal sphincter (LES). The LES is a barrier to stopping stomach acid from returning to the esophagus. Heartburn results from the LES relaxing since it is less effective at blocking the acid.

  • Pressure on Stomach: An increase in stomach pressure can result in stomach acid being driven back into the esophagus as the uterus expands to make room for the developing baby. The signs of heartburn may worsen as a result of this pressure.

  • Digestion Changes: The digestive system slows during pregnancy because of hormonal changes. Food may take longer in the stomach due to slower digestion, increasing the risk of acid reflux and heartburn.

  • Dietary Considerations: Many people get heartburn from certain foods and drinks. It is advised to avoid or consume less spicy, fatty, oily, or acidic foods while pregnant and foods like citrus fruits, tomatoes, chocolate, coffee, and carbonated beverages. These substances may loosen the LES or produce more acid, worsening heartburn symptoms.

  • Lifestyle Factors: Heartburn during pregnancy may be brought on by confident lifestyle choices. Acid reflux is more likely by eating large meals, lying down after eating, or bending over. Keeping a healthy posture, eating smaller, more frequent meals, and giving your stomach time to digest before you lie down can all assist with symptoms.

  • Pre-Existing Conditions: Pregnant women with a history of GERD and heartburn are more prone to develop symptoms. The hormonal and physical changes during pregnancy can exacerbate pre-existing illnesses.

What Are the Ways to Prevent Heartburn During the Second Trimester?

Heartburn during the second trimester can be avoided in several different ways. Here are a few pieces of advice:

  • Eat Small, Frequent Meals: Choose smaller, more frequent meals throughout the day rather than larger, more infrequent ones. This maintains digestion simply by lowering the amount of stomach acid produced.

  • Avoid Trigger Foods: Some foods, such as spicy, greasy, or fatty ones, citrus fruits, tomatoes, chocolate, and caffeine, might cause heartburn. To reduce heartburn symptoms, learn what meals make you sick and avoid them.

  • Eat Slowly and Chew Food Completely: Enjoy the meal and take time. This improves digestion and lessens the chance of heartburn.

  • Stay Upright: Avoid lying down straight after eating by remaining upright. Maintain an upright position for at least an hour to let gravity keep the stomach acid under control.

  • Comfortable Clothing: Wear comfortable clothing since tight clothing can pressure the stomach and worsen heartburn, especially around the waist. During pregnancy, choose comfortable, loose-fitting apparel.

  • Elevate the Head While Sleeping: Elevate the head using additional pillows or by raising the bed. One can reduce the risk of esophageal reflux disease by sleeping in this position.

  • Avoid Eating Close to Bedtime: Aim to finish the last meal or snack at least a couple of hours before bed to avoid eating too close to bedtime. This permits thorough digestion before lying down.

Conclusion:

In conclusion, pregnant women must manage heartburn during the second trimester of pregnancy. The hormonal surge and physical changes at this time might worsen acid reflux and heartburn symptoms. However, women can successfully treat and avoid heartburn symptoms by integrating easy lifestyle changes and making informed dietary decisions. Heartburn can be relieved by regular exercise, eating a balanced diet, and adopting proper posture. A balanced diet emphasizing quick, frequent meals, avoiding trigger foods, and maintaining hydration can significantly reduce symptoms. Other measures that help improve digestion and lessen heartburn include sleeping with an elevated upper body and avoiding lying down just after eating. Before using any drugs for heartburn treatment, pregnant women should speak with their healthcare professionals because some of them may not be safe. Women can successfully control heartburn during the second trimester and enjoy this amazing journey with better comfort and peace of mind by adhering to these recommendations and obtaining professional guidance when necessary.

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Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

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