1

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Silent Reflux (LPR) Diagnosis

Commented on January 19, 2015
Created March 07, 2013 at 10:00 PM

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.

51a9f1ec7af01a96f90d03476d5ed2e1

on January 19, 2015
at 04:30 AM

 Why would people think there ENT knew anything about diet?

3491e51730101b18724dc57c86601173

(8395)

on September 07, 2013
at 01:28 AM

Robilard suggests limiting fiber in the diet (as well as sugar) to reduce SIBO. It's worth a read. If you have Amazon Prime you can borrow it on Kindle for free.

3491e51730101b18724dc57c86601173

(8395)

on March 09, 2013
at 02:01 AM

Jstern, I get a tickle out of your screen name, because I use the same screen name on some forums--stern is part of my last name. I keep doing a double take to make sure it wasn't MY answer! SIBO is small intestine bacterial overgrowth, lots of info here on PH if you look for it. As for sleep apnea, it's not well recognized by non-sleep docs (and even some sleep docs don't get it). Take a look at Dr. Steven Park's blog: http://doctorstevenpark.com/index.php?s=gerd

E1c6e8005795364ef33867073e5d4ec1

(109)

on March 08, 2013
at 08:33 PM

I'm always terrible with acronyms so what is SIBO. I have a Paleo doc who I just communicated with and she suggested Chris Kresser's approach of using HCL with pepsin. Don't really have any sleep issues that I am aware of, but will take a look at your reference.

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1 Answers

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3491e51730101b18724dc57c86601173

(8395)

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.

3491e51730101b18724dc57c86601173

(8395)

on March 09, 2013
at 02:01 AM

Jstern, I get a tickle out of your screen name, because I use the same screen name on some forums--stern is part of my last name. I keep doing a double take to make sure it wasn't MY answer! SIBO is small intestine bacterial overgrowth, lots of info here on PH if you look for it. As for sleep apnea, it's not well recognized by non-sleep docs (and even some sleep docs don't get it). Take a look at Dr. Steven Park's blog: http://doctorstevenpark.com/index.php?s=gerd

3491e51730101b18724dc57c86601173

(8395)

on September 07, 2013
at 01:28 AM

Robilard suggests limiting fiber in the diet (as well as sugar) to reduce SIBO. It's worth a read. If you have Amazon Prime you can borrow it on Kindle for free.

E1c6e8005795364ef33867073e5d4ec1

(109)

on March 08, 2013
at 08:33 PM

I'm always terrible with acronyms so what is SIBO. I have a Paleo doc who I just communicated with and she suggested Chris Kresser's approach of using HCL with pepsin. Don't really have any sleep issues that I am aware of, but will take a look at your reference.

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