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When to Seek Medical Attention for Heartburn Contact your PlexusDx provider or primary care physician if heartburn is severe, occurs daily despite antacid use, causes difficulty swallowing, or appears alongside nausea, chest pain, or black/tarry stools

Contact your doctor if you develop itching so intense it disrupts sleep, cracks in your skin that won't heal, signs of infection (redness, warmth, pus), or a rash that appears suddenly

But the studies also showed it can cause vision changes, including blurred vision, worsening of diabetic retinopathy and macular complications

This conservative approach reflects the principle that avoiding unnecessary medication exposure during early fetal developmentespecially during the first trimester when organ formation occursis the safest strategy when alternatives exist

The work was also supported by the South-Eastern Norway Regional Health Authority

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