Menopause & Heartburn

Menopause is a natural part of every woman's life and is defined as beginning once the menstrual periods have stopped for at least 12 consecutive months. The time leading up to menopause, known as perimenopause, is marked by numerous symptoms that can last well into menopause, including hot flashes, night sweats, fatigue, depression and heartburn.

• Over-the-counter medications can usually alleviate heartburn pain.

Time Frame

• Perimenopause typically begins during the mid-forties, but can begin naturally as early as the mid-thirties or as late as the mid-fifites. Perimenopause usually lasts for several years with true menopause beginning on average at age 51. Menopausal symptoms, including heartburn, can occur throughout perimenopause and into menopause.

Hormones

• Hormonal fluctuations can play havoc with the delicate balance of the gastrointestinal system. Changes in the system due to hormonal changes may allow natural bacteria in the intestines to flourish. Air is produced as a natural byproduct of the action of these bacteria, and it causes an uncomfortable bloating, which can lead to gas and heartburn.

Medications

• Some women experience negative reactions to the medications they may be taking to treat other symptoms of menopause. One reaction can be gastrointestinal distress including heartburn.

Diet

• Physicians often recommend that menopausal patients consume a high-protein diet or protein supplements to ensure they are receiving the proper amount of nutrients. However, high-protein diets are associated with gastrointestinal distress and heartburn.

Treatment

• Heartburn during menopause is not uncommon. Most of the time it can be effectively treated with over-the-counter medications such as antacids, acid blockers or proton pump inhibitors. If the symptoms persist or get worse, or if you have trouble swallowing or your heartburn makes you vomit, you should consult your physician as these may be indicative of a more serious medical condition.