Thats great to hear!!!! Thank you! My concern now is that I am taking 125 mcg of levothyroxine and 225 mg of venlafaxine (effexor) for depression and anxiety. I see that the HCI shouldnt be mixed with steroids. That said, Silent reflux is most commonly referred to as LPR. He told me to try it and if it didn't get better he will order more tests. Hello. 1) Gentle movement. The most common and feared complications of total thyroidectomy are vocal cord paralyses and hypocalcemia. However, that information will still be included in details such as numbers of replies. Join Date: Apr 2005. Avoiding foods and drinks with a pH of 5 (acidity . The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter. government site. The thirty-six patients prospectively recruited according to selection criteria (thyroid volume 60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again. Legend: pres UES pre = preoperative UES pressure; pres ES post = UES pressure evaluated 3045 days after thyroidectomy; pres UES long term = UES pressure evaluated 1824 months after thyroidectomy. If you find the information on this site useful, please consider making a purchase using the following links as I will earn a small commission at no cost to you. Amazingly, a healthy gut, brain, and microbiome are in constant communication and coordination with regards to the production of building blocks for healing, immune function, proper cell function, development and conversion of hormones, etc. I switched from drinking pop/milk/other beverages with meals to solely water about two years ago and drink pretty much only tap water throughout the day. After a few weeks it should be healing well, and after 12 months or so it will hardly be visible. .. and my new favorite snack -dill pickles. I started seeing endo every 6 months felt great. The first, and perhaps most obvious is the fact that reduced stomach acid impairs digestive efficiency which leads to indigestion. One promising approach is making dietary changes. The problem is very few of these supposed solutions can be correlated back to a root cause issue that they help resolve. I was diagnosed, simply, as having acid reflux by my GO and we did a couple of rounds of Prilosec and another. Foods that sit on the stomach too long or that are poorly digested can lead to inflammation, which can compromise the stomachs mucosal lining. When would be a good time to start supplementation? Per my personal experiences and the research I have done, I am convinced that most people experience reflux because their bodies are unable to properly close the junction between the stomach and the throat. I didn't want to take meds for reflux because I think mine is mechanical, rather than excess acid . I have heard of people taking them at the same time and slowly weaning off of medications. Just note that I do not have personal experience with these products so I cant vouch for their effectiveness. I keep seeing chest pain as a possible side effect of levothyroxine from my research, so I'm wondering if the meds just need to run their course Papillary and follicular thyroid cancer (differentiated), Thyroid cancer survivor and my recent set back :(, Digestive Issues Thyroidectomy Papillary Cancer, Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. This may help you correlate the onset of your symptoms to a lifestyle, disease, or medical event. One of them maintains that it is the digestive enzyme Pepsin,Read more , Hi Cris, Thank you for your comment. Hi Karen, Thank you so much for the kind words. Vegetables such as leafy greens, broccoli, carrots, celery, squash. Your thyroid gland is shaped like a butterfly. Hi Eliza, Sorry for the delayed response. HHS Vulnerability Disclosure, Help Gagging in sleep (she no longer does this thankfully) Coughing with no other symptoms. If you are meeting with a gastro, you might get some advice from him or her on your plans! It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria. I have found these from Holland and Barrett. Any words of encouragement will help. While Im waiting for my Amazon order of supplements to come, I went to see what my local natural food store had either an HCL with a very low dose compared to what you recommend, or one with Gentian bitters. Optionally, test your gut microbiome and receive actionable recommendations on how to optimize your digestive health with the BIOHM Gut Report. After food or water I would feel it travel back up. Understanding this, the foods and drinks that you put into your body pose a more significant threat as compared to viruses and bacteria that are exposed to your skin. A few things 1) After a few days, you have noticed a change in your bodies response to the HCl. My GERD can only be controlled by prescription strength PPI. I provide some additional detail here: https://theacidrefluxguy.com/resources/Read more . I went to the er for short of breath to make sure the heart meds didn't damage anything. Instead of a wedge pillow, my parents use bed-lifts (often used to create storage under a bed) at the head of their bed only (not at the foot) to create a helpful slope for sleeping. ThyCa: Thyroid Cancer Survivors' Association, Inc. If I had a dollar for every time I heard the word Gaviscon from one of you I could easily cover the cost of maintaining this website! Hi..I dont even know where to start..been suffering with GERD for more than five years..the medication from the doctor help for a while until I stopped taking them..its the worst Ive felt since Ive been diagnosed..I read your article and ordered the three bottles of pills..got them yesterday and started taking them..felt a little burning and wondered if its normal..I took them twice per day with meals..how long do you think Ill be seeing results..thanks for sharing your journey..I live in Jamaica so I really enjoy spicy food which I cant eat now because I really want to get better..IRead more , Hi Ann, While you are transitioning away from the reflux medications it might be best to avoid triggering foods (spicy, fatty, etc..). Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat. Methods A consecutive case series of 160 patients with multinodular goiter (MNG) candidate for TT were included in . It is found in the front lower part of your neck. Thank you for your comments and great to hear youre already feeling a bit better. This can lead to inappropriate prescriptions and further suffering. Avoiding greasy, fatty foods. Whether this acid reflux is accompanied by GERD symptoms or not, stomach acid and chemicals wash back into the esophagus, damaging esophagus tissue and triggering changes to the lining of the . The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. sharing sensitive information, make sure youre on a federal I also have this problem. Don, I have been through the wringer the past 6 months. We left her.. Found another that I stayed with until about 6 months ago. Just wanted to get opinions from anyone who has experienced this. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. LPR can remain undiagnosed for a while, resulting in inflammationand damage to the throat and esophagus. The other two anti-reflux mechanisms are a bicarbonate (antacid solution) that is produced in your throat and saliva. Mucous and congestion sound more like allergies or possible infection. This was a month ago. Swallowing dysfunction following surgery for well-differentiated thyroid cancer with extrathyroid invasion. Patients undergoing thyroidectomy often complain aerodigestive disorders. He discusses the links between hypothyroidism, vitamin deficiencies, reflux and gut dysbiosis which was likely further catalyzed by taking antibiotics. I trying the wipeout diet, but look like LPR still problem. Elevate the head of your bed. And I started having heart burn immediately and did for the next few months while I took the ibuprofen.I thought it was safe.. Next thing I know the doctor tells me I may have GERD. Effects of Intraoperative Nerve Monitoring Techniques on Voice and Swallowing Disorders after Uncomplicated Thyroidectomy: Preliminary Report of a Bi-Institutional Prospective Study. Hope you are able to get well soon! I got my blood tested. For a lower-acid coffee alternative, my spouse uses coffee candies (he likes enerjets, there are others). Beginning in February 2017 I have had acid reflux that hasn't responded to two different ppis. 7. Hypothyroidism occurs when the body doesnt produce enough thyroid hormone. I was on Synthroid of varying doses, and then added Cytomel 5 mcg in 2016. Some common symptoms include: The feeling of having a "lump" or something stuck in the throat (globus sensation) Pain or discomfort when swallowing. Last medically reviewed on July 25, 2018. I told the heart doctors and they told me wean off the heart meds. So I needed to increase it. a balanced microbiome is key to a healthy immune system, digestion, production and absorption of vitamins and nutrients, production of hormones, imbalance in the microbes that colonize your intestinal tract can be catastrophic to not only your digestion, but your mood, nervous system function, immune system, nutrition, brain health, and more, Your gut microbiome is considered unbalanced when the proportion of beneficial microbes is outnumbered by their harmful counterparts, For some of these bacteria, the process of decomposing food leads to fermentation and excess gas production which causes bloating, your body depends on the symbiotic relationship with your microbiome for digestion, there is no dividing line between your skin, down through your mouth, throat, stomach, intestines, and colon; its all connected, the foods and drinks that you put into your body pose a more significant threat as compared to viruses and bacteria that are exposed to your skin, Foods that sit on the stomach too long or that are poorly digested can lead to inflammation, persistent presence of poorly digested foods leads to chronic inflammation and long term damage of the single cell thick lining of the stomach, Ultimately damage to the stomach lining (known as leaky gut) can allow for food particles, and harmful pathogens to enter the blood stream, We humans get a needed boost to literally every body function, as proper digestion leads to the extraction of energy in the form of amino acids, simple sugars, fatty acids, etc, Amazingly, a healthy gut, brain, and microbiome are in constant communication and coordination with regards to the production of building blocks for healing, immune function, proper cell function, development and conversion of hormones, Paradoxically, the other leading root cause of acid reflux is low stomach acid, High stomach acid is required to efficiently dissolve your foods and prepare them for further digestion as it passes along the gastrointestinal tract, Additionally, stomach acid is required as a signaling mechanism for the body to perform certain digestive and anti-reflux functions, The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter, In contrast, the LES, diaphragmatic and pyloric sphincters (pictured below) are signaled to open / close through your vagus nerve as a response to acidity, If acidity is too low, signaling to the brain is weak or poorly timed, which leads to delayed digestion (indigestion) and bloating, The LES and diaphragmatic sphincters are responsible for keeping stomach contents out of the throat. Symptoms of Silent Acid Reflux. Nearly immediately, my sleep improved, the sensitivity in my fingerprints went away, my sense of touch became more acute, my brain fog dissipated, my concentrationRead more , Hi Don, I am not completely sure if I have just the condition, Post Nasal Drip or Silent Reflux, I have had colds on and off for the past 6 months. They are harmless and last 1-2 weeks and then go away. Why do you say "reflux" - which is stomach acid. Hi Sarah, Thank you for your comment. Re: Is acid reflux common after Thyroidectomy? Ive been to all the ologists . They gave me a heart monitor for 24 hr. I have had my thyroid tested now and my sinuses scoped, but Im certain the culprit is LPR. TSH 0.001 @ the ER. Long duration gastric reflux can be due to small hiatus hernia. Absent the abundance of critical building block our minds are quite literally limited. There are many risk factors that can lead to this imbalance, that we will explore later in the article. These are part of a holistic plan that I have summarized on my transition checklist and detailed in my book. Symptoms of thyroid storm include a fever (over 102 degrees F in most people), profuse sweating, a rapid heart rate, and sometimes delirium (severe confusion). Hi Reena, I would encourage you to check out Dr Mark Hymans YouTube channel. I never stopped to address it, so recently within the last six weeks I had a horrible experience and I am healing from it now. How would I transition from not taking the medication to taking the supplements? Because I am currently taking silent reflux medication and sometimes it seems like it helps and then the next day, my throat hurts again. Thyroid cancer support group and discussion community. This nerve is the longest in the human body and a pillar of the autonomic nervous system. To put this in context, Americans spend more on their annual subscription to prescription acid reflux medications than they do on some video streaming services ($10 Billion on Proton Pump Inhibitors vs $2 Billion on Hulu Streaming Services). I had GERD (gastroesophageal reflux disease) before I had my TT. Its a one-way valve that normally opens for limited amounts of time when you swallow. If have bolded several that I personally dealt with for years, not realizing they were associated with reflux. Also available in audiobook! Are you sure you want to block this member? Struggling to swallow is another common symptom of silent reflux. I am hopeful that I can heal from this. It got worse last year and I became deficient in vitamins as my stomach is not able to absorb the vital vitamins. How did you found out you have low stomach acidity? I am actually taking a little break from writing to respond to your comments :). Your thyroid gland makes hormones that regulate your metabolism, body temperature, and heart rate. It would be interesting to know if he would make the connection. Now, with your understanding of the root causes and long term side effects of reflux, I hope you are in a better position to judge the potential efficacy of the potential treatments that you try, before you spend time and money on them. Thank you Don, I do already take probiotics (have been for around 2 months) but it does not seem to be helping any of my symptoms. As mentioned above, body weight is a significant . My Doctor said I have LPR Reflux. Hi Don, do you recommend any particular brands of the supplements that you suggest? This will be long but I really hope someone can help me with this. Babies often prefer moving to sitting or lying still. Lastly, I want to briefly cover the three categories of risk factors that you should be aware of. Background: Patients undergoing thyroidectomy often complain aerodigestive disorders. . That said, I have expanded on it in my recently released book: For a comprehensive / easy to follow plan, additional rationale, and the steps I took to resolve my reflux, get my #1 best-selling book 'How I Cured My Silent Reflux | The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR).' The Probable causes: Small hiatus hernia. Like you, I became increasingly dissatisfied with medical advice. Ive got wheeziness, hoarsness agony when I talk, throat pain thats constantly there, coughing clearing throat, stomach/body pain as if I can feel the acid literally burnt I feel my body I wake up in the night or in agony, it goes to my right earRead more , Hi Anj, I have also responded to your direct message on IG, so feel free to respond via either channel. Hi Don, last month I had a course of antibiotics for ear infection. If thats the case and knowing the side effects, I personally would look to get off of them. I had problems controlling my symptoms until I started drinking alkaline water. For acid reflux and gerd, I take Tums if I feel any discomfort, stay away from spicy food after 6pm, and use a wedge pillow. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. gastroesophageal reflux and mucociliary mechanism. He points out that all these issues are linked and if you are able to address the dysbiosis you may be able to address them all. I dont quite have the words to express how grateful I am for your willingness to share this information. I felt a lump in my throat and I went for a few endoscopies (not fun) just to rule out anything serious . In this section we will touch on both. Depends on the possible causes of the difficulty swallowing (related to nerve damage or appearing after uncomplicated thyroidectomy), different types of diagnostic procedures could be used to study patient discomfort, as well as intraoperative nerve monitoring, fiber optic laryngoscopy, endoscopy, pH monitoring, esophageal . I drink a splash of apple cider vinegar in a glass of water, a couple of times a day and it really helps my reflux. Okay! It is well documented that long term use leads to several vitamin deficiencies, namely vitamin b12, magnesium, and calcium. This occurs as your bodys natural response to the presence of acid vapors. It is very helpful if you can to stay off all acid foods like coffee , chocolate , tomatoes as hadassah 1 said until the inflammation in stomach will be reduced.