Heartburn During Pregnancy: Safe Remedies and What to Avoid

When you're pregnant, heartburn during pregnancy, a burning sensation in the chest caused by stomach acid rising into the esophagus isn't just annoying—it can feel relentless. Up to 80% of pregnant women get it, especially in the second and third trimesters. It’s not an infection or a sign something’s wrong. It’s your growing baby pushing up, your hormones relaxing the valve that keeps acid down, and your digestion slowing way down. This isn’t something you just have to live with. There are real, safe ways to manage it—without risking your baby’s health.

pregnancy acid reflux, the medical term for heartburn caused by stomach contents backing up often gets confused with regular indigestion. But the triggers are different. Spicy food? Yes, it can make it worse. But even plain oatmeal or a glass of milk might set it off if your body’s changed. You might notice it hits harder when you lie down, bend over, or eat too fast. The good news? Not all remedies are off-limits. safe antacids pregnancy, calcium-based or magnesium-based options like Tums or Rolaids are generally approved by doctors. They neutralize acid quickly and don’t cross the placenta. But avoid antacids with sodium bicarbonate or aluminum—they can cause fluid retention or toxicity. And never take Pepto-Bismol. It contains bismuth subsalicylate, which is related to aspirin and can affect fetal development.

Some moms turn to herbal teas or apple cider vinegar, but those aren’t always safe either. Ginger helps some, but only in small amounts—too much can trigger contractions. OTC proton pump inhibitors like omeprazole? They’re used cautiously, only if lifestyle changes and antacids fail. Your OB or pharmacist should always approve anything you take, even if it’s "natural." And don’t forget the simple stuff: eat small meals, stay upright for two hours after eating, wear loose clothes, and sleep with your head slightly raised. These aren’t just tips—they’re proven tactics that cut heartburn in half for many women.

What you avoid matters as much as what you take. Caffeine, chocolate, citrus, fried food, and carbonated drinks are the usual suspects. But even water can trigger it if you drink it all at once. Sip slowly. And if heartburn wakes you up every night or makes it hard to eat, talk to your provider. It’s not normal to feel this bad. You deserve relief that’s both effective and safe for you and your baby.

Below, you’ll find real advice from trusted sources on what works, what doesn’t, and how to make sense of the noise around pregnancy meds. No fluff. Just clear, practical help for when your chest is on fire and you just want to breathe.

Learn which heartburn medications are safe during pregnancy, including Tums, Pepcid, and Prilosec. Discover what to avoid, how to use them properly, and simple lifestyle changes that help reduce symptoms.

Dec, 4 2025

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