Why Am I Having Frequent Heartburn During My Last Trimester

Frequent heartburn in the third (last) trimester is common due to hormonal changes and the growing uterus pressing on your stomach. This pushes acid upward, causing discomfort. Eating smaller meals, avoiding triggers and staying upright after eating can help manage symptoms safely.

Pregatips
As you approach your due date, there will be many changes that occur within your body. Some of the most common issues that you may face during the third trimester are frequent heartburn. This includes a burning sensation within your chest, and it can be distressing, particularly after meals. However, this is completely normal during pregnancy and can be easily managed.
Let us help you understand the reasons for heartburn and how to manage the condition safely.

Heartburn: An Overview

Heartburn is a burning sensation in the chest area that occasionally spreads up to the throat. Heartburn is caused by acid reflux, where stomach acid flows back into the oesophagus. The likelihood of experiencing heartburn increases during pregnancy due to different bodily changes.

Why Heartburn is Common in the Last Trimester

Possible causes of heartburn in the third trimester include the following:

Baby Growth and Pressure on the Uterus

In the third trimester, your baby is growing at a fast pace. As a result, your uterus pushes your stomach, making stomach acid move up into your oesophagus.

Effect of Pregnancy Hormones

Pregnancy hormones, especially progesterone, relax the valve that normally keeps stomach acid in the stomach.

Slow Digestive System

Your digestive system slows down because of the effects of hormones in your body. As a result, you have more food in your stomach, which can cause heartburn.

Body Position

When you lie down or sit, especially after meals, heartburn becomes worse due to increased pressure exerted by your body.

Triggers You Must Be Aware of

Certain types of foods and activities can increase the chances of heartburn. You must know about them so that you can manage your condition.

Some common triggers include the following:

  • Spicy and fatty foods
  • Oily and fried foods
  • Processed foods
  • Citrus fruits and juices
  • Chocolates and caffeine
  • Carbonated drinks
  • Overeating
  • Eating late at night

Measures to Control Heartburn

Making simple changes in your daily life can help you manage heartburn and provide relief.

The following are some easy ways that can be helpful:

  • Consume meals in smaller quantities, but eat more frequently
  • Maintain an upright position during eating and even after eating
  • Rest for at least 2-3 hours after your meal
  • Raise your head a little above your heart level while sleeping
  • Avoid tight-fitting clothes
  • Drink warm water after every meal, especially after dinner, before going to bed

Foods That Might Be Able to Relieve Heartburn

Below is a list of some soothing foods that might help you alleviate heartburn symptoms:

  • Warm milk
  • Yogurt
  • Oatmeal
  • Whole grains
  • Non-citrus fruits like banana, apple, and papaya
  • Steamed vegetables
  • Plain rice
  • Warm jeera water

When to See a Doctor For Help

Though heartburn is generally not serious, there are situations when medical attention is necessary.

You should visit a doctor if you have the following symptoms:

  • Intense and persistent heartburn that does not resolve
  • Problems with swallowing food
  • Chest pain or discomfort
  • Vomiting
  • Lack of appetite
  • Unexpected weight loss
Do not take any over-the-counter medicines without medical guidance. Some medications may not be safe during pregnancy. Your doctor can recommend safe and effective treatment if needed.

Treatment Options for Heartburn

If heartburn persists even after altering your lifestyle, your doctor may recommend some treatment options such as:

  • Antacids that are safe during pregnancy
  • Medications for acid reduction
Heartburn is a very common condition that may affect you during your third trimester due to hormonal changes and baby development in the womb. This can, however, be managed through simple lifestyle changes. Be aware of what your body tells you and avoid any potential triggers. In case you find the symptoms to be unusually severe, do not hesitate to contact your doctor for further information.

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FAQs on Why Am I Having Frequent Heartburn During My Last Trimester

  1. Does pregnancy heartburn worsen at night?
    Yes, heartburn during pregnancy can worsen during the night. This is because when you lie down, it allows the acid from your stomach to enter your oesophagus.
  2. Can stress exacerbate heartburn during the third trimester?
    Yes, stress can cause the digestive process to slow down, therefore worsening heartburn during the third trimester.
  3. Will I experience heartburn even after I give birth?
    Yes, heartburn can continue for a while even after delivery. But it usually gets better as your hormones and digestion settle down.
Medically Reviewed By:
Dr Jasleen Kaur Malhotra, Senior Consultant - Department Of Gynecology at Cloudnine Group of Hospitals, Dwarka