Acid Reflux and Hashimoto’s

[Dr. Anshul Gupta]

Thyroid disease doesn’t solely affect the endocrine gland. Other organs that may be stricken by thyroid disease include the heart, liver, and stomach. Your digestion and thyroid function are closely connected, so if one isn't functioning properly, the opposite might not either.

The connection between hypothyroidism or Hashimoto's, acid reflux, or gastroparesis is commonly overlooked. functional medicine thyroid doctors

However, studies have shown that the connection between the two isn’t unusual.

Acid reflux, also known as heartburn, is a common condition where people feel a burning sensation from stomach acid rising into the gullet (esophagus), especially in the lower chest area.

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Gastroparesis is a more serious condition that affects the normal muscle function of the stomach. This usually causes symptoms such as nausea, vomiting, and feeling full immediately after eating. The term gastro paresis means “paralysis of the stomach” because the stomach cannot contract normally, so it cannot properly break down food as it enters the small intestine. 

Weight loss is also common in people with gastroparesis because nutrients and calories are not being absorbed from food. Obviously, hypothyroidism reduces gastrointestinal motility, leading to symptoms of acid reflux.

Most interestingly, studies have shown that people with Hashimoto’s autoimmune gastritis may need high doses of levothyroxine (a thyroid hormone replacement drug) to balance thyroid-stimulating hormone (TSH).

80% of levothyroxine is absorbed in the small intestine, called the jejunum. Therefore, if someone with hypothyroidism has digestive problems, such as acid reflux, they should discuss medication dosage with their doctor. 

If you are experiencing symptoms of acid reflux or gastroparesis, it is important to report these symptoms to your trusted doctor or physician to better understand the cause.

There is a less obvious but more common direct link between thyroid imbalance and digestive disorders such as acid reflux and GERD. If you have Hashimoto’s disease and suffer from reflux regularly, you may wonder if it’s related. The short answer is yes.

The good news, however, is that when you work to improve one problem, you may find that the other will resolve itself as well. First, it’s important to understand the terms that are often used interchangeably (e.g., GERD and acid reflux) and what exactly happens when you experience these terms. And of course how it relates to your thyroid

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