silent reflux after thyroidectomy

Lastly, I am on a mission to positively impact 100,000 people this year. I was taking 6-8 Tums a day and gradually lowered it as my Calcium levels got to the normal levels. A low acid diet and increased water intake helped me immensely as did these two books - "Killing Me Softly From Inside: The Mysteries & Dangers of Acid Reflux and Its Connection to America's Fastest Growing Cancer" by Jonathan E. Aviv, MD and "Dropping Acid: The Reflux Diet Cookbook & Cure" by Jamie Koufman, MD, Jordan Stern, MD & Marc Bauer. So happy I found you, hope I can heal myself with these tips. I'd start with an ENT first to see if it's truly acid reflux. I was put on Protonix and followed their guidelines as far as diet went. If the diagnosis is hypothyroidism, they can prescribe the proper treatment. Hi Don, I have downloaded the guide and I am very excited to try this. For this reason, it is quite often that Small Intestinal Bacteria Overgrowth (SIBO) or Irritable Bowel Syndrome (IBS) often accompany low stomach acid. I begin taking it. This option may be indicated if a thyroid nodule is small and localized to one side of the . But my GI doctor told me that I actually have low stomach acid from taking tums after surgery to keep my Calcium levels up and so I started taking Vitamin C and eating fermented foods like kimchi. Thanks Don! I have updated the post to clarify this. Hi Tara, If your sphincters are open you may feel the effects of additional acidity from the ACV as it contains acetic acid. Needless to say I am in severe pain. Your gut microbiome is considered unbalanced when the proportion of beneficial microbes is outnumbered by their harmful counterparts. In 3 days of taking the medicines, I am not really seeing anyRead more , Hi Roselle, The globus (feeling of a lump in your throat) and back or chest pain are common symptoms of LPR so it could be. Lastly, I want to briefly cover the three categories of risk factors that you should be aware of. Thank you. She told me to try ACV as well, since she knew of studies that showed it works. I told the heart doctors and they told me wean off the heart meds. 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. Some common symptoms include: The feeling of having a "lump" or something stuck in the throat (globus sensation) Pain or discomfort when swallowing. Do you think they are ok? I also take probiotics. After having visited an ENT specialist, and a Gastroenterologist (several times), I am still suffering from severe heartburn as well as burning mouth and throat + teeth sensitivity. Im so excited to try this supplement regimen. It is "silent" because you don't feel the characteristic burn of acid reflux. I do have blood work on Tuesday but its almost pointless as i will be going to a new Endo because this one only looks at antibodies, TSH & T4. It got worse last year and I became deficient in vitamins as my stomach is not able to absorb the vital vitamins. Recently stinging in fingers, constantly clearing my throat and constantly feeling of chest pain. In fact, it is your microbiota that create the beta-glucuronidase that converts estrogen into its active forms. So Hello my name is Sherre. There are many reasons for this. My gastro says that digestive ailments and thyca go hand in hand. And silent reflux is almost "cultural," because most of us consume our evening meals too late, going to bed with a full stomach, to reflux; and other most common risk factors for nighttime reflux are alcohol, after-dinner snacking, over-eating and obesity. Best of luck to you. I hope sincerely that this information will help you greatly on your personal journey to eliminate this terrible disease! I am taking a digestive enzyme but the idea of taking an acv supplement and the hcl terrifies me. Hiccups. Not sure how potent the gentian root bitters would be on their on and stimulating sufficient acidity to close your sphincters (which is key to enabling successful transition off of the medications). Lastly,Read more , Thank you so much for your reply actually thats exactly my problem the sphincter doesnt close so I will buy the supplement you recommended and see what happens thank you again I really appreciate it. I also was doing Tums (2000mg/day) as a precaution, even though my blood calcium levels were good. Ive lost 50lbs in a short period of time. Ultimately your body signals you at each step until you are completely off of the supplements. | Endocrine Surgery | JAMA Surgery | JAMA Network HypothesisLaryngeal dysfunction after thyroidectomy is a common complication. I have been having acid reflex for a long time and I use nexium but not every day. Hi Don, do you recommend any particular brands of the supplements that you suggest? Its very much appreciated. If I have inspired, helped, informed or otherwise assisted you in anyway, let me know by giving me a follow on any of the below platforms or join mymailing list. In fact, if you read between the lines in my articles the supplements are essentially fast tracking the process of rebuilding a healthy digestive system, complete with probiotic enzymes. I am happy to hear you have weaned yourself off of these terrible medications. I couldnt wait for your book to arrive from Amazon, so I got the audio version and took notes! She never even heard of LPR. Gotigers1 When I had Acid Reflux I was hypo . In my research I have encountered alternative accounts as to the source of silent reflux. The length of the operation is determined by whether one or both lobes are removed, and by the complexity of the operation. sharing sensitive information, make sure youre on a federal I have sliding hiatal hernia and have symptoms like yours! In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. Once your thyroid is removed you are placed on thyroid medication. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. I personally do not drink coffee. Hi Victor, Yes I have been reflux free now for about 6 months! Gagging in sleep (she no longer does this thankfully) Coughing with no other symptoms. Nothing but good reviews, so Im confident in myself and in the supplements that they will help me. Congrats on your sons speedy recovery , Dear Don, First of all I would really like to thank you for sharing this article. We are only beginning to understand the depths of connection between this triumvirate. This is important so that you are able to avoid falling back into the reflux cycle after you may have healed: These are by no means an exhaustive list, and I go into more detail on these topics in my book, as well as ways each can affect the bodys ability to keep stomach contents contained, efficiently digest, and affect movement of food contents along the digestive tract. With several family members with the disease, and a medically diagnosed hiatal hernia he resigned to the fact that he would take acid blockers for the rest of his life. When would be a good time to start supplementation? Symptoms of Silent Acid Reflux. I had 4 small nodules that were being checked over the last 15 years. That is because the gut and brain communicate with each other and are intricately connected. . This box-plot graphic shows that the SIS significantly improved in both immediate and long-term postopertive periods. I am so excited to have found this article exclamation since March, I have been having a lot of throat clearing, postnasal drip, etc. The RFS scores increased. Most common symptoms: post-nasal drip, too-much throat mucus, nose and sinus problems . Results. The reasons you get post nasal drip from reflux, is your body will naturally release a protective coating of mucus to minimize damage in the presence of acid vapors. You are very welcome! Hi Mr Daniels my name is Caterina and Im just giving you an update on my acid problem Ive tried taking the Betaine HCI Chlorhydrate . Patients undergoing thyroidectomy often complain aerodigestive disorders. Stop smoking. Changes in Swallowing Symptoms and Esophageal Motility After Thyroid Surgery: A Prospective Cohort Study. I have never been the type of person to take any medication, I always prefer a natural way to go. It was worse after eating. I have literally lost 10 lbs in a week from severe acid reflux. I was under the care of an ENT as well as a gastroenterologist who worked together. Let us know how it goes , Hi Donthank you for so much insightful information. My endocrinologist did decide to do a chest CT since I had cancer in my lungs back in 2008. Acid reflux, also known as acid indigestion, is extremely common. Scerrino G, Tudisca C, Bonventre S, Raspanti C, Picone D, Porrello C, Paladino NC, Vernuccio F, Cupido F, Cocorullo G, Lo Re G, Gulotta G. Int J Surg. I believe I may have LPR and have had acid reflux in the past. Symptoms of GORD: A baby arching their back and turning their head. Our website services, content, and products are for informational purposes only. For that reason, I prefer them seperate. Like you, I became increasingly dissatisfied with medical advice. The https:// ensures that you are connecting to the 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. Its thought that Hashimoto disease is associated with an esophageal motility disorder that can lead to heartburn and reflux symptoms. My website server to have had a glitch that held email notifications for the past week. Bethesda, MD 20894, Web Policies Lifestyle modifications that may be prescribed include: Elevation of the head of the bed four to six inches. In my case, I also thought I had acid reflux and even after taking pills for it, it didn't get better. I certainly hope you get some relief soon. What probiotic are you using? It started with a lumpRead more , Hi Tara, Thank you for your comment. Does it take time for the throat and voice to revert back to normal? Post-nasal drip (feeling lots of phlegm in the back of the throat) Sore throat. Namely, silent reflux does not typically cause heartburn. PMC I took them for about a week but unfortunately I started to experience side effects,they were making me very itchy so I had to stop taking them Im at my wits end,any more suggestions? Daily, women should aim to consume at least 25 grams of fiber and men, 38 grams. 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! 5. Muscle Problems (aches, cramps, spasms, numbness, Nail and skin symptoms (itch, inflammation, psoriasis), Osteopenia and osteoporosis (low bone density), Avoid common and and identify your personal trigger foods, Add naturally fermented foods to your diet (for probiotics), Add high fiber foods to your diet (prebiotics) to rebalance your gut, Take b12 and magnesium supplements (if you are deficient), Take apple cider vinegar capsules (not liquid as it is corrosive) for prebiotics and to kill harmful pathogens, Use digestive enzymes with meals to improve digestion, Take betaine hydrochloride with pepsins with meals to restore acidity and sphincter function, Avoid risk factors to avoid re-entering the reflux cycle. And fermented foods are natural probiotics. It is well documented that long term use leads to several vitamin deficiencies, namely vitamin b12, magnesium, and calcium. Post-thyroidectomy voice and swallowing disorders and association with laryngopharyngeal reflux: A scoping review. Diet and lifestyle changes are often effective in eliminating silent reflux. The apple cider vinegar looks fine, though a bit lower dose than I used (500mg). If you have acid reflux and think it may be related to your thyroid, see if you have other symptoms of hypothyroidism. Voice problems: people can report huskiness or weakness of the voice and singers difficulty hitting the right notes. Thank you for your comments and great to hear youre already feeling a bit better. 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 Eliza, Its hard to say from the information in your question. did phineas and ferb die in a car accident. Im miserable right now. It should be taken seriously by all clinicians. If you have silent reflux, however, you do not get heartburn. It could be that this combination will be sufficient for you to get off the PPIs and re-build your digestive efficiency. For some reason I didnt receive a notification. Atypical Reflux Healthline Media does not provide medical advice, diagnosis, or treatment. Wish you best of luck is you decide to try this approach! 2 months down the line and the feeling in my throat is still there and after food I feel pressure from my stomach up my asophagus. It has been awful and I am looking to heal. Reflux can often be caused by low stomach acid as well as excess stomach acid. I just started and I do see small improvement but my problem is with coffee which I find hard to quit. The aim of this study was to investigate whether LPR could play a role in the persistence of some LNS after total thyroidectomy (TT). When he told me this it made sense to me.! I had problems controlling my symptoms until I started drinking alkaline water. Don is a best selling author of 'How I Cured My Silent Reflux,' and a former acid reflux sufferer for more than 15 years. I dont quite have the words to express how grateful I am for your willingness to share this information. First step is to improve low vitamin levels to optimal as this frequently improves conversion of Ft4 . The reason is it contains acetic acid and is corrosive to teeth and soft tissues (throat). Just one thing to consider is taking ACV in pill form vs liquid. A list of common reflux triggers is hit or miss, so where do you start to determine what is safe to eat? I have a follow up appointment with the ENT inRead more . This is often related to proton pump inhibitor therapy. I took my 17 year old son to see his ENT for the same cough that he gets consistently. However, if you understand the reasons for reflux induced post nasal drip, you can more easily diagnose. As you might expect, that is a very slow process as the two counteract each other. Thank you! Yes, HCl doses should correspond to the digestive complexity and size of your meal (does not mean it is only used with protein). I recently consulted anRead more . However, with my hiatal hernia I was resigned to the fact that I would suffer the disease for life. Your symptoms will reduce as you eliminate triggers (chocolate, caffeine, etc..), but in my experience they will not go away without rebooting your digestive system. For instance, Im sure you know that exercise positively affects metabolism, but did you know It also directly effects digestive health and efficiency? I was prescribed PPIs and ant-acids for immediate relief but these have not been really working for me either. Thank You and pray to god that I am able to finally get rid of my GERD that Ive had since 03. Your thyroid gland makes hormones that regulate your metabolism, body temperature, and heart rate. This leads to inflammation in other parts of the body, such as the brain, which leads to brain fog, memory issues, anxiety, etc.. As you will see in the risk factors section, this can contribute to the downward spiral and ever escalating situation that characterizes acid reflux. I will actually change that statement as it is a bit confusing, indicating both serve the same purpose. Good to hear you are starting to feel better. I havent been able toRead more , Hi Jay, No problem. I finished off the last of my synthroid and started Levoxyl 112. LPR is caused by stomach acid that bubbles up into the throat. This can lead to inappropriate prescriptions and further suffering. Also available in audiobook! Optionally, test your gut microbiome and receive actionable recommendations on how to optimize your digestive health with the BIOHM Gut Report. 6. Many are surprised by this as they were only aware of the highly advertised foam barrier that it purports. As reflux is a multi-pronged issue, including digestion issues, microbial imbalance, malabsorption, and low acidity the solution needs to be one that addresses all of these issues. Hi Mariyln, So sorry to hear what you have been going through in recent weeks. official website and that any information you provide is encrypted Hey all! This has been ongoing for me for almost 5 months and can't believe that it's mild. I also take low dose steroids for an autoimmune disease I have. Last week naturopath gave me Glutagenics powder and HMF intensive probiotic. This is common. Is There a Connection Between GERD and Anxiety? Got back home around June 2015 from college. Endocrine. After that, I was able to getRead more . I just went to the doctor last weekend and he prescribed a 2weeks dose of PPI (rabeprazole). 2022 Dec 30;12(1):305. doi: 10.3390/jcm12010305. How to Treat the Effects of Acid Reflux on Your Throat. It is feeling extremely hard to achieve whilst trying to eat small portions so as to not over fill the stomach! The lackRead more , Hi Don! In the middle of this, i truly can't remember but I did have a appointment with my new endo. This is so frustrating what were the supplements you recommend. The key thing you need to know is an 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. He just wanted to take my levels first then figure some things out. I dont have an issue with an alkaline diet (avoiding acidic foods) as a means to avoiding the activation of pepsins. How to find out its low? I did figureRead more , Kathleen, So glad you found the site! Hi Don, last month I had a course of antibiotics for ear infection. I felt like something was stock in my throat . Sounds as though your reflux was triggered by the flu or medications, which can happen. Next test due in 3 weeks. The most common medications used to treat silent reflux include: antacids proton pump inhibitors (PPIs) H2 blockers These medicines either reduce stomach acid or prevent your stomach from. Hi Anastasija, Thanks for your post. Try to chew on 2 tablets of DGL 20 minutes prior to meal . Ive had endoscopies, ultrasounds, and saw a naturalist doctor who put me on tons of supplements. There are two principle root causes for acid reflux. They are worse when I wake up in the morning and tend to go away over the course of the day, and are most noticeable at the end of a deep breath in or out. How long did it take you to heal using the supplements? I got the flu back in December then started having all of these symptoms. Eating or drinking nothing two to three hours before bed. [12] Salt water soothes your throat and provides moisture. Ive beeb going through it for the last 3 months. Does anyone suffer from silent reflux after total thyroidectomy and RAI? Kristina, so sorry your problems are still ongoing. Im curious if you found improvement with the HcL? The medication that your doctor will use will either be Synthroid or levothyroxine. Hi Karen, Thank you so much for the kind words. Hello, I think/believe silent reflux and it sucks. 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. Elevate the head of your bed. Edema Firm pitting edema, minimal to moderate in . We will discuss these challenges and potential solutions in my new online training course "The Un-Cookbook." organs (e. mastectomy, thyroidectomy, hysterectomy) Chemotherapy (antineoplastic therapy); a systemic therapy and a mainstay of cancer tx for most solid tumors and hematologic malignancies (e. leukemia, lymphomas) Goal is to eliminate or reduce the number of cancer cells in the primary tumor and metastatic tumor site Your doctor can help you find ways to relieve your acid reflux, without affecting your thyroid function further. Will I be able to get off the ppi meds Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat. I really want to try this the natural way and avoid the medication because I do not want to depend on it for the rest of my life. You might also have to take supplements after thyroidectomy to balance your calcium levels. Learn how we can help 5.3k views Answered >2 years ago Thank 1 thank A 76-year-old female asked: Hi Don! Hi there! I was having dizzy spells heart palpitations, and started havingRead more . Additionally, for 2 bigger meals the betaine hcl made me feel better on 2 pills, yesterday during lunch the 1 enzyme pill and 2 bcl pills caused me some bloating for mostRead more , Hi Anthony, Thank you for your question. https://www.amazon.com/Digestive-Wellness-Strengthen-Prevent-Digestion/dp/0071668993/ref=pd_sim_14_3. We wanted to get off this heart med because i felt horrible. They ACV, digestive enzymes, and HCl are the main supplements. This is important so that you are able to avoid falling back into the reflux cycle after you may have healed, These are by no means an exhaustive list, and I go into more detail on these topics in my book, exercise positively affects metabolism, but did you know It also directly effects digestive health and efficiency, peristalsis, which moves food along the digestive tract through a series of involuntary yet coordinated muscle movements, The more narrow, processed, and high in sugar your food choices are, the more your digestive system is skewed to process these foods, This leads to harmful imbalances and side effects that negatively affect digestive efficiency, I hope sincerely that this information will help you greatly on your personal journey to eliminate this terrible disease. In the weeks after your thyroid surgery, you may have neck pain, soreness of your vocal chords or a weak . I have been off of them for almost two months. 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. In addition to the more common symptoms listed above, the following complications can manifest in cases of extended silent reflux. You sound like me! Should it be one or the other, or do you take all five? There is a survey that you can take that will tell you the likelihood that you have silent reflux. Babies often prefer moving to sitting or lying still. I have heard of people taking them at the same time and slowly weaning off of medications. I feel I have had Silent Reflux. DId you also have any of the above mentioned symptoms? I am hopeful that I can heal from this. If you have not seen relief from the holistic plan in the transition guide then you may need to ramp up your dietary fiber intake from natural sources (vegetables, fruits, legumes) aiming for 35-50 grams of dietary fiber from these naturalRead more . Hi Yvonne, I wouldnt say I had asthma symptoms, more choking, coughing, mucus, and painful airways. After realizing i had gained so much weight i lost about 10 lbs by the summer of 2016. Laryngoscope Investig Otolaryngol. The cause in adults is not known. Epub 2020 Jul 18. I was diagnosed, simply, as having acid reflux by my GO and we did a couple of rounds of Prilosec and another. However, that information will still be included in details such as numbers of replies. I too have a hiatus hernia which is supposedly small but the symptoms are far from small. Really? It is not impacting my ability to run or exercise in other ways, but it is very annoying. Just wanted to get opinions from anyone who has experienced this. Any ideas?? You mentioned the ACV, Betaine, and the digestive enzymes, then you said OR are you going to try B vitamins and magnesium. 2018 Apr;42(4):998-1004. doi: 10.1007/s00268-017-4247-5. Got to the hospital, it slowed, nothing. Since 2011, the nodules were growing at a very small pace. I have not taken my reflux medications now for 8 months or so! Wow, thank you for the thorough and well presented resource on LPR!! 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Ultimately damage to the stomach lining (known as leaky gut) can allow for food particles, and harmful pathogens to enter the blood stream. It is the worst and the tightness in the throat and airways can get very scary!! Because Tums lowers the acidity in the stomach, so did Prevacid and other meds I tried for acid reflux. These are part of a holistic plan that I have summarized on my transition checklist and detailed in my book. I haven't mentioned to my gi doc about my tsh being out of whack. If over-the-counter remedies (nasal spray, mucinex, allergy meds) don't help you should see your PCP to help make sure it's not an infection and order an Xray if needed. Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. It's often mistaken for post-nasal drip, asthma and chronic bronchitis. Also, the brands I used are all listed on my resources page. 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. And i started Synthroid 50mcg. Or is there something I could substitute for the HCI that would have the same results since I cant take it because Im on the steroid? It is not intended as individualized advice to treat, cure, mitigate or prevent any medical condition. Absent the abundance of critical building block our minds are quite literally limited. It wasn't until my follow up with my surgeon that I found out that I had papillary thyroid cancer. But it seemed too late.that now I had GERD. In this scenario, your endoscopy must have found either gastritis or gastric ulcer. mark pieloch net worth; July 3, 2022 silent reflux after thyroidectomy 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. Im hoping Don Daniels gets back to me with his guide. You read that correctly, it is not high, but LOW stomach acid that often leads to acid reflux. 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. When stomach acid contents encounter the throat and esophagus, inflammation and irritation will occur in the lining of the swallowing tube and the throat, Dr. Rosen says. Avoiding pressure on the esophageal sphincters. The problem is very few of these supposed solutions can be correlated back to a root cause issue that they help resolve. Hi Don, thanks for the valuable information. You remind me, that I have been intending to add my experiences with the supplements. The persistence of swallowing complaints were associated with the persistence of esophageal incoordination (p=0,03); the association between voice impairment and proximal acid reflux was confirmed (p<0,001). Most doctors, it seems are not. 1. Background: Patients undergoing thyroidectomy often complain aerodigestive disorders.

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