Heartburn With Twins

It's common to get heartburn during pregnancy. Many women start noticing it in the second trimester. Your growing twins cause pressure on your stomach, which pushes stomach acids upward into your esophagus. Your changing hormones can also relax the valve that keeps stomach acids out of your esophagus. If you didn't have heartburn before you were pregnant, it will probably go away when your baby is born.

Call Doctor If:

  • You want to take an antacid. Some are not recommended during pregnancy.
  • You have severe hoarseness, wheezing, vomiting, or difficulty swallowing.
  • You have trouble sleeping because of heartburn.

Step-by-Step Care:

  • Eat several small meals instead of three big meals.
  • Don't lie down right after you eat.
  • Cut out certain foods if you think they cause your heartburn. Common culprits are coffee, tea, chocolate, citrus drinks or juices, and fried, fatty, or spicy foods.
  • Raise the head of your bed on blocks or books. (Get help with this.) Or put a wedge-shaped foam pad under your bed pillows. Elevating your chest helps keep stomach acids from rising.
  • Try to sleep on your left side. Your stomach is on the left, so it's harder for acids to get into the esophagus at this angle.
  • Chew a piece of gum. This creates more saliva with bicarbonate, which neutralizes the acid in the esophagus when swallowed.
WebMD Medical Reference Reviewed by Traci C. Johnson, MD on June 25, 2018



Cleveland Clinic: "Heartburn During Pregnancy."

UCSF Medical Center: "Pregnancy: The Three Trimesters."

MedicineNet: "Heartburn During Pregnancy."

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