Q. Having some strangling feeling in my throat post thyroidectomy. Why?

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 22, 2016 and last reviewed on: Jun 08, 2020

Hi doctor,

I have been having a strangling feeling in my throat for around seven months. This came post thyroidectomy and so I thought it had to do with surgery. However, my gastroenterologist did an endoscopy and found bile in my stomach. As I researched this, I immediately thought of my gallbladder removal surgery two years ago. Anyhow, she put me on acid reflux medicines and that do not seem to be helping at all. I have pain in the upper right quadrant of my stomach and this strangling feeling every day. I am taking Carafate four times a day as well. I have just changed my thyroid medicine to Nature Thyroid 2 grains per day. My TSH was at 2 and I know it should be closer to 1. What to do?

#

Hi,

Welcome to icliniq.com.

  • Yes, your symptoms are consistent with acid reflux.
  • Did you have the same strangling feeling in neck during the last episode of symptoms? Or was there mid-chest burning type pain?
  • Did you have endoscopy last time? There is no correlation of your symptoms with thyroidectomy.
  • Only large amounts or continuous presence of bile in the stomach can produce bile-reflux induced gastritis, which might be absent in your endoscopy finding as you have not mentioned.
  • Carafate - Sucralfate is useful for gastric ulcers, with negligible effect in gastroesophageal reflux disease. In this scenario, your endoscopy must have found either gastritis or gastric ulcer.

The Probable causes:

Small hiatus hernia.

Investigations to be done:

If gastritis is ruled out, then consider barium study for hiatus hernia.

Differential diagnosis:

Infection induced pangastritis.

Treatment plan:

Continue medications for gastritis.

Preventive measures:

1. Avoid spicy food and try to reduce any form of nicotine and caffeine.
2. Do not sleep immediately after dinner.
3. Try to reduce liquids during meals.

Regarding follow up:

Revert back with the answers to the above questions to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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