Pregnancy · Digestive

Acid Reflux in Pregnancy

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Reviewed Apr 2026 by Nadia, PharmD

Common symptoms

  • Burning after meals
  • Worse lying down
  • Third-trimester reflux
  • Nighttime symptoms

What pharmacists reach for

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After-meal relief

Calcium carbonate and alginate-based antacids are first-line in pregnancy — neither is meaningfully absorbed. Skip sodium bicarbonate and bismuth.

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Settle nighttime reflux

Sleep on your left side with the head of the bed (or upper body) raised 15–30°. Most third-trimester reflux improves within a week of getting positioning right — no drug needed.

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Quick guide

When to talk to a pro

  • Symptoms haven't improved after 7 days of consistent use.
  • Symptoms are severe, worsening quickly, or interfering with daily life.
  • You spot bleeding, fever, or sudden swelling.
  • You're on prescription meds and want to check for interactions.
Ask a pharmacist