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Carrie48
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Date Joined Mar 2010
Total Posts : 638
   Posted 2/29/2012 2:57 PM (GMT -6)   
I see there is another thread on this but I wanted to introduce myself and ask for opinions:
 
I know for sure that I am allergic to sulfa drugs...I had a rash years ago and have avoided them.  Until recently, I have been able to eat anything including eggs, onions, garlic, etc.  I have been on antibiotics for over a year now and after a short stint on a very powerfull one (Flaygl), I have developed on onset of acid reflux and bad nasal drip, especially in the mornings. I am using my nettie pot each morning.
 
Anyway, I noticed a couple of weeks ago that I had a bad flair-up in my sinus issues after eating a couple of eggs.  I'd noticed that a few days prior that that episode, but really didn't think much of it.
 
Then, last night, I had grilled chicken with garlic salt and pepper, broccoli and brown rice.  After finished eating, I felt like my throat was slightly swollen and then about an hour later, I developed a lump feeling in my throat that I'm still dealing with off and on today. 
 
I did an allergy test in 2010 that showed a slight allergy to garlic and onion.
 
I guess my question is...I'm wondering if my reflux is related to the foods that I am eating.  I saw that Alcie (?) complained of reflux after eating these kinds of foods.  I hope that she will chime in here.
 
Also, in researching, I see that Kale is high in sulphur too.  I have been eating Kale salads for lunch everyday for a couple of weeks now. And, what about broccoli and cabbage.  I eat a lot of that too.
 
Could this reflux be an allergy to these foods?  I'm taking Prilosec and Zantac but they are only helping mildly.  And why all the sudden would I be so sensitive to these foods.
 
Thanks for listening and for your advice.

Alcie
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Date Joined Oct 2009
Total Posts : 4984
   Posted 2/29/2012 4:41 PM (GMT -6)   
Hi Carrie, welcome to the forum. 
I'm glad you started your own thread in addition to reading others.
 
The only way you can be sure of a sulfite allergy is to keep a food diary (food log, journal, etc.)  That will give you the general foods that cause you problems.  Then you have to break down the foods into the components. 
 
Even after identifying foods, you can have a sensitivity to textures.  I am starting to note my esophagus rebels at dry foods, probably because I don't make enough saliva, which is because of meds I take.
Garlic, and especially onion, have sulfite naturally.  Pepper has some because of the way the peppercorns are roasted.
 
Broccoli has .47 ppm, cauliflower .3, cabbage .35, eggs about 1 ppm, according to Rick's table in his book on paper.  I didn't easily find garlic salt or kale, but they're sure to be somewhere.  If you go to his website and read the free online book, there is a formula for calculating the amount of sulfite from the weight of what you ate.  http://www.learningtarget.com/nosulfites/index.htm
For a guestimate:  weight of food in grams x parts per million = micrograms of sulfite
Read the book for a better understanding.  I tolerate about 2000 micrograms a day, which is not bad.   
 
Sulfa drugs are not a problem for me, but they are for may who are intolerant or allergic to sulfites.  Since you have a throat closing problem, I hope you are not in the category of true allergy. 
 
If it were me having what I thought was a true allergy I'd take a Benadryl or half an Alevert.  But I'm not a doctor, so I am not telling you what to do.  If I had a life threatening condition I would certainly go, and have gone, to an ER!
 
If you can find an experienced allergist, one who believes in sulfite sensitivity, it would be a good idea to see if you have allergies (scratch test) to any foods.  I know I have allergies to sunflower seeds, some pollens, dust ...  Allergies can come and go.  I feel lots better when mine are controlled with weekly shots. Too bad there isn't a shot for sulfites!  Or sunflower seeds!  My allergist was the one who got me keeping the food journal.
 
There has to be some other problem if you are also having trouble with reflux.  If your LES (lower esophageal sphincter) closes appropriately you can't get stomach fluids into your esophagus.  I'd see a gastroenterologist, and I did.  I had a small problem, but controlled the acid with medication for many years.  I found that sulfites "triggered" my stomach into heaving, forcing contents into my esophagus.  As long as it was not acid I didn't have a problem.  I stopped eating snacks at night slept propped up a little, and didn't even have nighttime problems. [After getting things under good control I was in an accident which forced my stomach into my chest.  Then I needed the surgery.]   You might ask your gastro doc about changing to another PPI.  I only had good luck with Nexium and one other.  The OTCs were not long enough lasting.
 
I still have heaving (what I call refluxing) of my stomach if I eat too much trigger foods.  The contents can't come up, but my other reaction, tachycardia, still occurs, and it's dangerous.  I don't need acid reducers anymore, but don't recommend the surgery unless it's necessary.  The surgery does nothing to cure sulfite sensitivity!

Carrie48
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Date Joined Mar 2010
Total Posts : 638
   Posted 2/29/2012 5:10 PM (GMT -6)   
Alcie

thank you. I know for sure that my LES is loose because I had an endoscopy 10 years ago. My gallbladder was acting up (although I didn't know it was that at the time) and I had horrible acid reflux. With reglan, I got it under control. No problems with acid reflux AT ALL until 3 years ago when all the sudden horrible acid reflux again. Had another endo...LES still very loose but turns out it was my gallbladder. Had it removed, acid reflux went away until last month after the Antibiotics and a bad cold.

So, I think that because I know I've had a loose LES for at least 10 years and have not had problems with acid that something else is triggering this acid reflux for me. Maybe I've developed some kind of yeast issue or something because of the year long ABX treatment (for lyme)...I don't know....

ughh....so frustrating!

Alcie. Do you think that I will have this problem with acid reflux forever. I get so scared when I get on the forums and read what people go through on a daily basis with this stuff. It makes me worry that I will have this for forever. Or...do you think something is triggering this for me and that once I get it under control, it will stay that way?

Advice and honest opinions please!!! :) Thank you!!!
DX with Lyme and Erlichosis in January 2010. January-August: Biaxin and Amoxicillian. September 2011 - ? on Rifampin and Zithromax. Symtpoms mostly neuro and have 20 small lesions on brain.

Carrie48
Veteran Member


Date Joined Mar 2010
Total Posts : 638
   Posted 2/29/2012 5:33 PM (GMT -6)   
I eat at least a half an avocado every day. I confused on avocados. Are they high in the bad kind of sulfur?
DX with Lyme and Erlichosis in January 2010. January-August: Biaxin and Amoxicillian. September 2011 - ? on Rifampin and Zithromax. Symtpoms mostly neuro and have 20 small lesions on brain.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 4984
   Posted 2/29/2012 8:17 PM (GMT -6)   
Carrie

I have no problem with avocados, but don't eat them prepared with anything! They can be kept green with lemon juice, but bottled lemon juice is loaded with sulfites. Frozen lemon juice is clean. Don't worry about salad greens. Skip the botled dressings and opt for a little oil and vinegar - just not balsamic! Rice vinegar is clean. Make your own dressing.

It's my understanding reflux often occurs with a loose LES. I don't know how they could tell it's loose on endoscopy unless you were awake and not sedated. It can be seen on barium swallow though. Your gallbladder has little to do with your LES, but could cause loads of pain, etc. All sorts of meds loosen the LES. I wouldn't blame any of this on yeast. I use a probiotic now and then to make sure my gut has normal flora. Since my stomach surgery food may not stay in the acid long enough to kill off bad bugs.

Worsening of a hiatal hernia can cause reflux to get worse. A barium swallow can show this also.

People on forums often have the worst problems, also the worst outcomes for treatment. That said, doctors tend to minimize our pain, other problems, and side effects of treatments. My opinion, no studies I know of. I'm one of those people.

If you think you might be able to connect your reflux episodes with eating or drinking or meds, try keeping a journal for a month or two. Write down everything you eat or drink, meds, times, your reactions. Stomach reactions can be immediate or take a couple of hours. Migraines can be up to 2 days after eating the offending food. A puff of an albuterol inhaler gave me a tachycardia reaction somewhere between 6 and 8 hours later.

I got rid of my reflux symptoms for a long time when I used Nexium and avoided my food triggers. My GI doc didn't believe me, but I was fine. I wouldn't have done anything else if I hadn't had the life-changing accident that gave me a GPEH (giant paraesophageal hernia). My tachycardia symptoms went away with the reflux symptoms too. Food intolerances and allergies can affect more than one body part. Some people get hives, some reflux. My grandson had a reaction to a piece of chicken that had been commercially battered then cooked. I suspect paprika. Don't necessarily expect to come up with sulfite. Keep the diary and solve the puzzle!

It's Genetic
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Date Joined Mar 2010
Total Posts : 1540
   Posted 2/29/2012 10:05 PM (GMT -6)   
I would suggest doing some research on foods high in thiols and then add to that more information regarding a trace mineral called molybdenum. It has been recommended for people sensitive to sulfites and foods high in thiols by some researchers--scientists.

It's Genetic
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