Almost all women who are expecting the birth of a baby, faced with such unpleasant phenomena as heartburn. Heartburn during pregnancy is so common that is almost one of the first signs of early pregnancy. Although it is safe for the fetus, but can cause a lot of discomfort to the expectant mother.
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Heartburn in pregnancy is common enough that yavleniyah: what is it?
Heartburn occurs due to reflux of gastric contents into the esophagus and feels like a burning sensation or even pain either in the chest or “under the spoon”. Her expressions are so unpleasant that deprive the pregnant of rest, of sleep, resulting in heartburn only increases, and is aggravated by stress that affects the emotional state of the woman and the pregnancy.
What causes heartburn during pregnancy?
First, heartburn during pregnancy is a reflection of the powerful hormonal changes the body. Dramatically increases the blood levels of progesterone – the pregnancy hormone that is designed to relax the muscles of the uterus to avoid miscarriage. However, the relaxing effect of progesterone applies to other smooth muscle fibers, located in hollow organs (intestine, stomach, esophagus). Between the stomach and esophagus is the lower esophageal sphincter, which makes it impossible to leak stomach contents into the esophagus. But progesterone relaxes “barrier” and the gastric contents enters the esophagus, irritating its delicate mucous acid.
Schematic representation of causes of heartburn secondly, the cause of heartburn during pregnancy from the second trimester can serve as a uterus, which considerably increases the volume and “back” of the internal abdominal organs, including the stomach. As a result of compression of the stomach, like the overflowing bottle and pours its contents into the esophagus.
Thirdly, pregnant women often suffer from constipation, as a result of the same progesterone chyme lingers in the intestine, and that she had left pregnant you have to push, which leads to increased intra-abdominal pressure. As a result, the stomach throws its contents into the esophagus.
Fourth, sudden movements, bending, turning the torso cause the stomach to change their position in the abdominal cavity and spill out its contents in innocent the esophagus.
How to get rid of heartburn during pregnancy?
What do pregnant women with heartburn? To cope with the unpleasant sensations will help quite simple recommendations, first is the observance of a certain diet and routine.
Diet for heartburn in pregnant women
That’s not the only way to eliminate an unpleasant phenomenon, but also to provide healthy and nutritious food pregnant.
The basic principles of nutrition:
- Fractional power
To be eaten often, up to 5 – 6 times a day, but the portions should be small, sufficient only to saturate. Receiving small amounts of food will allow the stomach to “work in a calm atmosphere” that contributes to successful digestion and prevents reflux of gastric contents into the esophagus, and, consequently, the development of heartburn. Overeating not only slows down the process of digestion, but causes a feeling of heaviness and discomfort in the epigastric region, heartburn and could cause colitis/enteritis (belching, bloating, flatulence) and problems with the biliary ways.
The last meal should be no later than 3 hours before bedtime. First, in rest, all the muscles relax and the sphincter of the esophagus too, and that will lead to the appearance of heartburn during sleep, and, secondly, to eat at night is harmful, it overloads the digestive tract and causes a lot of additional problems.
- The temperature of the food
Food should be eaten in the form of heat, is too hot or cold food provokes a spasm of the stomach and the reflux of its content into the esophagus. Food should be at room temperature.
- Processing of food
Diet against heartburn should be gentle. This includes mechanical processing of food and ways of cooking. It is recommended to eat pureed food and cereal with milk, soups, souffles and pates. Mashed foods well-envelops the mucous membrane of the stomach, preventing aggressive action of hydrochloric acid, and digested faster, preventing not only heartburn, and other dyspeptic symptoms.In the process of cooking should prefer food which was cooked on a couple of, aterials or cooked (but not brown). May be extinguished products. All fruits, especially acidic that is causing the heartburn, it is advisable to bake (like apples). Not allowed fried foods, as they are long to digest, and, consequently, provoke heartburn and other digestive disorders. Also, you should refrain from consumption of fluids during meals is an important condition.
- Vegetable fats
Possible the expectant mother should replace animal fats to vegetable. Primarily in vegetable oils contains large amounts of vitamin E which is an antioxidant and is essential in the period of gestation in large quantity. In addition, vegetable oil is evenly distributed on the walls of the stomach, neutralizing the gastric juice, preventing the development of heartburn. For example, eating sunflower seeds or nuts (hazelnuts, walnuts, almonds) will cause the heartburn to retreat due to the content of vegetable oils. Permitted the consumption of butter, but in small quantities.
- Drinking regime
The amount of fluid should be sufficient up to 2 liters a day. A good remedy for heartburn during pregnancy is milk, it neutralizes the hydrochloric acid (it is better to drink warm milk with honey). Coffee and tea should be replaced with decoctions of herbs, compotes and diluted (1/1) juices. But we should not abuse the drink. At one time it is allowed to drink no more than 1 Cup of liquid.
The amount of salt in the diet pregnant should be restricted. First, the salt retains fluid in the body, thereby causing the occurrence of swelling. And, secondly, salty foods irritate the stomach, stimulates release of gastric juice and contributes to heartburn.
- Food diary
The writing in the notebook all the meals and foods eaten during the day and senses when consuming a particular food will help to determine the most appropriate set of products, the acceptance of which does not cause discomfort.
To get rid of at home heartburn in can using as antacid honeycomb with honey. Heartburn in early pregnancy helps potato juice, shredded carrots.
Jelly, jelly, jelly contain starch and pectin, which not only envelop the gastric mucosa, but also provides detoxification and anti-inflammatory effect. In the diet of pregnant women should be a fresh vegetable salad, seasoned with vegetable oil. Very beneficial effect on heartburn eating fresh cucumbers. Also helps against heartburn decoctions of herbs (mint, chamomile, St. John’s wort, rosemary or psyllium). Pregnant women should always have a bottle with alkaline mineral water without gas.
An excellent remedy for heartburn during pregnancy is a glass of skim milk
- vegetables: broccoli and cauliflower, green peas, pumpkin, carrots, squash, potatoes;
- of fruits and berries (sweet) melons, apricots, watermelons, strawberries, raspberries, strawberries, sweet apples, bananas, peaches, grapes, apricots and prunes;
- lean meats (boiled, burgers and meatballs for a couple): chicken, beef, veal, rabbit;
- soft-boiled eggs and steam omelet;
- lean fish (Pollock, flounder, cod);
- cereals (porridge, soups, cereals): oats, rice, buckwheat;
- seasonings: parsley, dill;
- pastry: biscuits, dry biscuits, dried or day old bread (corn, wheat), nesdobnoe rolls;
- all kinds of vegetable oils, butter to 20 grams. a day;
- drinks: weak tea, herbal teas and infusions, fruit drinks, sparkling mineral water, low fat milk and yogurt, diluted juices.
- various pickles;
- refractory fats (lard);
- hot and spicy dishes;
- fried and fatty foods;
- hard-boiled eggs and fried eggs;
- acidic vegetables and fruits (citrus, currant, gooseberry, grapes, tomatoes, cabbage);
- vegetables with a bitter taste (radish, radish, daikon);
- fresh baked goods (pancakes, cakes, pancakes) and bread;
- coffee and strong tea, Cola, carbonated beverages;
- products with cream, chocolate;
- vinegar, horseradish, ketchup, pepper and various spices;
- legumes and cabbage (to heartburn will be added, and flatulence);
- butter cakes;
- semi-finished products and fast food;
- acidic juices (cranberry, orange, tomato);
- ice cream;
- mince, offal;
- dairy products high fat (cheese, milk and yogurt, sharp cheeses);
- fatty meats and fish.
To this day in the vastness of our country are widely used folk remedies for heartburn in pregnancy.
- Yarrow (grass)
Pour half a liter of boiling water 20 oz. dry raw material to insist 2 hours. Infusion of strain and drink a tablespoon before eating.
- Flax seeds
Pour a glass of boiling water 1 tablespoon of Flaxseed and insist 6-8 hours in a thermos. Take a tablespoon before eating.
- St. John’s wort
One tablespoon of dry raw pour a glass of boiling water and simmer for about 5 – 7 minutes. Broth strain and drink 2 tablespoons three times a day.
Pour a tablespoon of dry raw material, half a liter of water and boil on low heat for about 5 minutes. Broth to insist 2 hours, strain and take 1 tablespoon before eating.
A tablespoon of dry raw material pour 500 ml of boiling water and insist 4 hours. Infusion strain and take three times a day before meals.
Soda for heartburn during pregnancy. In any case, you should not resort to such a proven facility as a glass of water with baking soda! First, the soda only minutes will relieve the discomfort, but will cause a powerful release of hydrochloric acid, which will only exacerbate heartburn. And, secondly, in the process of a chemical reaction hydrochloric acid + sodium bicarbonate produces carbon dioxide, which will be torn out of the stomach and cause belching (also unpleasant feeling). In addition, sodium bicarbonate is very quickly absorbed into the bloodstream, which causes the alkalinisation of the internal environment of the body (alkalosis), and when removing it the urine it promotes the formation of kidney stones. And to all wisecasino, soda retains fluid in the body, which causes or aggravates the edema.
A healthy lifestyle
If the expectant mother still has not parted with such a harmful habit as Smoking you need to do it immediately. Stress have a negative impact on pregnancy, and, in addition, exacerbate heartburn, so you should strive to create a calm environment in their environment, to avoid conflicts and negative emotions. Pregnant women do not forget about walks in the forest areas, especially after a meal. In General, after a meal can not immediately take a horizontal position, we should like to walk at least 20 minutes. If you experience heartburn at night have to raise the head end by using extra pillows. Clothes should not restrict movement and to be free.
Watching the movements. You must eliminate all sharp bends – twists. Home job that requires such “exercises” and they will fall on the shoulders of another member of the family.
What else helps heartburn during pregnancy, if diet and other recommendations are not effective? In such cases, irreplaceable antacids that neutralize the hydrochloric acid and reduce the acidity in the stomach. But before you resort to drugs for heartburn during pregnancy, you should consult with your physician, since they are not allowed in this period of a woman’s life. For example, in the vikalina included Nicat bismuth, dangerous to the fetus.
Drugs used for heartburn for pregnant women must have several properties:
- fast and prolonged effect;
- the ability to concentrate on their molecules, components of bile and pepsin;
- the ratio of aluminum and magnesium must be optimal;
- not to cause gas;
- the lack of effect of “cancellation”;
- a small dosage;
- low likelihood of side effects;
- not be absorbed into the blood and quickly excreted from the body.
Allowed pregnant antacids:
- Almagell (Maalox or Gastal)
Part medications include aluminum hydroxide and magnesium hydroxide. The duration of from 30 to 90 minutes, the effect is noticeable immediately after the treatment. Side effect include constipation, and prolonged ingestion nausea and vomiting. Best taken 30 minutes before meals, no more than three days.
The drug of plant origin. Relieves heartburn and bloating (from the intestine absorbs toxins and gases). Rarely causes allergic reactions (rash and itching). Used after a meal (the contents of the sachet diluted in a glass of water).
In the product is calcium carbonate and magnesium carbonate. Has a fast action for 5 – 7 minutes. Available in chewable tablets flavoured (mint, orange). Heartburn chew tablet, it is possible to re-dose in 2 hours. Prolonged use increases the amount of calcium in the blood, which can provoke premature birth. Possible allergic reactions (urticaria, angioedema).
Mothers, the drug is indicated only in exacerbation of peptic ulcer disease. The drug has a high efficacy in regard to heartburn.
Combo antacid permitted to receive during pregnancy. Contains magnesium hydroxide and aluminum hydroxide. Available in chewable tablets. Perfectly relieves heartburn, is well tolerated and has low side effects (constipation).
If all the above measures have not helped to get rid of heartburn, it must be said the obstetrician-gynecologist who is monitoring the pregnancy. There may be another hidden cause of heartburn, not associated with pregnancy.