Well the thyroid may warrant checking but specifically I don't connect menopause ...same age would tend to correspond to both type issues ...if thyroid enlarged yes I would agree that ultrasound may be helpful
The reflux issue may cause internal throat irritation ...
Toward that end it may be helpful to observe reflux precautions...
1) wait 1.5 hours
2) elevate the head of bed 4 to 6 inches as they incline your trunk ( any sleep position ) (( extra pillows do not work as a well btw))
3) avoid GI IRRITANTS such as alcohol / coffee / hot spicy or acidic foods ( tomato products , onions, peppers , citrus fruits ) anti-inflammatory meds ( aspirin , Aleve ,Advil ) Tylenol is OK....
I hope that this is helpful for you
Let me know if you have further questions or concerns
I will be happy to get back with you
If my answer has been helpful and to your satisfaction then please remember to leave positive feedback Thank you and Best Regards,
Anthony Bray MD