Helen: I’m hoping this forum can help with reflux... - Thyroid UK

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Helen

Macca1 profile image
14 Replies

I’m hoping this forum can help with reflux and thyroid. I’ve suffered for a long time with reflux. I’ve tried the usual ie Gaviscon and Lanzaprozole but believe both don’t work well with Levothyroxine. I sleep elevated I don’t eat after a certain time and I avoid obvious foods ie onions etc. However I’m being woken up each night and am wheezy. Dr gave me treatment for wheeze but I believe ALL these medications don’t react well with Levo?? I’ve been using a device to strengthen the vagus nerves (Iquora) and that’s really helped. I have a hiatus hernia which Dr says today there is no other treatment for! What and how do other hypo sufferers fair with this condition. I’m on Levo. Used to be 100. Down to 75 but managed to get Dr to re prescribe alternate days! Hurray

Thanks

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Macca1
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14 Replies
Buddy195 profile image
Buddy195Administrator

Can you share your most recent thyroid blood test with us Macca1?

Do you leave a 2 hour gap between Levo and any PPI?

Macca1 profile image
Macca1 in reply to Buddy195

Thyroid results. Range. 0.3-4.20

12/3/24 1.19

06/2/24 2.17

13/12/23 0.11* When Dr changed Levo

21/4/23 0.16

2020 - 0.1 2019 -0.11 2018 - 3.14

Always been quite low tbh

Serum ferritin 12/3 30-336 range 70.5

Hope this makes sense I’ve now got pills for 75/100 alternate days 👍 so will see how that makes me feel as many thyroid symptoms returned ie thinning hair; tiredness; restless legs; and massive brain fog!!! And more reflux too!

Your thoughts would be much appreciated

Thanks Helen

HealthStarDust profile image
HealthStarDust

I changed to a totally plant based diet with my meals at least, took tomatoes out of my diet, too Gaviscon advance at night (as recommended by ENT). I did this for 6 months and it worked.

Forestgarden profile image
Forestgarden

Firstly it is likely you have low stomach acid rather than high, so antacids are doing more harm than good. Do the 'burp test' to check. Low stomach acid means the sphincter at the top of the stomach doesn't close tightly and stomch contents can rise up. During pregnancy I suffered badly from reflux and chugged gaviscon all the time (big mistake in hindsight). I'd suffered mild reflux and heartburn before this. Fast forward a few years and I develop a constant sore throat and chronic cough. No obvious feelings of acid reflux, and took me years to realise it was silent reflux. So, armed with this I used this book (see below) to eliminate foods and help heal my gut. I've eliminated dairy completely and virtually all onions. I swear by bone broth (I do make my own chicken broth, but also buy bone broth powder, organic, no added salt). I add turmeric to just about anything, and take fish oil tablets to reduce inflammation. I also did the 'burp test' which confirmed I had low stomach acid so I started taking betaine hydrochloride tablets with my main meal. Increasing stomach acid is key to prevent reflux - acid helps the sphincter at the top of the stomach to close more tightly, makes food digest and leave the stomach faster, and kills off potentially harmful bacteria. I also take probiotics to increase the good ones. After a few weeks of betaine hydrochloride I no longer needed to take them, it seemed to kick start my acid production. I know this is a lot to take in, but hope it helps! amazon.co.uk/Complete-Acid-...

Macca1 profile image
Macca1 in reply to Forestgarden

Very interesting. Thanks. I’m of the same mind as you. Seems to me Drs have no idea what Levo tolerates and what it doesn’t! Asthma meds Acid reflux meds and others are likely to exacerbate problems I believe! Been prescribed Famotidone but made mistake of reading side effects! 😱. Haven’t eliminated dairy …. Might find that hard but if it works then will defo give it a go! Will also look at book. Many thanks

Forestgarden profile image
Forestgarden in reply to Macca1

Dairy seems like a big deal to give up, but plenty of alternatives out there now (some better than others!). The biggest issue is going out for dinner - no dairy free desserts :( . I found it reduced mucus production a lot. Dr's just fire fight and treat the obvious symptoms, rather than looking for the root cause.

Emaych61 profile image
Emaych61

Join the club!! I’m currently going through something very similar. I’m not on any medication to reduce levels of acid after they discovered (through 24ph monitoring) that I did not have raised acid levels. I do take Gaviscon at night though. At the moment they’re saying I have a very sensitive GI tract. Things were actually improving to the extent that I thought it was all down to menopause (it’s been happening, on and off, for years) and things were finally settling - I’ve been post menopausal for about 7/8 years now. Then two weeks ago after months of being able to eat some (though by no means all) things I haven’t been able to have for years, I had a massive flare of symptoms two weeks ago brought on by a meal that I’ve had many times without any issues for a year or two.

Like you I’ve got the head of my bed raised even though I know it’s going to cause pain issues, partly because I’m hypermobile so lying at an angle like that will result in hip and shoulder pain. Unlike you they haven’t found any sign of a hiatus hernia (though that doesn’t mean there isn’t one); also unlike you I’m not yet on any medication for hypothyroidism having only recently been found to probably have subclinical hypothyroidism. As a result I’m not on levo at the moment, though if things continue to deteriorate I may well do so, so this difficulty is something I’m having to consider. . I’m also asthmatic, so it’s very difficult to differentiate between breathing issues caused by reflux and breathing issues caused by asthma. At the moment, going by my responses to medication for both, I would guess that the two conditions are very happily aggravating each other. I’m currently upping my Gaviscon intake to after some meals as well as at night to help cope with it. Not sure if you can do that; it all depends on whether you can use the two different meds provided there is a gap of two hours plus between them.

I’m assuming you’ve tried lying on your left side at night (I usually find that helps).

SlowDragon profile image
SlowDragonAdministrator

ESSENTIAL to get FULL thyroid and vitamin testing 6-8 weeks after your increase in dose

Acid reflux is hypothyroid symptom. Did this start, or get worse after dose Levo was reduced from 100mcg

What were test results on 100mcg that caused GP to reduce dose.

NEVER agree to dose reduction based just on TSH

Which brand levothyroxine are you taking

Do you always get same brand at each prescription

Asthma inhaler may be lowering TSH …..so you must test Ft4 and Ft3 and test vitamin levels at least annually

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Just TSH, Ft4 and Ft3 test - £32

monitormyhealth.org.uk/thyr...

10% off code here

thyroiduk.org/testing/priva...

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

Macca1 profile image
Macca1 in reply to SlowDragon

Wow. Thank you will investigate.

SlowDragon profile image
SlowDragonAdministrator in reply to Macca1

Come back with new post once you find copies of test results from when previously on 100mcg levothyroxine daily

Approximately how much do you weigh in kilo

Guidelines on dose Levo by weight is approximately 1.6mcg per kilo of weight per day

Some people need a bit more than that….a few need a bit less

Most important results are always Ft3 followed by Ft4……NOT TSH

Macca1 profile image
Macca1 in reply to SlowDragon

57 kilos but only have Tsh results from surgery

SlowDragon profile image
SlowDragonAdministrator in reply to Macca1

So that suggests around 91mcg per day

That’s around 638mcg per week

100mcg 5 days per week and 75mcg twice per week = 650mcg per week

100mcg 4 days and 75mcg 3 days = 625mcg per week

Macca1 profile image
Macca1 in reply to SlowDragon

Very helpful. About to embark on second regime

Bertwills profile image
Bertwills

Hi, I’ve got a hiatus hernia & silent reflux caused by a bent spine, scoliosis. I didn’t know that this was the likely cause for years & tried every exclusion diet & supplement to try to help including going T3 only.

I’ve now discovered that it’s a spinal deformity causing the problem so I’m using Famotadine from the GP. It can be bought from online chemist to try but costs over £30! I now have a prescription. It doesn’t work like Gaviscon etc so it doesn’t cause such a problem taking other meds. It also works for only 12 hours so I take it late in the evening leaving my digestion hopefully less affected during the day.

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