Raising a baby is hard work and often comes with a side of extra hunger as your body feeds the little one inside. While the idea of “Eating for two” is a common mythchanges in hunger levels, digestion and food tolerance are very real. For example, you might sit down to enjoy a meal you’ve eaten countless times before, only to experience sudden heartburn that just won’t go away. Or you might plan a short outing and unexpectedly find yourself scrambling for the nearest restroom due to an upset stomach. These shared experiences can be both frustrating and surprising. Symptoms such as heartburn, indigestion, upset stomach and diarrhea can disrupt the daily routine, affect sleep and make even simple moments feel uncomfortable during pregnancy.
Comfort plays a vital role in promoting both physical and emotional health. This includes maintaining a balanced diet, staying hydrated, being physically active (safely) and trying to get enough quality rest. Comfort is not a luxury. it’s an important part of staying healthy for both you and your baby. However, it is important to remember to check your usual treatments to make sure they can also be used during pregnancy.
Bismuth hyposalicylate is an over-the-counter medication often used to treat symptoms such as nausea, heartburn, indigestion, upset stomach, and diarrhea. Once bismuth hyposalicylate reaches your stomach and intestines, it splits into salicylic acid (which the body can absorb) and bismuth compounds which are mostly not absorbed. Bismuth hyposalicylate is related to aspirin, as both belong to a group of mediators called salicylates. Products that include this ingredient are Pepto-Bismol®Bismatrol®Diatom®Kaopectate®and Kao-Tin®.
Can products containing bismuth hyposalicylate be used during pregnancy?
In general, products containing bismuth hyposalicylate are not recommended for use during pregnancy, especially during the second and third trimesters. Here’s why:
- Bismuth hyposalicylate is related to aspirin, which is a non-steroidal anti-inflammatory drug (NSAID). NSAIDs can increase the chance of certain risks in pregnancy, such as bleeding complications.
- There are concerns about effects on the fetus’ kidneys and lower levels of amniotic fluid (the fluid that surrounds the fetus during pregnancy).
- There are concerns about effects on the heart and blood vessels of the fetus if taken in late pregnancy. This can cause high blood pressure in the fetus’s lungs (pulmonary hypertension).
Fortunately, there are other ways to help manage these pesky tummy troubles. Note: Be sure to use medications and other treatments as directed on the label or by your healthcare provider.
- For heartburn and indigestion: Antacids such as calcium carbonate (Tums®) can be used as directed in pregnancy. Their use can also help with calcium intake.
- For nausea: Vitamin B6 supplements, doxylamine (an antihistamine), or ginger have been recommended by health care providers. Your provider may also recommend prescription medications if needed.
- For diarrhea: It’s important to stay hydrated. Your provider may recommend medications depending on the cause and severity of your condition.
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Always check with your healthcare provider before taking any medication during pregnancy, even if it is over the counter. They can talk with you about your symptoms and what treatment is best for you.
What if I was already taking Pepto-Bismol?
First, don’t panic. One dose is unlikely to cause harm. However, it’s still a good idea to mention it to your healthcare provider, especially if you’re in your second or third trimester. They can help you assess whether any follow-up is needed and reassure you to move forward. They can also talk to you about the best way to manage your symptoms during pregnancy.
Pregnancy can already feel uncomfortable at times, so dealing with stomach issues on top of everything else can be frustrating. While some common ingredients like bismuth hyposalicylate are not recommended during pregnancy, there are options that can help you feel better. When in doubt, it’s okay to ask your healthcare provider or a MotherToBaby specialist. Remember, taking care of your comfort is an important part of taking care of your pregnancy.
