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Gastroenterology


Answer 1
  1. Over-the-counter antacid. Gastroesophageal reflux causing heartburn is a common symptom in pregnancy and is seen in 60% to 70% of pregnant patients. Antacids are considered safe, especially in the second and third trimesters. H2RAs and PPIs are designated by the US Food and Drug Administration as pregnancy category B or C drugs and are to be avoided if possible. Promotility agents are likewise category B or C drugs. An antispasmodic would be of little help in this situation.

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