Dr Koftmans acid dropping cook book

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I am waiting for my copy of this book to be delivered.  I have been looking at the list of foods allowed in the induction diet.  It seems pretty strict but I can't see what you can spread on bread for my lunchtime sandwich.  Can anyone help.  If this way of eating really is the answer to Silent reflux then I find it appalling that gps and consultants don't know about the diet.  All my gp said was to avoid juice citrus fruit and tomatoes.  I would still be eating chocolate and other trigger foods.  Even so my diet is not as good as it might be.  I have to find some recipes which both my husband and I can eat or he will eat.  I don't want to be doing 2 separate meals.  We already have skimmed milk, wholemeal bread no white and plenty of fruit and veg.

Neither of us like fish so that leaves chicken only.  Can anyone suggest a non acid sauce that could be used with say chicken and rice.  Also what about roast dinner and roast potatoes and gravy suppose that is out as well.  Also I have asked this question before what about eating out am due to go out for my birthday end of October what do I order or should I not go.

We will go to an italian my favourite as the grandchildren like it.  I am dreading it as don't want to make the wrong choice.  Any advice?

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  • Posted

     I have been following Dr. Koufman's diet for over a year with great results. I am on the maintenance diet and have figured out my trigger foods.

    For sandwiches:

    I have provalone cheese, lettuce a bit of olive oil or mayonaise with whole meal bread for a sandwich.  Also, sliced turkey or chicken with whatever non acidic vegetables you like on a sandwich works for me.

    For pizza and pasta, I never ever eat red sauce.  I have pesto pizzas with goat cheese, mushrooms, red peppers, brocolli (all the non acidic vegetables).  You can't go too heavy on the pesto though because it cat get too fatty.  A little pesto goes a long way for flavor and goat cheese is naturally lower in fat than many other cheeses.

     

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    • Posted

      Hi Susan,  Thanks for your reply.  Your sandwich sounds good I normally have chicken or ham with lettuce or watercress on wholemeal bread mayonnaise sound a good idea instead of the usual lite  olive spread I use now.  I do like goats cheese and pesto but husband does not.  I assume you make your own pizza.  Are you still on any medication and what were you main symptoms.  I find it hard to know what my triggers are as I don't get heartburn main problems is the awful throat mucous which can go on for hours sometimes.
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    • Posted

      Libralady,

      I don't get heartburn either and my main problem is also throat mucus and excessive coughing caused by the irritating mucus.  I finally figured out that I can feel a little bit of reflux in my throat when I eat the wrong thing--no burning though.  I do make my own pizza but I've also found you can ask for tomato sauce free pizza at many places.  I don't take any medication.  The PPIs made me sick and the H2 blockers did not help.  I still have some throat mucus but it is much diminished and the coughing is gone (unless I cheat and eat badly).

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    • Posted

      I asked about medication because I am on omeprazole twice a day have been for 3 weeks but I don't want to continue on them for ever.  I have to take other medications for blood pressure thyroid and IBS plus paracetamol for OA.  At nearly 67 I don't want to take more than is really necessary. Have you raised the head of the bed.  I cannot do it with my bed so I have tried books under the mattress not sure if it is working except it is making my arthritis neck ache.  Am thinking of buying a wedge but concerned about that for the same reason.
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    My sister-in-law who has LPR and actually goes to Dr. Koufman has a wedge and says it helps.  I don't eat three hours before bed and that seems to work well enough for me to prevent most reflux from reaching my throat so, no, I don't have my bed elevated.  I don't take any meds for LPR except melatonin though I'm cutting back on that.  I think some people have to take meds though.  I have been pretty strict with my diet because I do not want to take those meds.  I have read that the PPIs can lead to osteoporosis and I already have that so no PPIs for me!
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    • Posted

      Thank you Susan,  I was thinking of buying a wedge but worried it would cause more pain in the neck as you are supposed to sleep straight with this arthritis.  I can't win can I.  I wake up each morning full of throat mucous some coughing and very dry mouth so I suppose I must be refluxing during the night do you think so?  I too eat 3 hours before bed.  I want to come off the PPIs as soon as possible because of the long term side effects.
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  • Posted

    Yes I have found sauces difficult. MY version of roast for family goes like this .Use very lean beef pot roast dry seal joint very little fat. Add root veggies ,carrot celery parsnip around joint and add Marigold veggie stock to pan and Thyme herbs. Slow oven cook for a couple of hours . Gravy thickened with a little cornflour. Served with mashed carrots and sweede and dry roasted  potatoes and parsnips with rosemary and a small spray of oil and a little salt only. No one complained at the changes it worked for them and I was able to eat small amount of beef with lots of veg. No onions garlic,black pepper and red wine as usual not the same but acceptable. This worked for me .Could do the same with chicken for a change.Need to experiment a bit . Its a bit of a chore but worth it to eat something tasty. Good luck.
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    • Posted

      Hello Thank you for your reply and your version of the roast.  I have not heard of marigold veggie stock.  Are you in the states? Not sure what would be the equivalent in the UK.  I hope someone will come up with a sauce for chicken.  As you say need to experiment.
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  • Posted

    Hi again Marigold organic vegetable boullion  dried in a tub .It is available here in England at supermarkets ,but I am sure there must be something similar in the states try a deli or health food shop for something similar hope you can find it. I have Koufmans book and it does give a lot of info but not may recipes for individual meals  which would be helpful as sometimes i need to make food seperate from my partner who likes his curries and chillies. I wish we had the equivalent in England not found one as good yet though.  
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    • Posted

      Hi again,  No sorry I am in the uk Greater London I though maybe you were in the states.  I will check the supermarkets.  I agree with you browsing through the book there is a lot of information but the recipes are for more than one and seem to have a lot of ingredients.  Like you my husband  although he does not really like hot or spicy food too much he stills wants what he likes so sometimes I have to do something separate for me.  
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  • Posted

    Hi again .As you say Its a nightmare trying to find meals we can both eat which is very little. What really annoys me is the fact the hospital that did my endoscopy told me to go to GP for medication but no info on the condition they found and no info on diet .if I hadnt contacted this site I would'nt have a clue. I am due back to see the consultant again post enndocscopy for results of biopsies and I will have words about lack of information. I am surprised they do not refer you to a nutritionist it would have been helpful.
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    • Posted

      Hi again to you,  I have had a good look through the acid dropping cook book and to be honest apart from the food lists I think you could find out most of what you want to know on line.  Looking at the recipes for me anyway there seem to be only 2 or 3 that I would like.  I am waiting for the akaline water to be delivered.  Funnily enoughtwhen I saw the councillor this week for my anxiety he said about seeing a dietician or similar.  I have not had any tests as you know.  I think my gp as nice as she is thinks it is just reflux and they hand out PPI's for it.  Just told to avoid citric fruit,tomatoes and juice.  Like you if I had not already been posting on this site for other health problems I would never have heard of LPR.  I am not sure the gp really knows either.  I go back on Monday for a check up.  Not sure if the PPi's are working, but it is a bit better. I

      will ask about tests but I get the feeling she does not think I need any.

      When I go to the surgery I try and hold back the mucus because I can't keep coughing and hacking it up there can I. So she probably thinks I am not too bad.  The trouble is she sees me for a few other things as well so it is always hard to ask everything.  She did mention a couple of weeks ago about maybe doing a barium swallow.  I wonder if that would upset my IBS.  It is not that I don't want tests and a diagnosis

      but I know I will work myself up about having them and results which won't help the LPR.  It is a vicious circle with this anxiety.  I am not sure whether to attempt the 2 week induction diet or just go to the maintenance straight away.  I am hoping the water will help.  Sorry to moan on but have a lot happening in the family as well.

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    hi again . Like you and probably others, we all have different problems beside this current one asnd sometimes i wonder how compatable our drugs are . I know my Blood pressure tab and my Lansoprizole are not good in long term use so i will be questioning this when i see the doc as i have various side effects from this new drug which i am not happy with  I find i cannot tolerate drugs well anyway so the sooner I stop these the better.Diet seems the way forward. I started on the first stage diet but have slowly introduced  more foods as i find ways to eat them. No easy task. I will definately not have another endoscopy as i reacted badly to it as like you I am very nervous and it made my BP go over the top .

    Many thanks for the best wishes fo next meet with Doc as i am worried about that too at the moment, just hope all goes well too.

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    • Posted

      Hello  Thanks for your reply.  I agree with once you start on the road of taking differerent drugs for various problems you do begin to wonder about interactions.   My gp herself said it is a balancing act and from what she said I gathered that they try to get the best combination but it  is not always ideal.  You mention blood pressure tablets you are not on Amlodipine are you or any other Calcium channel blocker type.  The reason I ask and sorry if I have asked this before as I forget who I've told.  I believe this was the beginning of my problem around 7 years ago when I first started taking it.  It caused very dry mouth and sinus and nasal problems I was ill for several weeks.  I did get better but it left me with some mild symptoms even had a sinus scan all clear.  I had a couple of sinus infections after colds in the following years requiring antibiotics.  I never connected it to the BP tablets at the time.  My symptoms were mild mostly nasal congestion sneezing fits which caused similar although short lived mucous in the throat which would last about 1/2 hours this of course was not every day.  It was only when I was looking into side effects of drugs and interactions that I found a lot of patients complaining about it and calling it a evil drug.  One of the rare side effects is rhinitis problems.  I have friends on it who are fine.

      My gp is considering changing it after I told her about it.  It has been banned in Holland as only fit for vets use.  Funnily my cat was on it before he died.  Sorry I have gone on too much you may not even be on it but when you read abour reflux silent or otherwise is does mention that Calcium channel blockers relax the spincter and can cause reflux.

      Yes anxiety is an awful thing to live with which I why I have been seeing a councillor.  Please let me know how you get on at the hospital.

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