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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heartburn, Abdominal Cramps And Excessive Fetal Movement During Pregnancy?

Hello, I m 38 weeks 1 day pregnant and I have heartburn, menstrual-like cramps, frequent Braxton hicks, and excessive fetal movement... baby just keeps moving and moving, so much so that I can t sleep. I m being seen every week and all my blood work is good. What could be the problem?
Mon, 20 Mar 2017
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Diabetologist 's  Response
Hello,

Welcome to Healthcare Magic.

I have read your question fully and understand your concerns.

Based on what you have mentioned, I feel that you are having a normal pregnancy, and that there seems to be nothing abnormal.

You are feeling lot of baby movements as the baby is actually much bigger now, and that there is not enough room for the baby to move. So even a small flip of his hand or leg will feel like a movement to you, where as you may not have perceived that in the past as there was lot of room for the baby to move. As the baby is getting ready to come out, the baby may even have matched his sleep/wake cycle to yours; hence you perceive him to be more active whilst you are awake.

Heartburn is due to the growing uterus. Your stomach is squashed, and the sphincter between the food pipe and stomach is more lax, causing leakage of stomach acids in to the food pipe. This leads to heartburn. To prevent this, take small meals more frequently and avoid spicy food/drink. You can even take Gaviscon/Gelusil 3-4 times/day and before sleep.

Mild lower abdominal cramps are common towards the end of pregnancy, and both abdominal cramps and Braxton Hicks are a way of telling you that your uterus is getting ready for delivery. If the cramps become stronger and/or longer, or if you feel absence of movements/slowing of baby movements or if any bleeding/leaking of water from the vagina, you should straight away call your midwife or ObGyn.

I wish you good luck.

I hope this answer has helped you.

Thank you
Regards
Dr Sunita Sayammagaru
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What Causes Heartburn, Abdominal Cramps And Excessive Fetal Movement During Pregnancy?

Hello, Welcome to Healthcare Magic. I have read your question fully and understand your concerns. Based on what you have mentioned, I feel that you are having a normal pregnancy, and that there seems to be nothing abnormal. You are feeling lot of baby movements as the baby is actually much bigger now, and that there is not enough room for the baby to move. So even a small flip of his hand or leg will feel like a movement to you, where as you may not have perceived that in the past as there was lot of room for the baby to move. As the baby is getting ready to come out, the baby may even have matched his sleep/wake cycle to yours; hence you perceive him to be more active whilst you are awake. Heartburn is due to the growing uterus. Your stomach is squashed, and the sphincter between the food pipe and stomach is more lax, causing leakage of stomach acids in to the food pipe. This leads to heartburn. To prevent this, take small meals more frequently and avoid spicy food/drink. You can even take Gaviscon/Gelusil 3-4 times/day and before sleep. Mild lower abdominal cramps are common towards the end of pregnancy, and both abdominal cramps and Braxton Hicks are a way of telling you that your uterus is getting ready for delivery. If the cramps become stronger and/or longer, or if you feel absence of movements/slowing of baby movements or if any bleeding/leaking of water from the vagina, you should straight away call your midwife or ObGyn. I wish you good luck. I hope this answer has helped you. Thank you Regards Dr Sunita Sayammagaru