So I've been Paleo for over two years and a few months ago started experiencing a lump type feeling in my throat (as if food were stuck). My neck around adams apple was also a bit tender. Saw my Dr. who did a thyroid test and I did have somewhat high thyroid antibodies. Then saw an endocrinologist who thought the numbers were necessarily of concern (besides the slightly high antibodies everything else was ok. He suggested seeing an ENT -- which I did today.
The ENT diagnosed me with silent (Laryngopharngeal) reflux. She wants to put me on Omeprazole (40mg). She also said I should avoid chocolate, food high in fat content and tomato-based products. The chocolate and the tomato products are no problem, but how do I maintain my Paleo diet and avoid high fat foods? Can I still cook with coconut oil and butter/ghee? Do I need to avoid bacon and other fatty cuts (have some frozen grassfed pork belly in the freezer)? What about eggs.
I've been pretty consistent with my diet since I've been Paleo (about 2 years ago). Mostly grassfed meats (beef, pork, lamb, chicken) and fish. Cook mostly with butter, ghee and coconut oil (and olive oil), and coconut milk for curries and such. Probably in the Fall when this issue started may have increased my chocolate intake a bit too much, but otherwise not much has changed. When this started did suspect GERD at first so tried drinking kefir and eating a bit more yogurt and some kombucha (store bought). Not sure it made much difference.
I've read some stuff on Chris Kresser's site about GERD being related to low-acid not high, but not sure if it applies to my diagnosis of the silent reflux.
Am 59 year male, not overweight and exercise about 3-4 days per week.
Any insight/suggestions on what to eat, whether to try the medicine prescribed for a month as the Dr suggested would be appreciated.
asked byjstern (109)
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on March 08, 2013
at 06:02 PM
Doctors know very little about dietary issues with GERD. I highly recommend a book by Norman Robilard "Fast Track Digestion: Heartburn". It goes against CW, but IMHO it's right on. Fat is not the problem, SIBO is.
When there's LPR in particular, chances are you have sleep apnea and you must DEMAND testing, even if you don't fit the profile. It's a common factor with LPR most doctors don't appreciate. The theory is that if your airway closes off in your sleep, the struggle to breathe causes a suction effect in your airway that pulls stomach contents including acid into the airway, triggering laryngeal erosion, often asthma, too. You can't know if you have sleep apnea or not without testing, so insist on being tested.