Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants. Hi Yvonne, I wouldnt say I had asthma symptoms, more choking, coughing, mucus, and painful airways. If I talk to long I cough a lot. Hiccups. I suffered with GERD for more than 15 years and LPR for the six months preceding my recovery. Is It Possible to Have GERD without Esophagitis? Reflux can cause. Menehune You are so VERY RIGHT . I have come across the term Small Intestine Bacterial Overgrowth in my "research" but I wanted to get some thoughts before I discuss this with my endocrinologist or my GI doc. After 7 days I finally ate my first meal tonight. For some reason, my website doesnt send notifications of comments at times. I hope you are able to find relief soon :). The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Download our free Low-Iodine Cookbook (PDF), Rally for Research and Thyroid Cancer Research Grants. 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. They said i was all clear. 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. Youre very welcome. Laryngopharyngeal reflux can be managed effectively with proper treatment. My Doctor said I have LPR Reflux. Of course, while I was healing, I took care with what I ate so I could clearly distinguish reflux triggers. Regarding your throat, it sounds as though you are experiencing globus, which can often be a swelling of the tissues surrounding your lower esophageal sphincter. Once my thyroid meds where raised my symptoms resolved with the acid reflux . The reasons you get post nasal drip from reflux, is your body will naturally release a protective coating of mucus to minimize damage in the presence of acid vapors. Carafate - Sucralfate is useful for gastric ulcers, with negligible effect in gastroesophageal reflux disease. Hi there! Causes. Im hoping Don Daniels gets back to me with his guide. Why do you say "reflux" - which is stomach acid. 2005-2023 Healthline Media a Red Ventures Company. Helped for periodic episodes. The brain, for instance is primarily composed of fat. Over the past year I have woken with some pretty severe sore throats, thought I might have snored during the night. Fiber also helps to promote regularity of bowel movements and improves digestive health. 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. If you dont have it already, you should get my transition guide which details the three phase plan: https://theacidrefluxguy.com/transition. Whether this acid reflux is accompanied by GERD symptoms or not, stomach acid and chemicals wash back into the esophagus, damaging esophagus tissue and triggering changes to the lining of the . Needless to say I am in severe pain. And Im only 22 (I know this can happen to anyone any age but this is tolling). Hi Andrew, Sorry for the late reply. Lastly, on the topic of low stomach acid I want to mention the fact that the stomach is designed as a highly acidic environment. Kimchi it is! This may help you correlate the onset of your symptoms to a lifestyle, disease, or medical event. Have you got any good tips for ensuring 35-50g of fibre intake per day?? That said, the supplements enabled me to get off the medications without devolving into a coughing hacking mess! I am so excited to have found this article exclamation since March, I have been having a lot of throat clearing, postnasal drip, etc. I dont quite have the words to express how grateful I am for your willingness to share this information. It can be difficult to detect as individuals often do not get the symptoms of heartburn or indigestion, but it is commonly associated with chronic throat clearing, voice change and globus . Medical Disclaimer: The content of this site is for informational purposes only, and to give you ideas for you and your physician to research. Thank you so much for your quick response! After that, I was able to getRead more . The exact cause of Barrett's esophagus isn't known. 2. Everthing I drink or eat I have to spit up all this phlegm. Literally got high heart rate 15 minutes after taking it. If it's excess acid then the GP can prescribe meds. I am taking vitamin D3 and getting a B12 shot must months, but still having these problems. One way to distinguish silent reflux from traditional reflux / GERD is if you experience post nasal drip or mucous in your nose, throat or mouth. A low acid diet and increased water intake helped me immensely as did these two books - "Killing Me Softly From Inside: The Mysteries & Dangers of Acid Reflux and Its Connection to America's Fastest Growing Cancer" by Jonathan E. Aviv, MD and "Dropping Acid: The Reflux Diet Cookbook & Cure" by Jamie Koufman, MD, Jordan Stern, MD & Marc Bauer. I did figureRead more , Kathleen, So glad you found the site! In a previous study we showed the associations between voice impairment and proximal acid reflux, swallowing impairment and Upper Esophageal Sphyncter (UES) incoordination and the decrease in UES pressure in thirty-six patients observed before and soon afterwards uncomplicated thyroidectomy. You know, everyones reflux is slightly different. In addition to the more common symptoms listed above, the following complications can manifest in cases of extended silent reflux. I went to the er for short of breath to make sure the heart meds didn't damage anything. In this post we will cover the following topics: var app_5feb672a69722300166feb74;(function(d, t){var s=d.createElement(t),options={"appId":"5feb672a69722300166feb74","width":"800","height":"800","async":true,"host":"quiz.tryinteract.com", "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'); As the name suggests there are some differences between silent reflux, acid reflux, and GERD. 2020 Nov;25(11):1921-1927. doi: 10.1007/s10147-020-01748-0. I am actually taking a little break from writing to respond to your comments :). Follow me on Instagram for daily tips and subscribe to The Reflux Cyclepodcast on YouTube or your favorite podcasting app. Both of these medications contain the same active ingredient which is known as T4 or thyroxine. Some people find that dairy (mainly milk, cream) can worsen mucous. But it seemed too late.that now I had GERD. The diet is based on avoiding foods that are high in acidity and foods that make the LES (the valve above the stomach) weaker. When in low numbers, these microbes are often harmless and can even be beneficial (more than 50% of people, in fact, have H Pylori). In addition keeping a more alkaline diet is very HELPFUL with gerd acid reflux and any digestive problem . I see that you suggest apple cider vinegar supplements but this vinegar makes my phlegm act up so what do I do? so I thought shed be more progressive. Federal government websites often end in .gov or .mil. It got worse during and after meals and I found myself getting up from the meal several times to blow my notes. I have had this problem for over 2 years, I eat pretty healthy I would say. The RFS scores increased significantly after thyroidectomy and decreased to the preoperative level 12 months after surgery. There are many reasons for this. Hi Don! The most common and feared complications of total thyroidectomy are vocal cord paralyses and hypocalcemia. See this image and copyright information in PMC. My concern now is that I am taking 125 mcg of levothyroxine and 225 mg of venlafaxine (effexor) for depression and anxiety. Got back home around June 2015 from college. Did radioactive iodine treatment. Silent Reflux Diet. And as always for me, frequent headaches and acne. If over-the-counter remedies (nasal spray, mucinex, allergy meds) don't help you should see your PCP to help make sure it's not an infection and order an Xray if needed. Finally he listened after i requested they take bloodwork to see where my TSH was. In this article, we have covered silent reflux, its symptoms, and root causes as well as the treatment protocol that I applied to eliminate my reflux. This box-plot graphic shows that the SIS significantly improved in both immediate and long-term postopertive periods. 57 and T4 was "in range". The thyroid gland is responsible for making hormones that regulate your bodys metabolism, which is the bodys process of creating and using energy. That said, Silent reflux is most commonly referred to as LPR. This is very persistent, like every 4 or 5 breaths I feel like I'm breathing through a straw and struggle to get a deep breath, and it is not better or worse based on diet. How would I transition from not taking the medication to taking the supplements? I hope sincerely that this information will help you greatly on your personal journey to eliminate this terrible disease! Let me provide you a shortcut to a few resources. An official website of the United States government. So sorry to hear about your experiences. Paradoxically, the other leading root cause of acid reflux is low stomach acid. You are very welcome. Sounds as though your reflux was triggered by the flu or medications, which can happen. In fact, over the last twenty years a whole new field of medical science has emerged around this topic, called the gut-brain axis. Glad to hear you have seen some relief as you are finding the right dose of the supplements. So happy I found you, hope I can heal myself with these tips. For some reason I didnt receive a notification. That is the worst for me. In 3 days of taking the medicines, I am not really seeing anyRead more , Hi Roselle, The globus (feeling of a lump in your throat) and back or chest pain are common symptoms of LPR so it could be. Hope you are able to get well soon! Last medically reviewed on July 25, 2018. Yeah, I was a mess. Patients and methods: In this section we will touch on both. I started my son on the supplements andRead more , Hi Francine, Thank you so much for your post and for sharing this wonderful news! It most certainly would make your throat issues worse and overtime lead to other soft tissue or tooth enamel corrosion. I had 4 small nodules that were being checked over the last 15 years. I am so grateful to you! There are several different disorders that can occur when the thyroid produces too many or too few hormones. 466 9 97 About the Author: Tom Brimeyer When would be a good time to start supplementation? I cannot eat anything! Edema Firm pitting edema, minimal to moderate in . So glad I found you!!! We avoid using tertiary references. Short of breath, spacey, tired, insomnia, lost of appetite (caused by heart meds, i was barely eating for almost 3 weeks), low blood sugar (I'm pretty sure from other symptoms), low blood pressure when i take a shower (could be from heart meds also), Acid reflux (could be from heart meds). Really, I cant thank you enough for your help! Hello. Hi Victor, Yes I have been reflux free now for about 6 months! I was put on Protonix and followed their guidelines as far as diet went. Well coming up to a week ago I've been feeling off. Thanks for your question. BestRead more , Thank you so much for this helpful guide. Hi Mary, Its possible, but is that your only reflux symptom? They told me nothing was wrong. I am happy to hear you have weaned yourself off of these terrible medications. Daily, women should aim to consume at least 25 grams of fiber and men, 38 grams. Being dehydrated can make congestion worse - important to keep up fluid intake. I noticed my voice issues were resolved entirely within two weeks, but as you can imagine there are a lot of variables at play and everyones results are unique to them. The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Download our free Low-Iodine Cookbook (PDF), Rally for Research and Thyroid Cancer Research Grants. I have been off all medications and pills since that time. I learned it the hard way a few years ago . It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria, very few of these supposed solutions can be correlated back to a root cause issue that they help resolve, Sadly, people are lulled into believing these medicines are helping them because they neutralize the uncomfortable / painful acids that escape into the throat, serious effects of long term acid reflux medication usage, 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. Its possible to have GERD without esophagitis, or inflammation of the esophagus. Discover the causes, how its diagnosed, its effect on pregnancy, and more. Total or near-total thyroidectomy: This involves the removal of all or most of the thyroid gland.This surgery is often indicated for large thyroid cancers, large goiters, and Graves' disease. An effective approach should provide short term relief sufficient to enable a transition away from existing medications as well as a long term foundation for continued healing. 4. This site needs JavaScript to work properly. Don, I stopped taking the ibuprofen about six months after my injury , when I found out about the harm they do. This is particularly important for those withRead more . (2016). Regarding the HCL and ACV, I can only share my experience as there is limitedRead more . It would be interesting to know if he would make the connection. Some common symptoms include: The feeling of having a "lump" or something stuck in the throat (globus sensation) Pain or discomfort when swallowing. She didnt believe digestive enzymes were necessary since my pancreatic function labs were OK, and she seemed to have never heard of taking HCl. Symptoms include: Sore throat; sometimes persistent, sometimes worse in the morning. 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. I guess it was the mucus! Its thought that Hashimoto disease is associated with an esophageal motility disorder that can lead to heartburn and reflux symptoms. If not for the troubling issue of acidRead more . and transmitted securely. I am currently taking Levoxyl 137 mcg and Liothyronine 5 mcg (age 32). Benign esophageal stricture is a narrowing or tightening of the esophagus. I know you said it is important to take the right dosage of HCI, I want to make sure I do it correctly. Feeling better with digestive issues. Methods A consecutive case series of 160 patients with multinodular goiter (MNG) candidate for TT were included in . Did you have asthma-like symptoms? Symptoms of reflux in babies include: bringing up milk or being sick during or shortly after feeding coughing or hiccupping when feeding being unsettled during feeding swallowing or gulping after burping or feeding crying and not settling For acid reflux and gerd, I take Tums if I feel any discomfort, stay away from spicy food after 6pm, and use a wedge pillow. Im miserable right now. It is the worst and the tightness in the throat and airways can get very scary!! My endocrinologist did decide to do a chest CT since I had cancer in my lungs back in 2008. They can test you for this condition. I dont have an issue with an alkaline diet (avoiding acidic foods) as a means to avoiding the activation of pepsins. Is There a Connection Between GERD and Anxiety? But I figured why not give it a try at a low dose (2tsp) VERY diluted in water and to my shock it helped! Im a huge fan of introducing food diversity, especially fermented foods. In using the supplements you suggest, I feel my digestive tract has improved already. This study investigated the state of post-thyroidectomy esophageal motility changes and its associations with these disorders after 18-24 months. Perhaps you could provide some additional details about your experience such as: how long you have been dealing with reflux, what your diet looks like, whatRead more . My symptoms got so bad that I couldnt go without them or handfuls of antacids for more than a couple hours! Hates sleeping on back. Good to hear you are starting to feel better. But I have had a sore throat/coarse voice and trouble swallowing for 5 months. I want to report that this solution WORKS. However, under the wrong conditions bacteria that normally colonize the colon are allowed to proliferate in the gut. It is uncommon, but when it occurs after thyroidectomy, it is usually associated with Grave's disease. Thanks Don! Thank You and pray to god that I am able to finally get rid of my GERD that Ive had since 03. If so you may be able to flush them out by drinking lots of water and avoiding activating them by consuming acidic food and drink. They cleared me of being cancer free. Around that time, I started experiencing some IBS like symptoms that I attributed to stress. As with any symbiotic relationship, neither party is altruistic! My gastro says that digestive ailments and thyca go hand in hand. And for a fairly superficial question: Are you able to have coffee and caffeinated now that your acidity has balanced out, without it provoking reflux issues? Thyroidectomy-related Swallowing Difficulties: Review of the Literature. And fermented foods are natural probiotics. Ive been chasing answers, and have been misdiagnosed, for over 15 years. With several family members with the disease, and a medically diagnosed hiatal hernia he resigned to the fact that he would take acid blockers for the rest of his life. Treatment. silent reflux after thyroidectomy. 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. I gained weight was stressed but no problems at all. The lackRead more , Hi Don! If that is the case for you, it could be that your does of HCl is not right. Really? If I had a dollar for every time I heard the word Gaviscon from one of you I could easily cover the cost of maintaining this website! I just started taking probiotics too in the hope of helping out my gut. Nearly immediately, my sleep improved, the sensitivity in my fingerprints went away, my sense of touch became more acute, my brain fog dissipated, my concentrationRead more , Hi Don, I am not completely sure if I have just the condition, Post Nasal Drip or Silent Reflux, I have had colds on and off for the past 6 months. I really dont believe it is helping much at all. I actually wrote a whole section on this in my book that will be releasing shortly. Background: The purpose of this study was to evaluate the clinical usefulness of routine oral calcium and vitamin D supplements in the prevention of hypocalcemia after total thyroidectomy. I pray you find relief soon. official website and that any information you provide is encrypted By time i got to the hospital it slowed down. These changes should be adopted for the long term as symptoms will likely return if old diet and lifestyle habits resume. Demographics, intraoperative details, and . Hi Don, last month I had a course of antibiotics for ear infection. Silent reflux mom here! It makes it hard because of COVID especially when I cough. Gotigers1 When I had Acid Reflux I was hypo . I had to swallow every 5 seconds. Optionally, test your gut microbiome and receive actionable recommendations on how to optimize your digestive health with the BIOHM Gut Report. I certainly hope you get some relief soon. 1) Gentle movement. Background: Patients undergoing thyroidectomy often complain aerodigestive disorders. The results were normal. My tachycardia episodes were happening before he could even get back to me. 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 . Stay off all acid foods for now like coffee , chocolate , tomatoes , lemons . As you can imagine, when these biota are imbalanced it can lead to a number of physical and neurological disorders. I got the flu back in December then started having all of these symptoms. There is a survey that you can take that will tell you the likelihood that you have silent reflux. This can lead to inappropriate prescriptions and further suffering. The medication that your doctor will use will either be Synthroid or levothyroxine. Well I'm glad to say I didn't have to have the tests. This nerve is the longest in the human body and a pillar of the autonomic nervous system. Anything. Clinical symptoms of nephritic syndrome Urinary changes Oliguria - urine voluma <180cc/M2/day, few cases with anuria Hematuria- smoky red urine due to presences of RBC and formation of acid hematin. You can learn more about how we ensure our content is accurate and current by reading our. Learn how wedge pillows can help relieve the symptoms associated with acid reflux and GERD. I was prescribed PPIs and ant-acids for immediate relief but these have not been really working for me either. Re: Is acid reflux common after Thyroidectomy? Last week naturopath gave me Glutagenics powder and HMF intensive probiotic. They thought I have acid reflux but endoscope found no erosion or cancer and ENt did CT Sinus/facial bones without Contrast and showed no abnormalities I have a metallic taste in my mouth and excess amount of phlegm which drives me crazy. It may not be pepsins though, it could just be the consistentRead more . Despite this , more than a year after my TT I developed LaryngoPharyngeal Reflux (LPR). Would hate for you to improve your reflux situation only to find that you have irreparably damaged to your teeth or throat. So the withdrawal from the heart meds was hell. 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. silent reflux after thyroidectomy silent reflux after thyroidectomy. Furthermore, my doctor essentially said my options were a lifetime prescription or throat cancer, as surgical technology still does not offer a long time solution. Many people do not feel pain at all - or at least it's only minor. It has been awful and I am looking to heal. I was on Synthroid of varying doses, and then added Cytomel 5 mcg in 2016. The kind of reflux that gives many people a sensation of postnasal dripping could actually be what is called silent reflux. Avoiding alcohol, chocolate and caffeine. Thanks for the answer! II. I am feeling i might have it too but doctors say they are sure its high. Congrats on your sons speedy recovery , Dear Don, First of all I would really like to thank you for sharing this article. Im lost on what to do and dont want to take PPIs. 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, as well as ways each can affect the bodys ability to keep stomach contents contained, efficiently digest, and affect movement of food contents along the digestive tract. So the doctor said because I was taking too much Tums it lowered my stomach acid so I was experiencing the same symptoms. Weight Gain and Asthenia Following Thyroidectomy: Current Knowledge from Literature Review. This is common. I have been having acid reflex for a long time and I use nexium but not every day. 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. Hi Don, further to my 1 comment, I have breathing issues mostly at night which are on & off, Im not able to get sleep at night coz of this I feel really weak. Luckily, I already knew walking into his office, that it was from acid reflux. Hi Jess, Thanks for the question. This was a month ago. When he told me this it made sense to me.! I think I can taste something acidic at the back of my mouth, but it is faint. I just went to the doctor last weekend and he prescribed a 2weeks dose of PPI (rabeprazole). | Endocrine Surgery | JAMA Surgery | JAMA Network HypothesisLaryngeal dysfunction after thyroidectomy is a common complication. For others who might have similar problems here is an overview article from the journal "Nature": http://www.nature.com/gimo/contents/pt1/full/gimo46.html. It wasn't until my follow up with my surgeon that I found out that I had papillary thyroid cancer. My thyroglobulin has been steady at .2 for many years, so my endocrinologist does not think the cancer is spreading, and the nodules are too small to be causing the breathing issues. Proton-Pump Inhibitors (PPIs) Work against GERD GERD is usually treated with PPIs, short for p roton- p ump inhibitors. As you have noted, I wouldnt advise taking ACV in liquid form. Don is a best selling author of 'How I Cured My Silent Reflux,' and a former acid reflux sufferer for more than 15 years. Let me say, I am so sorry to hear what you are going through. Ive been in bed these last two days because I'm scared. The apple cider vinegar looks fine, though a bit lower dose than I used (500mg). I also have this problem. Vegetables such as leafy greens, broccoli, carrots, celery, squash. It alone conveys 80-90% of the bodys sensory information concerning the state of the bodys organs. Also, is it possible for you to send me your guide? I never got rid of the throat clearing, but figured I would have to live with it. These are part of a holistic plan that I have summarized on my transition checklist and detailed in my book. That said, if you determine your nose starts running backward intoRead more , Hi Don, I feel like I needed to find this article so bad! Are you sure you want to block this member? You have no idea. For that reason, I prefer them seperate. I went to a naturopath who recommended decolorized aloe vera and that helped after meals, but I tried tapering off after noticing it only worked aRead more , Hi Wayne, It sounds as though you have developed silent reflux. Disclaimer. Nothing again. the gut, brain, and microbiome share three way communication. Might be worth a try. 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. Thank you. I developed silent reflux. Purpose Local neck symptoms (LNS) may be related to goiter, but are also reported by patients suffering from laryngeal-pharyngeal reflux (LPR). What I have had is bits and pieces of information to assist but never a real concrete plan for healing. Neck complaints before and after uncomplicated thyroidectomy: prevalence, postoperative outcome and relationships with thyroid weight and reflux like symptoms. I have had a chronic cough for the last 3 years after my surgeries to remove my thyroid. It is often diagnosed by process of elimination. However, that information will still be included in details such as numbers of replies. a balanced microbiome is key to a healthy immune system, digestion, production and absorption of vitamins and nutrients, production of hormones, 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, Your gut microbiome is considered unbalanced when the proportion of beneficial microbes is outnumbered by their harmful counterparts, For some of these bacteria, the process of decomposing food leads to fermentation and excess gas production which causes bloating, your body depends on the symbiotic relationship with your microbiome for digestion, there is no dividing line between your skin, down through your mouth, throat, stomach, intestines, and colon; its all connected, the foods and drinks that you put into your body pose a more significant threat as compared to viruses and bacteria that are exposed to your skin, Foods that sit on the stomach too long or that are poorly digested can lead to inflammation, persistent presence of poorly digested foods leads to chronic inflammation and long term damage of the single cell thick lining of the stomach, Ultimately damage to the stomach lining (known as leaky gut) can allow for food particles, and harmful pathogens to enter the blood stream, We humans get a needed boost to literally every body function, as proper digestion leads to the extraction of energy in the form of amino acids, simple sugars, fatty acids, etc, Amazingly, a healthy gut, brain, and microbiome are in constant communication and coordination with regards to the production of building blocks for healing, immune function, proper cell function, development and conversion of hormones, Paradoxically, the other leading root cause of acid reflux is low stomach acid, High stomach acid is required to efficiently dissolve your foods and prepare them for further digestion as it passes along the gastrointestinal tract, Additionally, stomach acid is required as a signaling mechanism for the body to perform certain digestive and anti-reflux functions, The first three anti-reflux / digestive mechanisms are the lower esophageal sphincter (LES), diaphragmatic sphincter and pyloric sphincter, In contrast, the LES, diaphragmatic and pyloric sphincters (pictured below) are signaled to open / close through your vagus nerve as a response to acidity, If acidity is too low, signaling to the brain is weak or poorly timed, which leads to delayed digestion (indigestion) and bloating, The LES and diaphragmatic sphincters are responsible for keeping stomach contents out of the throat.
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