silent reflux after thyroidectomy silent reflux after thyroidectomy

We are only beginning to understand the depths of connection between this triumvirate. June 29, 2022 / 1 / 0 / 1 / 0 Also, the brands I used are all listed on my resources page. Thanks for the answer! Could this be that I am taking to small of a breakfast for the enzymes, should i stop? Read More Created for people with ongoing healthcare needs but benefits everyone. Long duration gastric reflux can be due to small hiatus hernia. nt cohort, to observe the timing of recovery, and to identify risk factors for permanent RLN injury after thyroidectomy. How would I transition from not taking the medication to taking the supplements? I have had this problem for over 2 years, I eat pretty healthy I would say. Because Tums lowers the acidity in the stomach, so did Prevacid and other meds I tried for acid reflux. However, I have been able to resume a normal diet since recovering. These include: Non-citrus fruits such as melons, bananas, apples, and pears. If not for the troubling issue of acidRead more . All the medication Ive been taking hasnt helped. Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat. For some of these bacteria, the process of decomposing food leads to fermentation and excess gas production which causes bloating (a common reflux symptom). Im hopeless and scared. Thank You and pray to god that I am able to finally get rid of my GERD that Ive had since 03. After reading the side effects there was absolutely no question in my mind that I had it :). 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. Specifically how to determine proper doses and how to adjust as that changed throughout my recovery. In fact, the body is designed with five anti-reflux mechanisms that are controlled through the gut-brain-microbiome axis via the vagal nerve, which serves as a communication super highway. You have no idea the amount of hope you just offered me. So the withdrawal from the heart meds was hell. Thanks for your question. Normally, the stomach, its mucosal lining, and your anti-reflux barriers are more than a match for this highly corrosive environment. I was going to the 11th grade that year and we had found out luckily during a normal check up at he doctors. Make sure the salt is dissolved completely in the water. Hi - I had a total thyroidectomy in 2008 (age 20), and two RAI treatments in 2008 and 2009, with cancer in my neck and lungs. Effects of Intraoperative Nerve Monitoring Techniques on Voice and Swallowing Disorders after Uncomplicated Thyroidectomy: Preliminary Report of a Bi-Institutional Prospective Study. An effective approach should provide short term relief sufficient to enable a transition away from existing medications as well as a long term foundation for continued healing. Hi Rosio, Silent reflux certainly sucks! 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. That said, I want to cover some of the more serious effects of long term acid reflux medication usage. gastroesophageal reflux and mucociliary mechanism. Hypothyroidism, or underactive thyroid, occurs when the thyroid doesn't produce enough hormones. When the LES fails to close completely, stomach contents and digestive juices can come back up into the esophagus. Thank you. But I figured why not give it a try at a low dose (2tsp) VERY diluted in water and to my shock it helped! Inflammation allows the body to trap the offending agents so the immune system can consolidate an attack. so I thought shed be more progressive. Best of luck with recovery! Being mildly unsettled, crying or needing to burp after feeds. Im so glad I stumbled upon your website. I finished off the last of my synthroid and started Levoxyl 112. Hope you are able to get well soon! 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. Your thyroid gland makes hormones that regulate your metabolism, body temperature, and heart rate. This might seem surprising at first, but think of it this way: We like to think the only portion of our body that is exposed to the outside world is our skin. Does anyone suffer from silent reflux after total thyroidectomy and RAI? And do you recommend the HCL test to find the right dose? 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. I just started taking probiotics too in the hope of helping out my gut. This box-plot graphic shows that the VIS (Voice Impairment Score) score concerning the immediate postoperative period is lower compared to the pre-operative and the long-term evaluation. Hi Don, do you recommend any particular brands of the supplements that you suggest? Signs you may have LPR are hoarseness, a chronic cough, throat clearing, or other throat symptoms. I just started the medications about 7 weeks ago, and like you doctors told me to take this for 6-8 weeks. This morning i had a short episode of tachycardia. My symptoms got so bad that I couldnt go without them or handfuls of antacids for more than a couple hours! Much like the numerous examples we see in nature (Egyptian Plover removes rotting flesh from the open mouth of a Crocodile, Clownfish provides nutrients and the Sea Anemone provides protection) of co-operative organisms, they symbiotic bond with their host. 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. So sorry to hear about your experiences. Namely, silent reflux does not typically cause heartburn. Im so excited to try this supplement regimen. For thousands of years, a home remedy for indigestion involved chewing chalks and food grade charcoals. Should it be one or the other, or do you take all five? Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to reflux into your esophagus. waiting at least 3 hours to lie down after eating; While silent reflux is uncomfortable, it is easily preventable and treatable with the right measures. I felt a lump in my throat and I went for a few endoscopies (not fun) just to rule out anything serious . 1) Gentle movement. Since I am just now figuring out that this is LPR, I have a prescriptionRead more , Hi Beth, Thank you for your comment. EVERYTHING! Hes 17! I had to swallow every 5 seconds. I trying the wipeout diet, but look like LPR still problem. Now I have all these other symptoms ones youRead more , Hi Don, Im happy to have come across your website. Reflux meds and later on a surgery helped. 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. https://www.amazon.com/Digestive-Wellness-Strengthen-Prevent-Digestion/dp/0071668993/ref=pd_sim_14_3. If that is the case for you, it could be that your does of HCl is not right. 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. The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter. 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). 6. How did you found out you have low stomach acidity? Voice problems: people can report huskiness or weakness of the voice and singers difficulty hitting the right notes. Laryngopharyngeal reflux, also referred to as 'silent reflux' is a condition in which the stomach acids travel up the food pipe and into the throat. salad dressings), my reflux would get worse. In fact, there are more than 100 trillion microorganisms including bacteria, fungi, viruses, and protozoa in a healthy human body. I have never been the type of person to take any medication, I always prefer a natural way to go. Absent the abundance of critical building block our minds are quite literally limited. There are many symptoms of Silent Reflux and patients may have several or just one. ThisRead more . Ive also stopped wearing my retainer, but my voice is still sore, hoarse and other things. Marchese MR, Galli J, D'Alatri L, D'Amore A, Sionne F, Trozzi L, Paludetti G, Bellantone R, Lombardi CP. Thyroid cancer support group and discussion community. Extraesophageal Reflux Im on Mylanta and Tagamet and will meet with gastro virtually this week. Diff.) For now, we will explore a few of the more significant side effects of this this bacterial imbalance, also known as dysbiosis. You have no idea. You can learn more about how we ensure our content is accurate and current by reading our. I refused to have another biopsy in 2016 so I opted to have my thyroid removed. This can lead to inappropriate prescriptions and further suffering. By surface area, your digestive tract is WAY more exposed. As the additional modules release, the price will be updated. Its a one-way valve that normally opens for limited amounts of time when you swallow. Did radioactive iodine treatment. Any ideas?? DidRead more . I had an upper GI and a colonoscopy. I think my gastro doc doesn't know what to do next. Well, two days ago, in the middle of the day, i had a severe anxiety attack along with tachycardia and heart palpitations. Endocrine. Well I'm glad to say I didn't have to have the tests. I cant speak to how they react with each other so much as describe how each work. I have almost the exact same symptoms, Hi Don, Doctor diagnosed me with GERD last March. Symptoms of hypothyroidism include: Although there isnt a direct link between acid reflux and thyroid disease, this relationship can be seen in those with an underactive thyroid. Seeing an ENT man about these symptoms was how my thyca was discovered! Unable to load your collection due to an error, Unable to load your delegates due to an error. Hey all! In silent reflux, the stomach acid can come up in a spray form which you cannot always feel. Do you have any specific questions that I can help with? Youre very welcome. I started my son on the supplements andRead more , Hi Francine, Thank you so much for your post and for sharing this wonderful news! This option may be indicated if a thyroid nodule is small and localized to one side of the . All consecutive patients operated on at our institution for thyroid and parathyroid pathologies from 2005 to 2013 were reviewed for vocal cord paresis. Don, I have been through the wringer the past 6 months. It includes thyroid cancer history, overmedicated, to heart medication, now hypothyroid and still heart problems. It could be that this combination will be sufficient for you to get off the PPIs and re-build your digestive efficiency. Laryngopharyngeal reflux can be managed effectively with proper treatment. Methods: Ninety patients who underwent total thyroidectomy were randomly assigned to routinely receive or not receive a supplement containing oral calcium (3 g/d) and vitamin D (1 g/d) for 2 weeks. If you have experienced any of the below, you may be deficient in one or more of these vitamins. I hope you are well, I messaged in your Instagram account. Ive taken gaviscon a couple of times. If you still have that variety you might compare the active ingredients of that brand vs the one I took (essential enzymes). If acidity is too low, signaling to the brain is weak or poorly timed, which leads to delayed digestion (indigestion) and bloating. Approximately two-thirds of patients who undergo total thyroidectomy (TT) report new-onset fatigue within the first year after surgery, with only one-third reporting significant improvement over time . Hi Teresa, I was careful to avoid triggers early in my transition so that I was more aware of any changes in my body. Hi Andrew, Sorry for the late reply. I have Silent Reflux, so dont really suffer from heartburn. (2010). Proton-Pump Inhibitors (PPIs) Work against GERD GERD is usually treated with PPIs, short for p roton- p ump inhibitors. I am contemplating more tests for my stomach woes. I also was doing Tums (2000mg/day) as a precaution, even though my blood calcium levels were good. I have heard of people taking them at the same time and slowly weaning off of medications. Kristina, so sorry your problems are still ongoing. However, doctors are treating me for high stomach acidity and of course, medications doesnt help! Diabetic ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to produce weakness, tremors, profuse perspiration, and hunger. Once your thyroid is removed you are placed on thyroid medication. and transmitted securely. A 2004 study found that dietary fiber is protective against reflux. Throat clearing and a sense of mucous build up. I was not going to start him on a drug that he would have to take on and off for the rest of his life. Legend: SIS pre = preoperative Swallowing Impairment Score; SIS post = Swallowing Impairment Score evaluated 30 45 days after thyroidectomy; SIS long-term = Swallowing Impairment Score evaluated 1824 months after thyroidectomy. BestRead more , Thank you so much for this helpful guide. Symptoms and Causes What causes laryngopharyngeal reflux? Yet, while the symptoms are somewhat alleviated, the disease remains. I list the supplements that I used on my resources page. Just one thing to consider is taking ACV in pill form vs liquid. Ive been chasing answers, and have been misdiagnosed, for over 15 years. The b12 and magnesium, I took to help with long term side effects of taking ppi medications. Your article has brought to light what I need to do. Or is that a bad idea? Federal government websites often end in .gov or .mil. Let us know how it goes , Hi Donthank you for so much insightful information. However, few data are available to differentiate whether these complications resul [Skip to Navigation] Conventional. It is possible that you have not taken enough HCl to affect the closure of your lower esophageal sphincter. 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. But you may want to ignore my advice since I don't have GERD and don't tolerate caffeine (or theobromine either - carob is caffeine-free but not stimulant-free, spouse jokes I was a dog in a prior life as theobromine is apparently even more toxic than caffeine for dogs)! 57 and T4 was "in range". Inconsolable crying. Your gut microbiome is considered unbalanced when the proportion of beneficial microbes is outnumbered by their harmful counterparts. 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! Anything suggestions, similar experiences. We left her.. Found another that I stayed with until about 6 months ago. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. DId you also have any of the above mentioned symptoms? This has been ongoing for me for almost 5 months and can't believe that it's mild. Rather than address the symptoms, I much prefer focus on addressing the root causes of reflux as described in this article. TSH 0.001 @ the ER. It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria, very few of these supposed solutions can be correlated back to a root cause issue that they help resolve, Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat, serious effects of long term acid reflux medication usage, 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. Menehune You are so VERY RIGHT . I have arranged a 40% discount if you use the code THEACIDREFLUXGUY at checkout! Also, if needed, I put together a guide with the steps I took to resolve my silent reflux: https://theacidrefluxguy.com/transition, hi Don, a few years ago I hurt my back at work and to keep working and get through the pain I began taking ibuprofen. HHS Vulnerability Disclosure, Help I gained weight was stressed but no problems at all. Despite this , more than a year after my TT I developed LaryngoPharyngeal Reflux (LPR). Pharyngoesophageal Reflux What probiotic are you using? I actually wrote a whole section on this in my book that will be releasing shortly. If you have silent reflux, however, you do not get heartburn. I found that when I was not well dosed it acted up . It started with a lumpRead more , Hi Tara, Thank you for your comment. I began having heart palpitations. I also take low dose steroids for an autoimmune disease I have. Let me say, I am so sorry to hear what you are going through. I had been sleeping a lot and suffered from anxiety attacks and shortness of breath. Acid reflux, also known as acid indigestion, is extremely common. I got tons of bloodwork where they said I have an under active thyroid and was told I had to start medication for that. It is found in the front lower part of your neck. In fact, over the last twenty years a whole new field of medical science has emerged around this topic, called the gut-brain axis. Because I am currently taking silent reflux medication and sometimes it seems like it helps and then the next day, my throat hurts again. My website server to have had a glitch that held email notifications for the past week. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. My guess is this is acid reflux or GERD, even though I have never really had any issues with this in the past. Especially when I ate sugary food or drinks. Epub 2013 Mar 22. Ebert EC. I have been to the doctors a number of times, he thought it maybe acid reflux. The CT did show some very small nodules in my lungs, but they are all under .4 mm and most likely have been there since 2008 since they are too small to show up on a PET scan (this was my first chest CT, so we cannot compare). Our study confirms that aerodigestive disorders after uncomplicated thyroidectomy, largely transient, are strictly connected with upper esophageal motility changes. I did it for a few months to heal . I am taking Dexilant for the LPR Reflux due to the fact that I have the mucus in the throat, sometimes its hard to swallow certain foods and medication. This is still the case if you dilute it or drink it with a straw. However, under the wrong conditions bacteria that normally colonize the colon are allowed to proliferate in the gut. Struggling to swallow is another common symptom of silent reflux. I found out i had thyroid cancer at the beginning on 2011, got surgery for a total thyroidectomy and 1 parathyroid to be taken out because it was cancerous. I'd start with an ENT first to see if it's truly acid reflux. Patients undergoing thyroidectomy often complain aerodigestive disorders. Hi Jodi, You might consider getting my transition guide, which covers the holistic approach I used to resolve my reflux. Is It Possible to Have GERD without Esophagitis? Even more surprising, similar to the recently discovered co-operation and communication between trees via fungal networks, the gut, brain, and microbiome share three way communication. If you would like to take it, you can find it here: https://theacidrefluxguy.com/SilentRefluxQuiz. Stop smoking. Short of breath, spacey, tired, insomnia, lost of appetite (caused by heart meds, i was barely eating for almost 3 weeks), low blood sugar (I'm pretty sure from other symptoms), low blood pressure when i take a shower (could be from heart meds also), Acid reflux (could be from heart meds). As a singer, I would be really thoughtful about anything I do that could affect my voice quality (good or bad). The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Download our free Low-Iodine Cookbook (PDF), Rally for Research and Thyroid Cancer Research Grants. They ACV, digestive enzymes, and HCl are the main supplements. the gut, brain, and microbiome share three way communication. Laryngeal Complications After Thyroidectomy: Is It Always the Surgeon? The HCl varies by meal complexity: 1 with simple meals, up to 2-3 with most meals, up to 5 with high protein meals like steak or pork chops. Hello. Im suspecting that this could be LPR? These are part of a holistic plan that I have summarized on my transition checklist and detailed in my book. You remind me, that I have been intending to add my experiences with the supplements.