Obstetrics
Acid Peptic Disease in Pregnancy
Acid peptic disease is more common in pregnancy. Treat with lifestyle changes and pregnancy-safe agents.
- ICD-10
- —
- Source
- OPD handbook pp.48–49
- Status
- Draft
Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.
Symptoms
- Burning chest pain aggravated by leaning forward
- Excessive salivation
Diagnosis
- Pregnant woman with reflux symptoms; examination unremarkable
Treatment
Step 1 of 4
1. Lifestyle modifications
- Eat small amounts of food repeatedly
- Increase fruit and vegetables; reduce tea and oily things
Step 2 of 4
2. PPI
- Dexlansoprazole is the safest
Prescription
DexlansoprazoleProton pump inhibitor
Dose1+0 before breakfast
Brand Cap Delanzo DR 30 mg
Also sold as Dexo, Delanzo DR
Step 3 of 4
3. Antacids (safe)
Prescription
Antacid suspension (Dijex MP / Gaviscon Advance / Lagita Advance)Antacid / alginate
Dose2 tsf 2+2+2 after meals
Brand Syp Mucaine / Syp Dijex MP
Also sold as Dijex MP, Gaviscon Advance, Lagita Advance (as written), Mucaine
Safe in pregnancy
Step 4 of 4
4. Prokinetic (safe)
- Metoclopramide is safe in pregnancy
Prescription
MetoclopramideProkinetic / antiemetic
Dose1+1+1
Brand Tab Maxolone 10 mg
Also sold as Maxolone, Maxolon, Metaclon, Metomide
Sample prescription from the book (patient details removed)
- Pregnant woman, 26 y, burning chest pain aggravated by leaning forward and excessive salivation: Cap Delanzo DR 30 mg 1+0 before breakfast; Tab Maxolone 10 mg 1+1+1; Syp Mucaine 2+2+2 spoonfuls after meals; small frequent meals; more fruits and vegetables; reduce tea and oily things.