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Triggers of GERD and SIBO

Answered on August 19, 2014
Created December 31, 2011 at 5:33 AM

I've recently started having mild GERD and signs of SIBO. If I have a beer of cook with garlic or onions, I get severe gas. My diet and lifestyle haven't changed recently, so not sure what could have triggered it. I'm admittedly not strict paleo, and can be downright WAPFish at times. I'm going to go strict paleo to try to fix things, but am curious as to why these symptoms cropped up after a full year of happily doing WAPFish paleo.

For breakfast I generally have coffee and a pint of raw milk. Lunch and dinner are some combination of the following staples: pasture pork, venison, pasture eggs, sardines, cheese, butter, coconut oil, avacado, sweet potatoes, fermented brown rice (a la Stephan Guyenet), black beans, sourdough bread (less than one loaf a month). Obviously there is some low hanging fruit in that list to drop, but again, it is the sudden onset of symptoms that has me perplexed.

Cc69a51b427eaad36251cce9dcca4d3a

(1074)

on January 02, 2013
at 11:59 AM

FODMAPS, or eliminate fiber completely for a few weeks (along with starch and fructose) to clear the SIBO and stop feeding pathogenic gut bacteria.

9d43f6873107e17ca4d1a5055aa7a2ad

on December 31, 2011
at 06:57 PM

have you been tested for H Pylori antibodies?

D5a4ff096a452a84a772efa0e6bc626e

(2486)

on December 31, 2011
at 05:55 PM

Me too on the coffee specifically. Tea and yerba mate, no problem. Coffee, either caf or decaf, give me problems. Sometimes chocolate too. :(

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4 Answers

3
9a5e2da94ad63ea3186dfa494e16a8d1

on December 31, 2011
at 06:20 AM

I used to have GERD and I am pretty sure the two triggers were coffee (not all caffeine, but only coffee) and wheat products, especially in combination. I have been gluten free for about 8 months, and now, having even one small piece of bread or toast gives me GERD for a few hours. Coffee doesn't affect me nearly as much as it used to after giving up gluten. Besides the occasional stints after cheating with bread, I haven't had any GERD symptoms at all after going Paleo and dropping wheat/gluten, which is a major win.

My GERD would also flare up every now and then and last for a few days, I am not sure exactly why, I suspect something was building up (toxins, etc) and would manifest as inflammation. Of everything you listed in your diet, I would consider cutting the bread and coffee and see what happens.

D5a4ff096a452a84a772efa0e6bc626e

(2486)

on December 31, 2011
at 05:55 PM

Me too on the coffee specifically. Tea and yerba mate, no problem. Coffee, either caf or decaf, give me problems. Sometimes chocolate too. :(

2
3eca93d2e56dfcd768197dc5a50944f2

(11697)

on December 31, 2011
at 05:48 AM

When going Paleo and then starting adding grains, people usually have a more severe reaction to them compared to if they were eating plain SAD all the time. I'd suggest you start probiotics (I take iFlora), and eat more fermented foods (e.g. live sauerkraut, home-made goat lactose-free probiotic yoghurt etc), use coconut oil to cook, get vitamins (e.g. krill oil), and have some raw & unfiltered local honey too. Avoid grains, beer, soy, and beans. It worked for my SIBO/IBS.

1
96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on December 31, 2011
at 06:53 PM

My GERD went away beautifully when I started strict avoidance of wheat. I'm now convinced wheat is my 90% trigger because each time I've "tested" my intolerance it's taken 1 or 2 days for the GERD to return full-force and 1-to-3 weeks for it to disappear again.

Each experiment with wheat produced more severe symptoms so I'm done testing now.

1
C4f1a0c70c4e0dea507c2e346c036bbd

on December 31, 2011
at 06:26 PM

There is something in coffee that is very similar to gluten. I remember reading a study that celiacs often could not tolerate coffee for that reason.

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