Posted 6/23/2014 6:01 PM (GMT -7)
Thanks for responding so quickly.
It's been very frustrating and confusing, trying to isolate foods that trigger my symptoms. My symptoms began back in 2011 when I was eating a very high fat (65% of calories) diet. So I'm quite certain that too much fat is a trigger for me. I was eating some beef at that time. But it was mostly ground beef. However, I haven't eaten any red meat in several months. I eat skinless chicken thighs (which really are pretty lean) and salmon, every day. And I was eating lots of EVOO, up until a couple of days ago, when my symptoms began bothering me again.
Yesterday was my first day on a strict low-fat paleo, with lots of fruit and very little starch (only the amount that's present in a ripe banana). Yesterday, I ate an apple, two pears, 2 ripe bananas, and about 100g of papaya. I was terribly bloated by the evening. And for most of the day, my LPR symptoms were quite uncomfortable. Fortunately, no choking or coughing, which I only get when I increase the fat too much. So there's something about the fruit that can trigger symptoms, if I eat too much. Could be the fiber, and/or the fructose (according to many IBS experts, and Robillard, fructose can cause a lot of gas and bloating, and that certainly seems to be my experience). But I don't think it's the small amount of starch in the ripe bananas.
My worst symptoms arise when I combine high-fat and high-fiber/high-fructose.
Most experts believe that high-fat foods can trigger GERD because they increase acid production and relax the LES. I tend to believe them. It agrees with my experience. But I've also read many accounts of people who have cured their GERD by going on a low-carb, high-fat diet. So I'm happy for you that you can eat certain high-fat foods and not experience symptoms. That's great!
Today I ate less fruit, and my symptoms are a bit milder. But still bothersome.
So, if you have time, I have several questions for you:
Does oil worsen your symptoms?
Do you eat apples, pears and other high-fructose fruit? Are you still eating a lot of fruit? Any problems there?
How about raw veggies -- do they worsen your symptoms?
Do you get bloated from too much fruit/veggies?
How many meals a day do you eat? Any snacking between meals, on fruit or whatever?
Do you use table salt? If so, would you say it's a lot of salt? There was a large study done a few years back that showed a link between table salt and GERD. Those who always used table salt had a 70% increased risk of GERD. That was the same level of risk as smoking. Those were the only two solid links they could find between diet/lifestyle and GERD. For the past several years, I've been eating lots of table salt at each meal. My blood pressure is pretty low, so I began using salt to try to bring it up a bit. I quit salt a few weeks ago. Back when I first started Cordain's version of the paleo diet, I never used salt (as he recommended). Perhaps the heavy table salt use is partly responsible for the GERD? Don't know.
I wouldn't be surprised if I had SIBO. I get so bloated from fructose. But I'm afraid to try antibiotics, because they might make the problem worse (I think Robillard recommends against taking them).
Thanks again. Sorry for the long post!