Dear Don, Many thanks for you prompt reply. I did, though I have no idea if there's a correlation with thyroidectomy and RAI. 5. The LES and diaphragmatic sphincters are responsible for keeping stomach contents out of the throat. 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. For now, we will explore a few of the more significant side effects of this this bacterial imbalance, also known as dysbiosis. It is often diagnosed by process of elimination. It is "silent" because you don't feel the characteristic burn of acid reflux. The reason is it contains acetic acid and is corrosive to teeth and soft tissues (throat). Also, the brands I used are all listed on my resources page. silent reflux after thyroidectomywellesley, ma baby store. How is your acid reflux to this very day? Are you sure you want to block this member? 4. Most doctors, it seems are not. I have struggled with acid reflux since high school, and it has always presented as trouble getting a deep breath, but usually it is after certain foods or drinks. Silent Reflux Diet. Thank you so much for sharing! An official website of the United States government. There are many potential causes for this including things like acid reflux & autoimmune diseases. Hi Tara, If your sphincters are open you may feel the effects of additional acidity from the ACV as it contains acetic acid. Furthermore, my doctor essentially said my options were a lifetime prescription or throat cancer, as surgical technology still does not offer a long time solution. Im on Mylanta and Tagamet and will meet with gastro virtually this week. You are very welcome! 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. That said, I did not experience it to the level you describe. Laryngoscope Investig Otolaryngol. Background: They cleared me of being cancer free. Of course, while I was healing, I took care with what I ate so I could clearly distinguish reflux triggers. I was under the care of an ENT as well as a gastroenterologist who worked together. If I have yet to do so, then take advantage of the daily tips available on these sites! I have found these from Holland and Barrett. I couldnt wait for your book to arrive from Amazon, so I got the audio version and took notes! And as always for me, frequent headaches and acne. This is achieved through a process called peristalsis, which moves food along the digestive tract through a series of involuntary yet coordinated muscle movements. 466 9 97 About the Author: Tom Brimeyer Well, I thought it was saliva. Are you unable to eat due to throat swelling or inflammation? Finally he listened after i requested they take bloodwork to see where my TSH was. 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. Vocal cord paresis was defined based on postoperative fiberoptic laryngoscopy. Symptoms of Silent Acid Reflux. However, that information will still be included in details such as numbers of replies. 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. So Hello my name is Sherre. I am wondering if I need to still continue a similar protocol whilst taking your suggested supplements, even though it does not seem to affect my symptoms. Should I wait to be fully healed or diagnosed officially? They told me nothing was wrong. In using the supplements you suggest, I feel my digestive tract has improved already. Im onlyRead more , Hi Tamera, Sorry for the late reply. Best of luck to you. Don had a question regarding the source natural essential enzymes, hcl betain both which I started 3 days ago, in the morning I tend to have a muffin, banana, and chamomile tea, I am noticing the past 2 days that I get stomach cramps/hot feeling with them in the morning. I had an endoscopy in March that was completely clear. Silent reflux is persisting despite raised bed etc etc. It went off for a good three months until end of June. Gargle a mouthful of the salt water mixture at the back of your throat for 1 minute, then spit it out. Fiber also helps to promote regularity of bowel movements and improves digestive health. Being dehydrated can make congestion worse - important to keep up fluid intake. I had 4 small nodules that were being checked over the last 15 years. There are many reasons for this. Over the month while i was on the beta blocker i was told to stop the thyroid meds for about a week and a half cause i was obviously being overmedicated earn i started them back up i'd have breakthroughs of tachycardia. Optionally, test your gut microbiome and receive actionable recommendations on how to optimize your digestive health with the BIOHM Gut Report. After not getting proper sleep for the past two months (drainage and coughing at night, which I assumed was allergy related) I made an appointment with my ENT. Hypothyroidism occurs when the body doesnt produce enough thyroid hormone. In this viewpoint, the innervation of upper aerodigestive anatomical structures (larynx, pharynx, upper esophagus) and its variations should be focused. I am taking vitamin D3 and getting a B12 shot must months, but still having these problems. Went to the ER. I truly hope you are able to find some relief soon. She told me to try Pepcid AC, which I did and quickly stopped. 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. I see that the HCI shouldnt be mixed with steroids. Good luck. So sorry to hear about your experiences. Thank you for all of this information. Since 2011, the nodules were growing at a very small pace. Im scared to stop them and get bad chest pains/burning in my chest from severe reflux. Allergy medications and H2 blockers have not worked. This time, I didnt have bloating or excessive burping but more of the throat symptoms such as a lump sensation on the throat, and sometimes it feels like theres something poking my throat and I will occasionally get upper back pain too. This is the bodys last line of defense however and the low grade antacid are in sufficient to handle the high levels of stomach acidity that enter the throat and mouth due to poor sphincter function and indigestion. can grow out of proportion in your stomach. Struggling to swallow is another common symptom of silent reflux. At the end of January, I started experiencing very persistent reflux issues. After TT, RAI - I wasn't ready for more tests. Silent reflux is common in infants because their sphincters are undeveloped, they have a shorter esophagus, and they lie down much of the time. Im a huge fan of introducing food diversity, especially fermented foods. It was an awful feeling to say the least . Both of these medications contain the same active ingredient which is known as T4 or thyroxine. I am 43 yo, I had my 1st flare up and did went to ER around 7 years ago (because I thought it was heart attack). A good probiotic certainly helps. They enabled me to get off of the reflux medications immediately and after 8 weeks I got off of the supplements as well. Please enable it to take advantage of the complete set of features! Would you like email updates of new search results? So got the surgery, went great, beautiful scar. Let's face it, its incredibly difficult to know what you can and cant eat as it sometimes feels like everything triggers symptoms. Diabetic ketoacidosis is more likely to produce polyuria, polydipsia, and polyphagia; hypoglycemia, to produce weakness, tremors, profuse perspiration, and hunger. They ACV, digestive enzymes, and HCl are the main supplements. It is well documented that long term use leads to several vitamin deficiencies, namely vitamin b12, magnesium, and calcium. Sadly, howeverthey are little knownbecause the concepts are partially based on science that is only twenty years old, are somewhat counterintuitive, and contradict millennia of cultural understanding on this topic. Hi Mary, Its possible, but is that your only reflux symptom? All consecutive patients operated on at our institution for thyroid and parathyroid pathologies from 2005 to 2013 were reviewed for vocal cord paresis. Also available in audiobook! This is often related to proton pump inhibitor therapy. 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. I was referred to a cardiologist. As the baby's stomach contents fall back into the stomach instead of being burped or spit up, it can be difficult to identify that silent . But I figured why not give it a try at a low dose (2tsp) VERY diluted in water and to my shock it helped! I sincerely hope that the book is helpful for you :). After food or water I would feel it travel back up. When I start this regimen do I immediately stop taking my acid reflux pills? No excessive fast food, Ive tried to stay away from gluten and dairy, but sometimes Im not successful. I feel I have had Silent Reflux. The first, and perhaps most obvious is the fact that reduced stomach acid impairs digestive efficiency which leads to indigestion. Mucous and congestion sound more like allergies or possible infection. Hi Don, I have been trying some eliminations for the past 3-4 months (no caffeine, chocolate, citrus, high-fat, citrus, onion/garlic etc) alongside other restrictions such as the Acid Watcher diet, low histamine etc, but have had no improvements in my symptoms which I believe to be LPR (post nasal drip, sinus headaches, hoarseness and heartburn) do you think it is unusual to not see any relief from removing these normal triggers? Don is a best selling author of 'How I Cured My Silent Reflux,' and a former acid reflux sufferer for more than 15 years. Did you also do exercises to treat hiatal hernia? Palpitations ceased for a little then would come back. This is common. This nerve is the longest in the human body and a pillar of the autonomic nervous system. But, through study of mice and application in humans via Functional Medicine we know that a balanced microbiome is key to a healthy immune system, digestion, production and absorption of vitamins and nutrients, production of hormones such as dopamine (essential for brain and nervous system function), serotonin (mood and wellbeing), melatonin (sleep), adrenaline, and more. For others who might have similar problems here is an overview article from the journal "Nature": http://www.nature.com/gimo/contents/pt1/full/gimo46.html. The RFS scores increased. Try to chew on 2 tablets of DGL 20 minutes prior to meal . First, I am sorry that you are facing this. Congrats on your sons speedy recovery , Dear Don, First of all I would really like to thank you for sharing this article. I cant speak to how they react with each other so much as describe how each work. ThyCa: Thyroid Cancer Survivors' Association, Inc. This will be long but I really hope someone can help me with this. Voice problems: people can report huskiness or weakness of the voice and singers difficulty hitting the right notes. Conventional. silent reflux after thyroidectomy . The Probable causes: Small hiatus hernia. 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. I was put on Protonix and followed their guidelines as far as diet went. Elevate the head of your bed. Recognizing thisRead more , LPR- hello Don, how are you? Follow me on Instagram for daily tips and subscribe to The Reflux Cyclepodcast on YouTube or your favorite podcasting app. Difficulty Swallowing. And Im only 22 (I know this can happen to anyone any age but this is tolling). These changes should be adopted for the long term as symptoms will likely return if old diet and lifestyle habits resume. This is due to inflammation and swelling of your membranes. These are part of a holistic plan that I have summarized on my transition checklist and detailed in my book. First endocrinologist i got started my synthroid off too high. Some are under voluntary control such as the anal sphincter (allows you to poop), the upper esophageal sphincter (allows you to swallow / burp), and the urethral sphincter (allows you to pee). Feb 27, 2023 at 2:33 PM. Im close to being done with the medication, however, they just told me to continue to take them for an additional 6-8 weeks, and although they have helped a bit (not entirely) I know that I do not want to to continue taking these medicationsRead more , I am so grateful to have found you. The supplements encourage restorationRead more . Hi Victor, You can get my guide here https://theacidrefluxguy.com/transition, Thank you so much! Its very much appreciated. But there is no dividing line between your skin, down through your mouth, throat, stomach, intestines, and colon; its all connected! 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. A nissan fundoplication is a surgery that's been done for years to treat acid reflux; now, however, it's often done laparoscopically. Find more information on the causes, symptoms, and treatment of benign, Acid reflux or GERD can lead to some unpleasant symptoms, like heartburn, a sour taste in the mouth, and even difficulty swallowing. We are only beginning to understand the depths of connection between this triumvirate. Silent reflux mom here! My endo has me on high doses of calcium supplements (no more tums) to offset the PPI, which neutralizes calcium. I also take low dose steroids for an autoimmune disease I have. 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. Means you are on track! LPR is also known as silent reflux because this acid reflux doesn't cause typical symptoms of heartburn and pain. L- Glutamine was very helpful for me too . Treatment. This is where I think my body started losing it. Hi Rosio, Silent reflux certainly sucks! It will hopefully help countless others as I have added this response to the top FAQ: How long did it take you to heal using the supplements? As the weeks progressed, I had less and less trouble consuming my typical triggers. official website and that any information you provide is encrypted 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. After a thyroid lobectomy, you'll need to have your thyroid hormone levels checked and will be prescribed a thyroid hormone replacement, if needed. Dissatisfied with medical advice, he researched the root causes of acid reflux and by solving them was able to eliminate his acid reflux for good! Full coverage on this and other topics arebeyond the scope of this article. Why do you say "reflux" - which is stomach acid. Hi Don, Thank you for your dedication and for shining light and hope on this misunderstood, and often misdiagnosed, disease. Im glad you were aware of these deficiencies I wasnt. Hi Mariyln, So sorry to hear what you have been going through in recent weeks. Specifically how to determine proper doses and how to adjust as that changed throughout my recovery. I guess it was the mucus! Im not sure what could be contributing to my sore throat, Ive had my tonsils out and my deviated septum fixed. Last medically reviewed on July 25, 2018. I dont quite have the words to express how grateful I am for your willingness to share this information. When you feel burning try to take a few sips of water to sooth your esophagus . When would be a good time to start supplementation? I think my gastro doc doesn't know what to do next. 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. 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. Over the past year I have woken with some pretty severe sore throats, thought I might have snored during the night. Results. LPR can damage your windpipe (larynx), your lungs and even your sinuses. 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. I'm impatient and impulsive, so keen to get the pill cutter out and have 25mcg at bedtime and see how it goes. 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. We will discuss these challenges and potential solutions in my new online training course "The Un-Cookbook." Even found that I could resume drinking milk (something I had avoided for several years prior). There are several different disorders that can occur when the thyroid produces too many or too few hormones. I know i need to be looking at T3, my appointment with the new doctor isn't until June 22 i don't feel like Im going to make it.