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  • Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

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    Old 04-20-2005, 11:58 AM   #1
    tintx
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    Red face Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Hello All,
    I haven't posted in a while, but am here to ask, beg, for help or information from anyone who has experienced problems with tightness and pain in upper chest, throat area after acdf, plus I seem to be having esophagus problems. I am also having hyperthyroid type symptoms--feel hot a lot, easily overheated, shaky, very restless & nervous, losing weight and am being treated for tachycardia. Some overheating and tachy actually preceded my c4-c5 acdf in 11/04. I hate to go on, but I've also had a sense of practically vibrating on upper left side of my body, seem to have shaking or tremor I notice in hands now. What's up with that?

    Not only am I confused, but I'm starting to feel panicky! I went back to work, teaching, about 6 weeks after surgery, and developed hoarseness after a few days. It comes and goes, but now I have this painful sensation in my upper chest area, which has become worse and worse, particularly after a day of teaching and having to raise my voice with my 7th graders. The chest symptoms & throat tightness seem like those I had the first few weeks after surgery, but they have come back and are much worse now.Some evenings it hurts worse when I talk, becoming an effort. Had a terrible heartburn episode last week, which I typically do not have, then a gerd attack of chest pain/esophagitis a few days later that drove me to the emergency room. BTW, besides the tachycardia, other drs do not believe I'm having any heart problems.

    I think using my voice so much at work is aggravating whatever this is, but I haven't seen my surgeon once on any of my followup visits after the surgeryto see what the thinks. I am shuffled through various PAs and nurses, and it is ******* me off. I already demanded that I see the doctor on my last visit, but it was another PA saying the dr had an emergency. I don't believe them.

    What should I do??? I'm getting worried about this. I called regular dr today to see if I should have more thyroid tests. Can acdf affect thyroid?

    Please tell me what you think, and I'm really sorry I haven't had time to respond to others lately. I hope I can find time to visit here regularly, but between work and my doctors, I don't have any time!
    Take care, and thanks,
    Tintx

     
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    Old 04-20-2005, 12:24 PM   #2
    bouncedaround
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Tintx Case manage yourself That's precious! I will look w/re the thyroid as I have had heat problems only on my face w/this cervical abs. I was told that there was a probability that hoarseness would come after surgery but that it normally went away. I had so much anxiety yesterday that I thought I needed to go to the ER as my stomach was blowin out like a football and I am familiar w/GERD as my son has his gall bladder removed after he had been dx w/GERD for a whole year. By then the GB was gangrened? Nerves and stress can do funny things and manifest in many areas so hopefully the GERD won't become common if you stay in this state of anxiety. Situational anxiety that we are seem to be stalled in....take care

     
    Old 04-20-2005, 01:49 PM   #3
    dennisgb
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Tintx,

    Call your surgeon and ask him/her about this. You should still be under his/her care until 12 months.

    Dennis

    Last edited by dennisgb; 04-20-2005 at 01:49 PM.

     
    Old 04-20-2005, 02:32 PM   #4
    whackedback
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    You might want to get your surgeon to refer you to an ENT (Ears/Nose/Throat) specialist to help you.

    whackedback

     
    Old 04-20-2005, 05:26 PM   #5
    tintx
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Thanks Dennis and Whacked!
    I did call my neurosurgeon's office today and a nurse or PA was supposed to call me back but no one did. I also called my internal med/home doctor and she authorized t3 t4 thyroid tests at my request. I am currently seeing an ent, too, he did a sinus surgery last Thursday. When it rains, it pours! Current ent did not have much to say about my throat related problems when I mentioned it a few weeks ago. He was preoccupied then with setting up a surgery to remove a weird bone in my left maxillary sinus, and is now preoccupied with finding out why my first sinus surgeon did not remove the bone in the first place. But that's a whole other chapter of the tedious melodrama, "The Doctors in My Life," or "How to Get Screwed and Pay Dearly Without Really Trying." Do I sound sarcastic, even bitter?
    I appreciate everyone's posts, and will let yall know what I find out. And I will find out.
    Thanks,
    Tintx

     
    Old 04-26-2005, 11:16 PM   #6
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Hey tintx,
    Get your thyroid checked! You list alot there but the ones i noticed are:
    weight loss
    tremor
    heat intolerance
    heart taccy
    chest pain
    feeling like you are racing
    horseness
    these are hyper symptons, i have family member with hyper, i am opposite hypo, (underactive)
    (these aren't ACDF probs) maybe they unblocked the nerves and now your thyroid is going nuts!!!!!

    any vision problems? blurring, eye changes watch for those.

    May or may not be trauma from your surgery, the body does weird things but you said you had a little prior. Guess was spine levels work the thyroid!!

    i had to learn alot about the thyroid and ended up with an endo after I spent a miserable year with the primary doctors not getting it right.

    One simple TSH test can tell them if you are in the bad zone.


    The esophogus is probably traumatized, you might have had an undetected hiatal hernia (lots of people have it) and before a little acid backing up in the esophogus didn't bother you, but if the esophogus is still irritated from the surgery it could be bothering you. try avoiding if you eat chocolate, spicy foods, caffeine. that works for me.

    good luck check back in when you get answers!

     
    Old 04-27-2005, 06:19 AM   #7
    wimpette
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    I agree with Aznativ - sounds like your thyroid is hyperactive. I had a viral thyroiditis 15 years ago which caused me to be wildly hyperthyroid and your symptoms sound exactly like mine - I was bouncing off the wall and felt awful. If you are even mildly hyperthyroid the manipulation in that area during an ACDF can trigger things off.

    Let us know the results of your thyroid function! Based on my experience ENT surgeons know more about cutting than medical problems and a good internist or endocrinologist might be the better person to help sort things out. In the old days the docs used to do the diagnosing - sad that now the patient has to figure out what's wrong so they can refer themselves to the proper specialist!
    W

     
    Old 04-27-2005, 10:36 AM   #8
    bouncedaround
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Quote:
    Originally Posted by tintx
    Thanks Dennis and Whacked!
    I did call my neurosurgeon's office today and a nurse or PA was supposed to call me back but no one did. I also called my internal med/home doctor and she authorized t3 t4 thyroid tests at my request. I am currently seeing an ent, too, he did a sinus surgery last Thursday. When it rains, it pours! Current ent did not have much to say about my throat related problems when I mentioned it a few weeks ago. He was preoccupied then with setting up a surgery to remove a weird bone in my left maxillary sinus, and is now preoccupied with finding out why my first sinus surgeon did not remove the bone in the first place. But that's a whole other chapter of the tedious melodrama, "The Doctors in My Life," or "How to Get Screwed and Pay Dearly Without Really Trying." Do I sound sarcastic, even bitter?
    I appreciate everyone's posts, and will let yall know what I find out. And I will find out.
    Thanks,
    Tintx
    Hey Tinx
    We could probably pen a book as I have had a few good titles myself lately. I appreciate your kind words and thoughts last week and I am just passing mine on to you this week.

    Decided to try the pain clinic since the last NS recommended this prior to surgery so I went Monday. Tues for injections. All three days w/new PT that I like alot however I sit drawn typing this and am getting ready to medicate myself. It is disheartening that what I read w/everyone really does seem to spur more problems after surgery than prior and that in itself is amazing.

    I am surprised that you actually have a surgeon trying to locate another who did not do something as I seem to feel that this breed tends to its own no matter what. I can understand how lawsuits have been detrimental to their insurance and income however that is not a reason to take it out on the rest of the population.

    I have rented John Q and re rented it over the weekend since initially seeing it for the first time last week. I haven't figured out how to corral an entire group of specialists in one location when I am immobile yet but am working on a sequel or something similar as I have loads of time to feel this must be a story. It is an unfortunate conscious nightmare. Hope my woes help you feel better? Will be praying for you and all others here as well ... wishing I could do this cindy

     
    Old 04-27-2005, 10:55 PM   #9
    987mom
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    Re: Help! Pain in upper chest, espophagus, thyroid issues(?) after acdf??

    Dear Tintx,

    The throat tightness may be a cricopharyngeal muscle spasm. This muscle crosses over your esophagus. When you are stressed, it is a tendancy to bare down on your throat or clinch your teeth. After neck surgery, this muscle can become overstimulated and spasm. Guess what? It feels as though you are choaking. This sensation alone is enough to give you a panic attack. I had neck surgery (ACDF) on 2/28 and this was a main complaint of mine for several weeks. Choaking is not a pleasant experience, so I really sympothize. My doctor's advice worked well..."take the muscle relaxers to keep those muscles relaxed". I hope that you feel better soon. And I do agree with the others: a simple TSH will rule out hyperthyroidism.

    Good night.

     
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