visit to ENT : so after having a dry throat with... - Thyroid UK

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visit to ENT

Leighshe profile image
5 Replies

so after having a dry throat with a feeling I need to clear it every now and then, horseness and a very dry tongue first thing in the morning my Gp told me I was I over medicated on Levo as i now take HRT so she reduces it to 175 a day. It’s eased my throat quite a bit.

I saw the ENT today and he said I had acid reflux (he examined me with a tool that went up my nose) he also felt my neck etc all I heard him say was good yes good lol. Then he said he couldn’t see anything bad but that it was acid reflex. Which he’s referred me for a barium and X-ray and an mri of my thyroid

my brain is doing overtime. I keep thinking what if it’s cancer. Even though he said acid reflux

I know they will prescribe something but what I don’t know yet he said he would be in touch.. not really helpful at all. Just have to wait on the other tests

I intend to get another thyroid test in six weeks (GP wants it done) I will ask for T3 to be done too .

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Leighshe profile image
Leighshe
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5 Replies
Jaydee1507 profile image
Jaydee1507Administrator

Welcome to the group. If you could complete your profile it helps members understand your thyroid journey so far and offer recommendations better. Click on your image icon to start.

We really need to see your results to determine of you are what the GP has said is over replaced.

Do you have a copy of your latest blood results that you can share with us? You are legally entitled to a printed copy of your results, ask at GP reception. In England you can get the NHS app and ask for permission to see your blood results on that by asking at GP’s reception.

Do you always test as we recommend here and on the day of your blood test take your Levo after the test? If you take it just before the test it can appear that you have too much T4 when in reality you're measuring what you have just taken and not the stable blood level.

With so much information about cancer and serious conditions in the media its very easy to wonder if perhaps you might have it. It sounds to me though like they are being thorough, and in all likelyhood it probably is acid reflux but in the unlikely event it could be cancer they will find it with the investigations they are doing. That should be very reassuring.

Many people who are hypo actually get low stomach acid and taking a PPI isn't the best thing due to them further reducing the vitamins you get from your food. Its much better to optimise your thyroid dose and key vitamin levels.

When hypo we get low stomach acid which means we cannot absorb vitamins well from our food, regardless of a great diet. For thyroid hormone to work well we need OPTIMAL levels of vitamins. Have you recently or could you ask your GP to test levels of ferritin, folate, B12 & D3? Private tests are available, see link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/help-and-supp...

There is also a new company offering walk in & mail order blood tests in London, Surrey, Sussex, Kent areas. No charge for blood draw in clinic. Check to see if there is a blood test company near you. onedaytests.com/products/ul...

Only do private postal testing early Monday or Tuesday morning.

Do you know if you had positive thyroid antibodies? Many with autoimmune thyroid disease aka Hashimoto's benefit from a gluten free diet. A smaller percentage of those also need to remove dairy from their diet to feel well. These are intolerances and will not show up on any blood test. It’s worth trialling a strictly gluten free diet to see if it helps symptoms.

Leighshe profile image
Leighshe in reply to Jaydee1507

thank you I will get my results of my blood test via my go and post them here

SlowDragon profile image
SlowDragonAdministrator

welcome to the forum

Gp told me I was I over medicated on Levo as i now take HRT so she reduces it to 175 a day

How much levothyroxine were you on before

Which brand of levothyroxine are you currently taking

Do you always get same brand levothyroxine at each prescription

Is HRT patch or pills

Pills should be at least 4 hours away from levothyroxine

Acid reflux due to LOW stomach acid is common when under medicated or poor conversion of Ft4 to Ft3

For good conversion of Ft4 to Ft3 we need OPTIMAL vitamin levels

Important to test vitamin D, folate, B12 and ferritin at least annually

What vitamin supplements are you currently taking

Also is your hypothyroidism autoimmune? Usually diagnosed by high thyroid antibodies

Leighshe profile image
Leighshe in reply to SlowDragon

I did have graves had a partial thyroid removal years ago have been hypo for years

Take gel HRT one hour after my lebothyroxin (accord) was taking 200mg a day reduced to 175 (can’t handle the teca brand pharmacy are aware) I currently take vitamin d folic acid (just stopped taking that) vitamin c and zinc and magnesium oil three times a week

Sometimes my throat feels like it’s burning but ent said that it’s acid reflux and is doing further tests.

SlowDragon profile image
SlowDragonAdministrator in reply to Leighshe

When were TSH, Ft4 and Ft3 last tested together

Always test early morning and last dose levothyroxine 24 hours before test

What were results that prompted dose reduction

Thousands of posts on here about low stomach acid

healthunlocked.com/search/p...

Web links re low stomach acid and reflux and hypothyroidism

nutritionjersey.com/high-or...

stopthethyroidmadness.com/s...

thyroidpharmacist.com/artic...

How to test your stomach acid levels

healthygut.com/articles/3-t...

meraki-nutrition.co.uk/indi...

huffingtonpost.co.uk/laura-...

lispine.com/blog/10-telling...

Useful post and recipe book

healthunlocked.com/thyroidu...

Protect your teeth if using ACV with mother

healthunlocked.com/thyroidu...

But never just assume you have low stomach acid

healthygut.com/4-common-bet...

PPI like Omeprazole will lower vitamin levels

gov.uk/drug-safety-update/p...

webmd.com/heartburn-gerd/ne...

pharmacytimes.com/publicati...

PPI and increased risk T2 diabetes

gut.bmj.com/content/early/2...

Iron Deficiency and PPI

medpagetoday.com/resource-c...

futurity.org/anemia-proton-...

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