Indigestion, also called heartburn or acid reflux, is common in pregnancy. This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using esomeprazole. LBG Although most pregnant women with GERD do not report having prior heartburn symptoms, one of the risk factors for having GERD during pregnancy is the presence of pre-existing GERD. Other risk factors for GERD during pregnancy include increased maternal age and weight gain, so that the more weight that a patient gains during pregnancy, the higher the risk of developing GERD.
Although many people can relieve their reflux disease symptoms by changes in their habits, diet, and lifestyle, others need to consult their health-care professional. Tests to diagnose acid reflux (GERD) include upper GI series ( X-rays of the esophagus, stomach, and upper part of the intestine), an upper GI endoscopy , esophageal manometry, and a 24-hour pH probe study. In addition, as your fetus grows during the second and third trimesters and your uterus expands to accommodate that growth, your stomach is under more pressure. This can also result in food and acid being pushed back up into your esophagus.
40 mg orally twice daily for 7 days, commonly in conjunction with clarithromycin and either amoxicillin or metronidazole to eradicate Helicobacter pylori, followed with 40 mg pantoprazole orally once daily until day 28. Triple therapy has resulted in eradication rates of greater than 95%. Most often, acid reflux in pregnancy is diagnosed based on symptoms alone. But if you keep getting it after pregnancy, your doc may order additional testing, including an upper endoscopy, a test that’s used to look at the inside of the upper digestive tract.
Keep follow-up appointments. Your doctor may adjust your treatment at preset intervals of time or decide to refer you to a specialist if initial therapy fails. Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling. LBG Given the above see this here data, it would be efficacious to conduct additional studies evaluating the safety of PPI therapy during conception, given the recent concern about a possible increase in birth defects in these patients. It would also be useful to collect more long-term data regarding whether pregnant patients with GERD experience this condition postpregnancy and when the recurrences occur in the postpartum period.