What should a pregnant woman do about heartburn?

Feb 28, 2025 Source: Cainiu Health
Disease description:

Recently, I have been experiencing heartburn during pregnancy. What should a pregnant woman do about heartburn?

Doctor's answer (1)
Dr. Zhang Lu

Heartburn during pregnancy, medically known as gastroesophageal reflux disease (GERD) in pregnancy, is a common discomfort experienced during gestation. It mainly presents as a burning sensation behind the breastbone or below the xiphoid process, acid regurgitation, and belching, especially worsening after meals, at night, or when lying flat. This primarily results from hormonal changes during pregnancy, particularly increased progesterone levels, which cause relaxation of the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus. Additionally, as the fetus grows, uterine pressure on the stomach can exacerbate these symptoms. Based on these potential causes, the following measures can be taken:

1. Dietary adjustments: Avoid consuming excessive spicy, irritating, or overly sweet foods; choose bland, easily digestible options. You may try eating low-sugar, slightly alkaline foods such as soda crackers or dry steamed buns to neutralize stomach acid and alleviate heartburn.

2. Lifestyle modifications: As pregnancy progresses, wear loose-fitting clothing and avoid lying in the supine position for extended periods to reduce pressure on the abdomen and stomach. Maintain a regular作息 (作息 translates to作息 habits/routine), ensure adequate rest, and avoid overexertion.

3. Psychological adjustment: If heartburn is related to stress, pregnant women should relax and avoid excessive tension or anxiety. Engaging in relaxing activities such as deep breathing or prenatal yoga may help ease symptoms.

If heartburn symptoms persist despite these measures, timely medical consultation is recommended to avoid treatment delays.