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What Medications Are Safe For Heartburn When Breastfeeding

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Heartburn is a burning sensation felt in the center of the chest due to the reflux of stomach acids from the stomach into the esophagus. The acid enters into the lower end of the esophagus (food pipe) and often moves back into the oral cavity, thus causing discomfort (1). Heartburn is also known as acid reflux, cardialgia, or pyrosis.

Some women face heartburn during pregnancy, and for some, it persists during the lactation period as well (2).  However, it can be managed with simple lifestyle changes. The symptoms, diagnoses, and treatment of heartburn during breastfeeding are the same as those in non-lactating women. In this MomJunction post, we tell you about the attributes of heartburn during breastfeeding and ways to manage the condition.

Does Breastfeeding Cause Heartburn?

There is no direct correlation between breastfeeding and heartburn. Women who are more prone to heartburn might find their situation aggravated during breastfeeding due to sleep deprivation, stress, pregnancy-induced weight gain, or bending down frequently.

Can You Breastfeed When Having Heartburn?

Yes, it is safe to breastfeed even when you have heartburn. It is unlikely for your baby to face any problems due to your heartburn. If it gets very uncomfortable for you, then you may contact your baby’s doctor and ask for other feeding options.

Is It Common To Get Heartburn When Breastfeeding?

There is no proven correlation between the occurrence of heartburn and breastfeeding. Heartburn can occur at any time, including when you are breastfeeding. While the exact prevalence of heartburn in lactating mothers is not known, not all lactating mothers develop heartburn.

Some factors like smoking, high body weight, etc., make a woman more susceptible to heartburn while breastfeeding. Women who had heartburn during pregnancy might be more prone to developing heartburn while breastfeeding.

Symptoms Of Heartburn While Breastfeeding 

The symptoms of heartburn in breastfeeding mothers are similar to other adults. The following symptoms could indicate heartburn (3) (4).

  • Burning in the chest or upper abdomen
  • Sour or bitter taste in the mouth
  • Coughing
  • Hiccups
  • Hoarseness of voice
  • A feeling of food being stuck in the throat
  • Pain in shoulders or upper back

These symptoms appear shortly after eating or drinking a beverage and may persist for a few minutes to many hours. These symptoms might worsen while lying down or bending over.

When To See A Doctor?

Heartburn usually resolves with diet and lifestyle changes. But if it continues to bother you a lot and shows no signs of relief, then you must see a doctor. The doctor may give you suggestions on dietary changes and prescribe medicines to control the acid reflux.

What You Can Take For Heartburn When Breastfeeding?

The doctor might prescribe one of the following medicines to help you with heartburn (2) (5). 

1. Antacids

Antacids provide rapid and short-term relief from heartburn. The following are the common contents of the prescribed antacids.

  • Hydroxide salts of aluminum, calcium, magnesium, or their combinations
  • Alginic acid
  • Simethicone

2. Histamine H2- blockers

Ranitidine and famotidine are the commonly prescribed histamine H2-blockers to help with heartburn during lactation.

3. Proton pump inhibitors (PPI)

PPI are said to be the most effective drugs for chronic acid reflux. Pantoprazole and omeprazole are the commonly prescribed PPIs for heartburn during lactation.

4. Other drugs

Depending on your condition and requirements, the doctor might also prescribe medicines containing baclofen to treat your heartburn.

Heartburn that happens during breastfeeding is treated the same way it is treated in non-lactating mothers. The first line of medicines is usually antacids, followed by other options. Do not take any medicines without consulting your doctor.

Causes Of Heartburn When Breastfeeding

The exact cause for heartburn during breastfeeding is not known.

However, the following are a few common causes for heartburn among adults (3) (4).

  • Obesity
  • Stress
  • Smoking
  • Spicy food like black pepper, mustard, etc.
  • Food high in fat
  • Foods such as coffee, chocolate, acidic foods like orange juices, tomatoes, grapefruits
  • Lying down within two hours of eating
  • Bending over frequently to care for the baby
  • Consuming caffeinated drinks in large amounts
  • Eating large meals
  • Wearing tight clothes
  • Medications like NSAIDs, aspirin, some blood pressure medicines, sedatives, and ibuprofen

Preventing Heartburn When Breastfeeding

Heartburn in lactating women is mostly due to lifestyle and dietary reasons. Therefore, to prevent them, inculcate the following habits (4).

  • If you are overweight, try to lose weight
  • Eat a healthy, wholesome diet
  • Avoid junk, fried, spicy and unhealthy food
  • Do not consume excess caffeinated drinks
  • Quit smoking
  • Avoid food items that you notice cause heartburn
  • Eat small meals
  • Avoid lying down after a meal
  • Wear loose, comfortable clothes
  • Raise your head using pillows or lift the bed with blocks so that you are elevated, thus letting gravity reduce acid reflux

Although heartburn and breastfeeding are not directly related, it can affect some lactating women and cause discomfort. If you are unable to manage with some lifestyle modifications, then contact your healthcare provider. The doctor will help you diagnose the cause and plan the relevant treatment.

Do you have any experiences to share about heartburn during breastfeeding? Let us know in the comment section below.

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