hy doctor , Am hana from uae am 25 weeks pregnant...

Treatment of heart burn during pregnancy 
Pregnancy is associated with increased stomach irritation due to increased acid secreation from the stomach  which cause progressive GI Upset, Treatment depend on lowering stomach acid to decrease irritation using Ranitidine 300 mg tab twice daily as needed, if symptomes perisited you can use Pantoprazol 40 mg tab once daily for more acid supression, in addition to that you can use Vitamin B6 TAB once daily decrease stomach irritation, consult gastroentrologist if symptomes perisited 
Investigations 
After proper physical exam, mostly you will need no further investigations, but if symptomes perisited do stool analysis for H pylori testing, in some severe cases Gastroscope can be done to detect hiatus hernia and stomach ulcers 
Causes 

• Pregnancy associated GI upset 
• H pylori infection 
• Hiatus hernia 
• Stomach ulcers 

Our advice 
You are adviced to have a well balanced diet, avoid heavy meals and drink fresh milk