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The amazing thing is remedies such as the one described in this article are relativelysimple, fast, and inexpensive. I truly hope you are able to find some relief soon. You might also have to take supplements after thyroidectomy to balance your calcium levels. PMC After $2,000 and 3 ENTs, who gave me the PPIs which didnt work, I tried the ACV and Betain supplements before eating. Throat clearing and a sense of mucous build up. Purpose Local neck symptoms (LNS) may be related to goiter, but are also reported by patients suffering from laryngeal-pharyngeal reflux (LPR). So now I am experiencing shortness of breath (or trouble getting deep breaths), IBS-like symptoms, and now loss of appetite. As you might expect, that is a very slow process as the two counteract each other. For some reason I didnt receive a notification of your comment on the site. In fact, the disease tends to escalate in severity and frequency over time. The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter. 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. An official website of the United States government. womenshealth.gov/a-z-topics/thyroid-disease, acog.org/Patients/FAQs/Thyroid-Disease?IsMobileSet=false, health.harvard.edu/diseases-and-conditions/gastroesophageal-reflux-disease. silent reflux after thyroidectomywellesley, ma baby store. 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. Hi Don! This is common. This box-plot graphic shows that the UES pressure values decrease significantly in the immediate postoperative period and recover in the long-term control. The dr has me on a strong ppi which I realize I need to get off. Menu For some reason, I didnt see a notification of your comments. I had an endoscopy in March that was completely clear. It was an awful feeling to say the least . Effects of Intraoperative Nerve Monitoring Techniques on Voice and Swallowing Disorders after Uncomplicated Thyroidectomy: Preliminary Report of a Bi-Institutional Prospective Study. So what in the heavens is going on? Everything I eat sticks to my teeth. As reflux is a multi-pronged issue, including digestion issues, microbial imbalance, malabsorption, and low acidity the solution needs to be one that addresses all of these issues. It may not be pepsins though, it could just be the consistentRead more . Hi Karen, Thank you so much for the kind words. I took them for about a week but unfortunately I started to experience side effects,they were making me very itchy so I had to stop taking them Im at my wits end,any more suggestions? Went to the ER. Silent reflux is persisting despite raised bed etc etc. I never got rid of the throat clearing, but figured I would have to live with it. 1, 2 A substantial number of patients reported postthyroidectomy voice and swallowing symptoms (PVSS), for example, globus sensation, dysphagia, sticky mucus, or throat clearing, even in absence of laryngeal nerve injuries. Because they were growing I had a biopsy in 2013 and 2015. I am actually taking a little break from writing to respond to your comments :). One thing you could try that I haveRead more , Help Doctors dont know what I have. Hi Annette, I took the medications during dinner and was able to skip my medicine the next morning. I don't have any history of heart disease or hypertension. A partial thyroidectomy is surgery to remove part of your thyroid gland. Mucous and congestion sound more like allergies or possible infection. Got back home around June 2015 from college. Last week naturopath gave me Glutagenics powder and HMF intensive probiotic. What Are the Symptoms (and Causes) of a Hashimotos Flare-Up? 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. Thyroid surgery is one of the most common surgical procedures performed worldwide. eCollection 2023 Feb. Melfa G, Siragusa G, Cocorullo G, Guzzino M, Raspanti C, Albanese L, Mazzola S, Richiusa P, Orlando G, Scerrino G. J Clin Med. 2020 Nov;25(11):1921-1927. doi: 10.1007/s10147-020-01748-0. I told the heart doctors and they told me wean off the heart meds. After reading the side effects there was absolutely no question in my mind that I had it :). It alone conveys 80-90% of the bodys sensory information concerning the state of the bodys organs. Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat. If you indeed have acid reflux, the approach on this website may help to address your phlegm issues. My endo has just adjusted my dose of synthroid because I was too hyper. 5. 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. Works for me. Behavioral and Other Factors. Despite this , more than a year after my TT I developed LaryngoPharyngeal Reflux (LPR). Last medically reviewed on July 25, 2018. I have literally lost 10 lbs in a week from severe acid reflux. Even found that I could resume drinking milk (something I had avoided for several years prior). I hope you are well, I messaged in your Instagram account. Hi Sandra, Thanks for your question and sorry to hear what you have been going through. 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. 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 . Menehune You are so VERY RIGHT . It got worse last year and I became deficient in vitamins as my stomach is not able to absorb the vital vitamins. This occurs as your bodys natural response to the presence of acid vapors. The problem is very few of these supposed solutions can be correlated back to a root cause issue that they help resolve. Results: Its not surprising that your doctor has never heard of LPR. kansas grace period for expired tags 2021 . Join Date: Apr 2005. Your doctor can help you find ways to relieve your acid reflux, without affecting your thyroid function further. Hi Mr Daniels my name is Caterina and Im just giving you an update on my acid problem Ive tried taking the Betaine HCI Chlorhydrate . Any ideas?? LPR (laryngopharyngeal reflux) is a reflux disease that mostly affects your voice, throat, and sinuses. But in addition to the yogurt and other things, should I also try the supplements you have suggested in the article? You remind me, that I have been intending to add my experiences with the supplements. Okay! 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. I have had my thyroid tested now and my sinuses scoped, but Im certain the culprit is LPR. I would really appreciate an answer, Hi Caterina, If you are taking Apple cider vinegar in liquid form, this is likely your bodies natural defense to the presence of acid on the soft tissues of your throat. Bookshelf This has to do with the protective mechanisms and how much they can protect us before we actually develop symptoms in our stomach area. Acid reflux, also known as acid indigestion, is extremely common. Best of luck with recovery! Unable to load your collection due to an error, Unable to load your delegates due to an error. How to Treat the Effects of Acid Reflux on Your Throat. Like you, I became increasingly dissatisfied with medical advice. That was about 5 years ago. As the additional modules release, the price will be updated. Should it be one or the other, or do you take all five? I have arranged a 40% discount if you use the code THEACIDREFLUXGUY at checkout! Symptoms of GORD: A baby arching their back and turning their head. TSH 0.001 @ the ER. Are you sure you want to block this member? The LES and diaphragmatic sphincters are responsible for keeping stomach contents out of the throat. After a few weeks it should be healing well, and after 12 months or so it will hardly be visible. As you may know, the neuron is the fundamental unit of the brain and is responsible for interpreting sensory input and sending motor commands to the body. I have been off all medications and pills since that time. That said, I have expanded on it in my recently released book: For a comprehensive / easy to follow plan, additional rationale, and the steps I took to resolve my reflux, get my #1 best-selling book 'How I Cured My Silent Reflux | The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR).' 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. However, for me everything changed when my symptoms suddenly took a turn for the worst. I have allergies and have had post nasal drip for some time, not sure if it is due to allergies or reflux. Laryngopharyngeal Reflux(LPR). Lastly, I am on a mission to positively impact 100,000 people this year. Dear Don, Many thanks for you prompt reply. My gastro says that digestive ailments and thyca go hand in hand. It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria. As you have indicated, it can be hard to tell if your post nasal drip is bacterial, viral, or due to silent reflux. Fermented foods are a great supplement to your recovery. I just started the medications about 7 weeks ago, and like you doctors told me to take this for 6-8 weeks. I don't want to die. It really is a stressful situation, but I am optimistic that I can get better! It is a common response to the presence of acids / acid vapors in the soft tissues of your nose and throat. Are you sure you want to block this member? Test the heat of the water to make sure it won't burn your mouth by dipping a finger in it carefully. Don, I stopped taking the ibuprofen about six months after my injury , when I found out about the harm they do. Epub 2013 Mar 22. Signs you may have LPR are hoarseness, a chronic cough, throat clearing, or other throat symptoms. My endo has me on high doses of calcium supplements (no more tums) to offset the PPI, which neutralizes calcium. Anything. There are. Thank you so much for your quick response! Symptoms include things like throat pain and chronic cough. Lastly, on the topic of low stomach acid I want to mention the fact that the stomach is designed as a highly acidic environment. Thanks Don! If I were to take these supplements, would itRead more , Hi Gina, Thank you for your comment! I stopped taking the medication after six months due to the long term side effects you mention. Gross hematuria last about 2 weeks followed by microscopic hematuria for 6 weeks. I had GERD (gastroesophageal reflux disease) before I had my TT. I have released the first of three modules and you can get it now for a limited time, at its introductory price. Per my personal experiences and the research I have done, I am convinced that most people experience reflux because their bodies are unable to properly close the junction between the stomach and the throat. Most common symptoms: post-nasal drip, too-much throat mucus, nose and sinus problems . Im suspecting that this could be LPR? 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. Hirota K, Nishimoto K, Kumai Y, Miyamaru S, Miyamoto T, Saito H, Ise M, Murakami D, Orita Y. Int J Clin Oncol. Sorensen JR, Markoew S, Dssing H, Hegeds L, Bonnema SJ, Godballe C. World J Surg. I developed silent reflux. 2023 Jan 11;8(1):140-149. doi: 10.1002/lio2.1009. Thank you so much for sharing! If you have experienced any of the below, you may be deficient in one or more of these vitamins. There are several different disorders that can occur when the thyroid produces too many or too few hormones. Normally, this fermentation process should occur in the colon where it can be expressed through the anus. Might be worth a try. Doc says I also have chronic gastritisSo I have been taking omeprazole since then and changed my diet , but recently I have have too much burping it can go on forRead more . This is where I think my body started losing it. Crying tends to make reflux worse and keeping your baby upright will hopefully ensure they cry less because they are close to you. He hasnt helped me at all. It most certainly would make your throat issues worse and overtime lead to other soft tissue or tooth enamel corrosion. 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. Around that time, I started experiencing some IBS like symptoms that I attributed to stress. This will run horizontally along the natural lines of the skin in your neck. However, that information will still be included in details such as numbers of replies. I also suffer from acid reflux, which is new to me. If acidity is too low, these muscles do not contract with sufficient pressure and will allow stomach contents to flow backward into the throat, Normally, the stomach, its mucosal lining, and your anti-reflux barriers are more than a match for this highly corrosive environment. Long duration gastric reflux can be due to small hiatus hernia. Beginning in February 2017 I have had acid reflux that hasn't responded to two different ppis. Hi Andrew, Sorry for the late reply. There are many risk factors that can lead to this imbalance, that we will explore later in the article. 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). After realizing i had gained so much weight i lost about 10 lbs by the summer of 2016. Yes, HCl doses should correspond to the digestive complexity and size of your meal (does not mean it is only used with protein). I would like to ask you something with regards to the supplements. Hi Ally, Apologies for the delayed response. 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. Drink less alcohol, especially before bedtime, since alcohol makes reflux worse. Hes 17! Thank you. Elevate the head of your bed. Left untreated, it can lead to further complications. Weight Gain and Asthenia Following Thyroidectomy: Current Knowledge from Literature Review. 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. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: How did you found out you have low stomach acidity? You read that correctly, it is not high, but LOW stomach acid that often leads to acid reflux. The kind of reflux that gives many people a sensation of postnasal dripping could actually be what is called silent reflux. 466 9 97 About the Author: Tom Brimeyer Ive lost 50lbs in a short period of time. This is achieved through a process called peristalsis, which moves food along the digestive tract through a series of involuntary yet coordinated muscle movements. Hi Yvonne, I wouldnt say I had asthma symptoms, more choking, coughing, mucus, and painful airways. If not for the troubling issue of acidRead more . Constant spit bubbles around mouth. undefined will no longer be visible to you including posts, replies, and photos. 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. I keep seeing chest pain as a possible side effect of levothyroxine from my research, so I'm wondering if the meds just need to run their course Papillary and follicular thyroid cancer (differentiated), Thyroid cancer survivor and my recent set back :(, Digestive Issues Thyroidectomy Papillary Cancer, Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. Hi Amy, Sorry for the delayed response. It is the worst and the tightness in the throat and airways can get very scary!! Federal government websites often end in .gov or .mil. We avoid using tertiary references. The pyloric sphincter is responsible for emptying stomach contents into the lower intestines once sufficiently digested. You could try substituting digestive bitters for the HCl as I understand they can help to stimulate the production of stomach acid. I dont quite have the words to express how grateful I am for your willingness to share this information. This is due to inflammation and swelling of your membranes. 2022 Sep 19;11(18):5486. doi: 10.3390/jcm11185486. 3. 1) Gentle movement. If the diagnosis is hypothyroidism, they can prescribe the proper treatment. Background: so I thought shed be more progressive. Sphincters are a common design pattern in the body and exist as a ring shaped muscle that controls the passage of solids, liquids, and gases. Symptoms of silent reflux can include hoarseness, bitter taste in the mouth, excessive throat clearing or a lingering cough. Given your history of digestive challenges, you mightRead more , I ended up seeing my GI doctor, and I mentioned your regimen. 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. I believe I answered your question via email! Anything suggestions, similar experiences. It has been awful and I am looking to heal. We will discuss these challenges and potential solutions in my new online training course "The Un-Cookbook." 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. I think I can taste something acidic at the back of my mouth, but it is faint. Did EKG, echogram, perfect heart. One should not eat for 2 or 3 hours before bedtime; it is advisable not to lie down right after eating. In using the supplements you suggest, I feel my digestive tract has improved already. Once my thyroid meds where raised my symptoms resolved with the acid reflux . Neck complaints before and after uncomplicated thyroidectomy: prevalence, postoperative outcome and relationships with thyroid weight and reflux like symptoms. The thirty-six patients prospectively recruited according to selection criteria (thyroid volume 60 ml, benign disease, age 18-65 years, previous neck surgery, thyroiditis, pre- or postoperative vocal cord palsy) underwent voice (VIS) and swallowing (SIS) impairment scores, esophageal manometry and pH monitoring once again. silent reflux after thyroidectomy. How long did it take you to heal using the supplements? voice function after thyroidectomy if dysphonia is detected.25 In summary, the incidence of RLN palsy varies from less than 1% to as high as 20%, depend- . I am really stoked to try your recommendations. Putting your baby in the sling or pushchair and gently moving them can help with reflux and encourage them to settle. If you find the right dose of the supplements you should not need to take your medications. What I have had is bits and pieces of information to assist but never a real concrete plan for healing. If acidity is too low, signaling to the brain is weak or poorly timed, which leads to delayed digestion (indigestion) and bloating. That is because the gut and brain communicate with each other and are intricately connected. It did not help. Thanks! Post-nasal drip (feeling lots of phlegm in the back of the throat) Sore throat. They dolittle-to-nothing to resolve reflux because they fail to address the actual root causesof the disease. This was a month ago. National Library of Medicine I therefore, underwent RAI in May. They were bothersome so i did set up an appointment with my endo (still pediatric endo) in Aug. She told me if anything my levels were near hyper but we wanted my tsh suppressed and she told me maybe i was becoming allergic to the fillers and we'd switch brands. The medication that your doctor will use will either be Synthroid or levothyroxine. I too have a hiatus hernia which is supposedly small but the symptoms are far from small. Another important function of your microbiome is to improve immune function. However, if you understand the reasons for reflux induced post nasal drip, you can more easily diagnose. Silent Reflux Diet. I was put on to pariet 4 moths ago. Ive had endoscopies, ultrasounds, and saw a naturalist doctor who put me on tons of supplements. Have you ever had a feeling of butterflies in your stomach when you were doing something new, risky, or scary? If needed, you can review my transition guide for additional details: https://theacidrefluxguy.com/transition. How long did it take you to heal using the supplements? 4. Hope you are able to find healing soon , Don, I just wanted to thank you for putting this information out here for all of us! A change in eating behavior can minimize the rise of acidic gases from the stomach and reduce the activation of pepsin. A Lump in the Throat. Specifically how to determine proper doses and how to adjust as that changed throughout my recovery. I have ALL the symptoms, and for the past 2-1/2 years excessive hoarseness and fluid in my lungs has become debilitating. After convincing my mom this was happening we saw her and she wanted to start anti depressants. Marchese MR, Galli J, D'Alatri L, D'Amore A, Sionne F, Trozzi L, Paludetti G, Bellantone R, Lombardi CP. Its a one-way valve that normally opens for limited amounts of time when you swallow. I do have blood work on Tuesday but its almost pointless as i will be going to a new Endo because this one only looks at antibodies, TSH & T4. When would be a good time to start supplementation? Unauthorized use of these marks is strictly prohibited. Hi Anastasija, Thanks for your post. These ultimately form the building blocks that make us, us! Discover the causes, how its diagnosed, its effect on pregnancy, and more. Would love to know how they react with each other. Over that time I contributed to the $10 Billion as I estimate spending over $6,000 on prescriptions, over the counter medications, and antacids. Should I take one with every meal with the HCI? I was referred to a cardiologist. Hi Paige, Yes the supplements are temporary! Just grateful there are wonderful people out there like you trying to help others heal. Hypothyroidism (Underactive Thyroid): Everything You Need to Know, 5 Best Wedge Pillows for Acid Reflux/GERD. Papillary and follicular thyroid cancer (differentiated). Hi Eliza, Yes you are right. In the weeks after your thyroid surgery, you may have neck pain, soreness of your vocal chords or a weak . Stay off all acid foods for now like coffee , chocolate , tomatoes , lemons . Wow, thank you for the thorough and well presented resource on LPR!! In these cases were trading short term symptom relief for longer term issues that exacerbate symptoms. And it did work for me. It should be taken seriously by all clinicians. When in low numbers, these microbes are often harmless and can even be beneficial (more than 50% of people, in fact, have H Pylori). All the medication Ive been taking hasnt helped. This is so frustrating what were the supplements you recommend. Ive taken gaviscon a couple of times. Hi Eliza, Its hard to say from the information in your question. Navigation. Symptoms of Silent Acid Reflux. Ive never had the typical reflux symptoms. Got to the hospital, it slowed, nothing. Hypothyroidism can contribute to reflux and GERD in a number of ways. Not sure how well versed they will be on alternative remedies, but hopefully they can speak to the underlying root causes of the disease and provide some commentary on the applicability to your situation. Ive struggled with coughing after laughing sometimes severe. Well, I thought it was saliva. Ive cut out everything gluten, dairy, spicy, coffee, chocolate, anything acidic and I have no relief. etc. var app_5feb672a69722300166feb74;(function(d, t){var s=d.createElement(t),options={"appId":"5feb672a69722300166feb74","width":"800","height":"800","async":true,"host":"quiz.tryinteract.com","no_cover":true, "footer":"show"};s.src='https://i.tryinteract.com/embed/app.js';s.onload=s.onreadystatechange=function(){var rs=this.readyState;if(rs)if(rs!='complete')if(rs!='loaded')return;try{app_5feb672a69722300166feb74=new InteractApp();app_5feb672a69722300166feb74.initialize(options);app_5feb672a69722300166feb74.display();}catch(e){}};var scr=d.getElementsByTagName(t)[0],par=scr.parentNode;par.insertBefore(s,scr);})(document,'script'); Endless guidance and advice exists on the internet to help you eliminate your acid reflux, ranging from jaw exercise routines to diet plans. Also, the brands I used are all listed on my resources page. 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. Many people do not feel pain at all - or at least it's only minor. Try to chew on 2 tablets of DGL 20 minutes prior to meal . Laryngopharyngeal reflux can be managed effectively with proper treatment. Does anyone suffer from silent reflux after total thyroidectomy and RAI? There are two principle root causes for acid reflux. 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. I personally do not drink coffee. Reflux meds and later on a surgery helped. After 18-24 months, both VIS and SIS recovered (respectively: p=0,022; p=0,0001); UES pressure increased (p=0,0001) nearing the preoperative values. undefined will no longer be visible to you including posts, replies, and photos. For now, we will explore a few of the more significant side effects of this this bacterial imbalance, also known as dysbiosis. Long-term fatigue should be a consideration when there is an option to choose between total thyroidectomy and thyroid lobectomy. Im a huge fan of introducing food diversity, especially fermented foods. ani-Hadibegovi A, Hergei F, Babi E, Slipac J, Prstai R. Acta Clin Croat. Avoiding alcohol, chocolate and caffeine. This is slightly less potent than battery acid! Your thyroid gland is shaped like a butterfly. These include: Non-citrus fruits such as melons, bananas, apples, and pears. Constant coughing or clearing the throat. Thyroidectomy-related Swallowing Difficulties: Review of the Literature. This may make it difficult to adjust your HCl dose. Quite often, silent reflux sufferers are mis-diagnosed as having another respiratory disease like asthma or sleep apnea. So the withdrawal from the heart meds was hell. I see that the HCI shouldnt be mixed with steroids. I went to the er for short of breath to make sure the heart meds didn't damage anything. We left her.. Found another that I stayed with until about 6 months ago. It is found in the front lower part of your neck. If I have inspired, helped, informed or otherwise assisted you in anyway, let me know by giving me a follow on any of the below platforms or join mymailing list. One of them maintains that it is the digestive enzyme Pepsin,Read more , Hi Cris, Thank you for your comment. I got tons of bloodwork where they said I have an under active thyroid and was told I had to start medication for that. But what you probably don't know is that T4 is NOT active in your body. The LES is the muscle located between the esophagus and the stomach. I have had to start treatment with PPIs once more after having failed with trying outnatural supplements. I would be the first toRead more , Hi, Don ..1st of all, thank you so much for write it all down. Technically, if your acidity is restored you should be able to properly digest and absorb b12 and magnesium. The reflux finding score (RFS) and reflux symptom index (RSI) were investigated one day before surgery and two, four, six, and twelve months after surgery. The most common symptom of acid reflux is heartburn, which causes a burning sensation in the chest. etc. Re: Is acid reflux common after Thyroidectomy? Have another week of Nexium to go and that will be 2 months on Nexium and 2 months on pariet with no or very little change. Reflux happens when the two bands of muscle at the top and bottom of your oesophagus weaken or relax and allow acid from the stomach to shoot upwards towards your throat.