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MZZCHIEF's Photo MZZCHIEF Posts: 9,269
6/11/13 10:21 A

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hey Anna!
If you have hiatal hernia... my understanding is that it does not go away but that it can be stop being symptomatic if you eat small meals.

For those that don't know, a hiatal hernia is when the top part of your stomach... the part that is connected to the esophagus (the tube that brings food to your stomach), slips up past your diaphragm into the area where your lungs and heart are.

Your diaphragm is that big sheet of muscle that runs horizontally, right under your ribcage, that raises and lowers as you breathe... it helps your lungs fill with air and separates your lungs and heart, from your stomach and intestines. Since the esophagus has to pass thru the diaphragm, what happens sometimes is that the hole it passes thru is larger or becomes that way due to a risk factor such as pregnancy.

Sometimes this portion of upper stomach stays up in the heart lung cavity, in other cases it can slip back to the abdominal cavity where it belongs. Because of this unnatural arrangement, stomach acid can slip up the esophagus which is not equipped to handle it.

So the esophagus eventually creates cells that resemble the stomach's in the areas of irritation to protect itself from stomach acid.... this is called Barrett's. Although this seems like a clever workaround the problem is that these changes to the esophagus can evolve into cancer.

Good idea, Anna to do an elimination diet.
You might also do well to get a probiotic.
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GOANNA2's Photo GOANNA2 Posts: 11,345
6/11/13 2:03 A

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Hi Mzz. I have had a hiatal hernia a few years back and H Pylori.
Definitely time to re-investigate all this. I have been having oats
and cream of wheat for breakfast, but I now have cut out grains
to see if it eases the bloating. I find I have to live and learn and cut
out things that bother me then reintroduce to see what happens.
I must look up Barrett's Esophagus. Thanks again. emoticon

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MZZCHIEF's Photo MZZCHIEF Posts: 9,269
6/10/13 5:31 P

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Anna, hey!
Cream of wheat is a good source of iron, but if you eat it in the morning, this beneficial iron may block your thyroid meds.

Good that your doc is investigating GERD as a potential cause of your chronic cough.
Definitely worth a peek down the esophagus, to see if there's any irritation... also check for a hiatal hernia... GERD left untreated it can cause Barrett's Esophagus.

: )
Mzzchief

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GOANNA2's Photo GOANNA2 Posts: 11,345
6/10/13 8:30 A

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Mzz. I did ask the doctor about the cough. He did think it is
from GERD. He is away for 2 weeks and will go for the ultrasound
when he returns. Thanks for the advice on fibre. I only eat oats but
I will have cream of wheat or muesli some times.

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FIERCESTCALM's Photo FIERCESTCALM SparkPoints: (30,806)
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6/9/13 11:09 A

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I typically wait the full 2 hours before I eat breakfast and I wait 4 hours before I have anything containing calcium. I used to set an alarm for 4 am just to get up and take meds so that I could then eat when I "really" woke up for the day. Now I just take them when I first wake up and then get dressed and all that jazz and eat breakfast after I get to work in the mornings. On the weekends I'm a little less rigid with the timing of eating breakfast BUT I am still consistent about taking the meds at the same time give or take 10 mins.


you're just an empty cage girl, if you kill the bird....Tori Amos.


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MZZCHIEF's Photo MZZCHIEF Posts: 9,269
6/1/13 4:15 P

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Kids

if you are taking your thyroid meds by swallowing them, make sure to take them with a full 8 oz glass of water. You can keep it by your bedside along with your pill. That's what I do with mine... I put it out in the evening so its all ready for me.

If you use a shot glass then there's less likelihood of fumbling your pill... you just tip it back into your mouth. Besides having a shot glass on your nite stand looks a bit naughty and I'm all about that!
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Mzzchief

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MYKIDSRSWEET's Photo MYKIDSRSWEET SparkPoints: (12,017)
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6/1/13 3:33 P

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Thanks so much for the advice. I have not been waiting long enough or drinking enough water with my meds. I have moved them upstairs, and it is the first thing I do, but it is hard because I have to get the kids breakfast and it makes me want to eat then too...ill just have to wait!




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MZZCHIEF's Photo MZZCHIEF Posts: 9,269
6/1/13 12:07 P

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hey Anna....

You do need fiber, but it has to be taken with a good deal of water or it will have the opposite effect. If its too close to your medication... you won't absorb as much thyroid hormone from your medication.

Fiber is like any other good thing... moderation is key... as is timing and type... knowing what it can or can't do for you.

I want to be clear... if you are eating a high fiber cereal every day, then your dose of thyroid hormone can be adjusted AROUND this habit... you'll prolly need a higher dose of thyroid medication. The problem is when you suddenly stop eating a high fiber breakfast... because your thyroid medication has been titrated on that fiber being there. Once its gone... you may be on too much hormone.

I'd definitely ask your doctor for an ultrasound of your thyroid to see if there's an nodule pressing on your windpipe. If nothing else an ultrasound will eliminate goiter/nodule as a source of your cough.

Did you ask about reflux as a potential cause of your cough?

: )
Mzzchief

New decade. Big world.
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GOANNA2's Photo GOANNA2 Posts: 11,345
6/1/13 6:49 A

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I've spent an hour on the about.com links. I have just found out that
my coughing could be because I have goiters growing again. I am going
to print the article and take it to my doctor. I showed him that I have a sort
of lump growing and he says it's just fat.
Mzz, thanks once again for enlightening me about breakfast cereals this time.
I thought high fibre was the way to go. Not anymore. I might jsut take a bit of
your advice and have a light breakfast. BTW, I wake up during the night at
approximately 3 am and take my meds then. Taht way I can eat as soon as
I get up.

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SHIELDAC's Photo SHIELDAC Posts: 736
5/31/13 6:13 P

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MZZCHIEF's Photo MZZCHIEF Posts: 9,269
5/31/13 5:01 P

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Hey Sweetie!

I take mine (synthetic t4 and t3, broken in quarters) under my tongue around 8 am every morning and wait for it to dissolve, which usually takes about 45 minutes. I don't swallow it.

I stay in bed for most of this time, stretch, plan my day, or doze.
Then its out to put on my tea water and walk my dogs which burns another 15 minutes or so.

I have the same breakfast every morning (tea, a cup of organic 2% milk, a banana and sometimes a few nuts) and don't take any supplements or vitamins until lunch which is usually after 12 -1pm.

If you get into the routine of taking your meds at the same time every morning, eating the same breakfast, keeping all supplements and medications away from your morning meal, you'll find that your TSH and thyroid hormones will stabilize.

Breakfasts that include a lot of added fiber, soy protein, added vitamins,added minerals are the ones that block your dose of thyroid the most.
Cereals are one of the biggest offenders... read the labels.

If you are eating cereals that contain these 4 things on a regular basis then your doctor can just raise your dose of thyroid hormone.

But you'll have a problem if you mix breakfasts like these with breakfasts that don't contain these things, because the thyroid hormone blockers are there one day and not the next...

: )
Mzzchief

New decade. Big world.
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Never underestimate the value of getting out of your own way.

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HIPPIEGURL's Photo HIPPIEGURL Posts: 4,949
5/31/13 12:44 P

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I try and take my thyroid meds in the night when I get up for a potty call. That way it's about 4 hrs. before I eat and take my morning pills and vitamins and have coffee. Here are a few articles I think will be helpful.

thyroid.about.com/b/2008/01/17/when-
sh
ould-you-take-your-thyroid-medicatioR>n.htm


thyroid.about.com/b/2008/09/03/coffe
e-
thyroid-drugs.htm


thyroid.about.com/cs/thyroiddrugs/a/
ho
wtotake.htm




Sandy



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ANDILIL SparkPoints: (199)
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5/31/13 8:28 A

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You should wait at least an hr. if you take calcium enriched foods its suggested to wait at least 2 hr. Here's an article with some guidelines.

thyroid.about.com/cs/thyroiddrugs/ht
/t
akemeds.htm


SUKE58's Photo SUKE58 SparkPoints: (2,411)
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5/31/13 8:22 A

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I was told to wait 30 mins, but I don't usually have anything to eat or drink for about an hour. I take my Synthroid with a glass of water, go for my morning walk (45-60 mins), then have my coffee and take my other morning meds. For me it's just a routine that works.

MYKIDSRSWEET's Photo MYKIDSRSWEET SparkPoints: (12,017)
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5/31/13 8:01 A

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How long do you all wait to eat after taking yours meds? I try and wait a half an hour, should I wait longer after taking the synthroid...should I wait an hour instead?




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