HASHIMOTIOS and SULENT REFLUX

[turkeydinner]

HiHas anyone been diagnosed with silent reflux.

Never heard of it before.

Saw GP with sore thyroid, restricted feeling in throat, wheezy.

He examined all obs, all ok.

Examined thyroid, said ok, I feel its lumpier than usual.

No weight loss.

He prescribed omeprazole for silent reflux, I thought this was rubbish.

I think my symptoms have eased a bit but not sure.

Will omeprazole stop me absorbing thyroxine????

Anyone know???

Any advice appreciated.

Also wondering if paying for private thyroid scan would be useful to check for any abnormalities.

Thank you all❤️

[SlowDragon Administrator]

Yes it’s common if under medicated

What are your most recent thyroid results

11 months ago you were reducing dose a little as last Medichecks test suggested over medicated

healthunlocked.com/thyroidu...

What dose levothyroxine and T3 are you currently taking?

[Regenallotment Ambassador]

yea I was diagnosed by ENT after a camera down my throat.

I avoided PPIs as hypothyroidism commonly linked with LOW stomach acid already. PPIs would make me worse. ENT agreed and suggested a thyroid dose increase.

I used betaine with pepsin tablets at meal times

Teaspoon of Apple cider vinegar in morning smoothie

No fizzy drinks with meals

Raise head of the bed a bit

Get FT3 higher in range as this impacts the functioning of the valves / sphincters in the digestive tract.

gave up alcohol and sugar and don’t eat after 7pm

Gave up dairy

Switched to Aristo T4 from Teva

Has totally gone (unless I randomly eat late)

Hope that helps 🌱

[arTistapple in reply to Regenallotment]

I agree wholeheartedly, sphincters in hypothyroidism of great importance. Probably the whole ‘tone’ of the gastrointestinal tract. Constipation depends on sphincters too. Mag citrate from advice from @SlowDragon helps. Others have mentioned PPIs and their effects. I find if I really do not look after my diet I literally feel a lump in my throat, lots of coughing, producing phlegm, sleep interference and usually finally, a complete upheaval of my digestive tract including reflux. I have noted too that my ankles swell during this upheaval. I have found avoiding sugar is virtually a must for me and a complete adjustment to my eating pattern. First thing is to not get into that situation in the first place if I can avoid it! This means giving food priority number one in my life (thyroid meds off course too). This is more difficult for me than it should be. I get distracted easily. I find something more interesting to do than look after food issues and it requires energy levels with which I negotiate all the time. Food can easily miss out. Reading the forum for example. However many times it happens I swear I won’t let it happen again. I am certain it’s where my inflammation is sourced, certainly upsets area around thyroid especially. A tart apple is a good first aid action (I know not for everybody because they think the ‘acid’ will make it worse). It has an alkalinising effect though actually. You might find yourself burping almost straight after eating. Even just a cup of hot water, with or without lemon will help. However the main thing is avoidance. Decent diet especially including green veg. Maybe a ‘green’ drink if you can try it. I love them. I just wish I was more organised (getting a bit better). I think a life of working too hard interferes with the major things that should get the attention needed. However having a live in chef could be the answer.

[greygoose]

He prescribed omeprazole for silent reflux, I thought this was rubbish.

I agree with you. I think 'silent reflux' is one of those 'diagnoses' they use when they have no idea what the problem is - which is often when it comes to thyroid!

Sounds to me like a combination of swollen thyroid (perhaps under-medication?) and low stomach acid. The symptoms of low stomach acid are the same as high stomach acid, so doctors never consider it might be low and treat it as if it's high.

For me, PPIs were dreadful things! They completely messed up my gut. That was ten years ago and I've never really recovered full use of my gut. They will affect your absorption of levo, and just about everything else, because - by the sound of it - your stomach acid is already low, and the PPIs are just making it lower. I would never take them again, myself.

[SlowDragon Administrator]

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...

Ppi

Omeprazole will lower vitamin levels even further

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-...

But never assume you have low stomach acid

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

[turkeydinner in reply to SlowDragon]

Thanks for all the infoTSH

0.27 - 4.2 R

<0.005

mIU/L

FREE T3

3.1 - 6.8 R

7.1

pmol/L

FREE THYROXINE

12 - 22 R

18.8

pmol/L

[turkeydinner in reply to turkeydinner]

Hi allThese results in Mah 2023

175mcg t4

25mcg t3

[turkeydinner in reply to turkeydinner]

FERRITIN

30 - 150 R

95

ug/L

[turkeydinner in reply to turkeydinner]

FOLATE - SERUM

8.83 - 60.8 R

>45

nmol/L

VITAMIN B12 - ACTIVE

37.5 - 188 R

>150

pmol/L

VITAMIN D

50 - 250 R

165

nmol/L

[SlowDragon Administrator in reply to turkeydinner]

so it’s unlikely low thyroid hormones and vitamin levels all good

Ft3 Result still looks a bit too high

How do you feel

Hashimoto’s - are you on strictly gluten free and/or dairy free diet?

[turkeydinner in reply to turkeydinner]

Thanks for all your help.Omeprazole doesn't sound d like a good idea.

Got brain fog, thyroid feels stolen and large.

Got GP bloods on Wednesday, so no t3.

Will get my blood repeated with medichecks.

Don't understand what's going g on

Up my t4 feels worse, up t3 feels worse.

Can't get balance right.

Will try betaine and pepsin.

Sick of feeling like crap.

Thanks all

[turkeydinner in reply to turkeydinner]

Generally feel rubbish but this uncomfortable thyroid, choking feeling is getting me down.

When I try and lower t3, feel exhausted and weak, same with t4.

Strange, I was going smacked when GP said silent reflux.

Xxx

Omeprazole not helping much.