LPR/Silent Reflux - desperately in need of a miracle. Has anyone recovered from this?

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Hi - I'll be as brief as possible. For almost a year I have had symptoms which have worsened, starting with throat clearing and progressing to regular spiting out of white, frothy stuff, post nasal drip, lump in throat or sharp sensation, streaming or blocked nose and hoarseness. These are all unpleasant and irritating but because I talk for a living my work is becoming badly affected so it is now making me depressed and anxious as well. I was referred to ENT, had the camera up the nose and down the throat to rule out anything sinister and was given Omeprazole and Gaviscon Advance. No advice, no explanation. I had to find it all out myself. (and I'm not confident/assertive with docs, either).

The drugs haven't helped, I'd go so far as to say the reflux significantly worsened. I had faith in the Gaviscon Advance having read how it works but that hasn't made any difference either. I have monitored everything I eat and drink and can't find anything that triggers it with the possible exception of bread, and I may be grasping at straws there. Certainly coffee, alcohol, spicy food etc don't trigger it and ginger, acidophillus, apple cider vinegar don't help. It does seem to be cyclical - I'll have a week or so of decreased symptoms then it gradally works up again to two or 3 weeks of hell. No heartburn, and the reflux is almost always upright, no problems sleeping...just the other 17 hours a day! The ENT was brusque on my return visit and said that, aside from speech therapy, there was nothing more he could do for me. This can't go on, though. At it's worst it makes me tearful and desperate at work and speech therapy isn't going to stop me spitting up into a whole toilet roll each day, or reduce the other symptoms. I'm also worried my teeth will rot and I fear for my job. Has anyone experienced this with the same pattern/lack of triggers etc? I would love to hear any positive experiences that don't just repeat the same old same old, ie, raise the bed 6 inches, dos and donts with food etc.

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  • Posted

    Hi all,

    I'm having the LPR for sometimes. Really I was struggling to manage. I came throught literature that focused on the following directions to manage reflux consequences.

    1. Adopting proper life style, for example the last meal is consumed at least two hours befor going to sleep. Raise you bed's head about 2 inches (7 cm).

    2. Consume medication that prohibit too much acid production in the stomach OR Gaviscon to prevent the acid to rise to throught and neutralise the acid in the stomach. But it is widely known any pharnmacological intervention has side effec, unfortunately.

    3. Consume alkaline diet and, reduce spicy and tomato based food.

    4. Drink alkaline water.

    LAST BUT MOST IMPORTANT there is strong scientific recomndation to strength Hiatus Hernia that regulates food pasage from oesophagus (the tube that carries food to the stomach) to stomach. hiatus Hernia can be trained and strengthened by strengthing the diaphagma (the huge shhet of muscle that separate the abdominal  cavity from chest cavity) by breating exercise. The later is easy and one can do it when ever wants. It is called belly breathing exercise. You need move the diaphragma musclu when breathing (controlled breating) that mean your abdominal cavity should raise when you breathing in and falls when breathing out. This mean you chest cavity should not incorparated in this kind of controlled breathing excercise. Researtch concluding say that 8-week belly excercise fount to be the most beneficial and very promising approach to manage reflux.

    Hope this help

  • Posted

    I have had it for about 3years I have asked Dr but no help I sleep on a wedge. I am so scared of getting cancer in my throat don't know what to do .
    • Posted

      Been on this for a year now and like you Penny. I'm worried about that same thing.

    • Posted

      Penny i feel the same way, i swallow all day. Its horrible.. Its like its draining me. I want my life back. So depressed
  • Posted

    I have stumbled on this thread a year ago, now still  on a daily dose of 20mg raberprazole every morning. I'm wondering how is Alex doing right now?

  • Posted

    Alex are you still cured from the alkaline water, if so what brand did you get
  • Posted

    It is the same with me sometimes it will go away. And out of the blue it will come back.

    It is just so wierd. and you want to know why me.

  • Posted

    i .

    I have recently been under loads of stress and grieving. I lost my baby at 27 weeks he was born sleeping :-( 27th January. So since then I have had a lump feeling in my throat started to get worse. ( every day )The past 2 weeks or so this feeling as moved onto my chest In between my boobs . Feels like I got food stuck And it travels up and down . I don't get burning but just feels really uncomfortable. I also have symptoms tingling tongue /roof of my mouth/feels like my throat glands are swollen but they not. Really uncomfortable. sometimes I'll get a metal taste is my mouth . Taste abit like blood . My doctor first said I had globus sensation when I just had the lump in my throat ........ From suffering from bad health anxiety and depression I just got told to get a life from a nurse . By the way this is after 3 weeks of losing my baby boy !!!!! Absolutely disgusting How I've been treated. So I seen another doctor last week she said it could be acid reflux and referred me to ENT and gave me tablets. I have this feeling all day every day. Not had a break and could really do with my body going back to normal . Really struggling with this as I think I have some serious illness ( like cancer ovs that's the anxiety side ) but can't help but feel that way , want my baby too xxx so please can someone help me on what to do if it is or sounds like reflux to you xx many thanks

    • Posted

      I have the same issue, throat swollen, acid rising in my throat. Scared i have cancer too. The dr gave me zantac and omeperazole
    • Posted

      Yeah I've been put on omeprazole take one a day at morning but hasn't took effect yet but still early days also take Rennie helps a little ........ Horrible feeling. All the doctor says is I'm to young to get cancer of the throat etc etc Because I'm only 26 . That's a load of CRAP :-( my doctors are useless but just found a lovely doctor that listens and wants to help . Horrible feeling scared about your health . My mouth feels tingling tongue and roof of my mouth . I look it up and just scare. You even more because everything is cancer . that doesn't help with my anxiety makes things worse .
    • Posted

      Yes, this is so true. I am so depressed now. Swallowing acid all day is awful. I know its burning my throat and esophagus. I cant keep going on like this everyday. Something has to change. I search the internet, scared of what i read. Does this ever end and if so who has been cured.
  • Posted

    my husband was diagnosed with LPR.  I think he has had it for at leadt 4 years.  does this mean he has throwt cancer? He has a CT scan and ecdoscopy on the 10 of April.  I am really scared.  I cant talk to him about it because he tells me not to worry!  I am very worried.  thanks all
  • Posted

    Well I will try to be as brief as I can but the amount of people presenting these symptoms receiving the same textbook diagnosis is both alarming but also makes me feel like I'm not the only one suffering. I'm Alex. And I''m also anxious.

    Past two years I have been suffering from the constant throt clearing, post nasal drip, thick white/clear mucus with literal tensile strength. It was relentless and I couldn't even explain to these doctors (At least 8) the amount of anxiety and panic I received from this constant affliction. Its literally exhausting.

    Let me say I am not cured but have recently been researching underlying causes of our symptoms. Yes, the result may present as LPR but untl you attack the root cause we will never be rid of this affliction. Two words : Candida Albicans. No doubt in my mind that is the primary cause of our symptoms. Almost always someone was sick / put on broad spectrum antibiotics for sinus infection or something. Anything to disturb the balance of the delicate ecosystem inside us gives the opportunistic candida its chance to colonize. Other contributors can be long time steroidal use for asthma (for me I abused Afrin for two years). When we cease these treatments / clear our body of both the good and bad bacteria its left vulnerable to candida. 

    Heres the big problem : CANDIDA is a smart b*stard. Although, its practically unrecognized in the medical realm candida can actually evolve in order to continue thriving. Has this entity ever seemed to change its M.O. after a brief recess w a misguided treatment?

    Moreover when we let this beast grow and grow inside us undiagnosed even strengthened by antibotic treatment...it can spread from the sinuses to the esophagus or vice versa. When we refer to mucus, I think its a misnomer. Google BIOFILMS. It was a revelation. The candida once strong enough begins to build a strong protective layer of slime comprised of nutrients our body needs and also other bacterial pathogens. It also protects the candida from anti fungal treatment. So there are many methods to breaking down the biofilm and only then can you attack the colonization at its source. I'm in the process of some enzyme supplements that can aid in this. Hardest part is we cant FEED the beast. Sugars, Carbs, its its life source. Thats why certain foods seem to get "stuck in your throat". This is extremely hard to stick to but obvi gluten free items are on the uptick. Sugar is omnipresent and yeasts best friend tho and thats why we seem to crave it so much. I'm currently in the early stages of breaking down the biofilm with enzymes and other supplements and then hope an anti fungal will work along with diet

    Finally, after many years of unsuccesfully trying to clear this "mucus" from my sinuses and throat with NetiPots and all that crap I realized something. Our sinuses arent the problem. Again they merely present symptoms as such because it has to go somewhere. I became obsessed. My nose could seemingly be clear but turn the wrong way and its there again. Where was it hiding in my god damn face? The answer IMO was another unacknowledged aspect by doctors : THE NASOPHARYNX. (see pic) To me it seems sinus cleansing methods only get the tip of the iceberg and dont do well in clearing this forgotten pocket. Let me tell you when I used my common sense to try and get to it by this method : Putting saline mixture in my mouth then with tongue arched tilt your head downward and push your tongue along the roof of your mouth until the fluid reaches the designated area.  Its basically like laughing and milk comes out your nose. What comes out of ur nose will startle you. Waterfalls. Now this actually freaked me out because if the intense volume of biofilm/mucus but i could literally feel it coming along the back of your throat. You may even pseudo-burp - if anyone knows that feeling when their vocal cord esophageal area is temporaily cleared. This hasnt helped me stop the rapid re growth of the stuff but for those days when seemingly no cleanse can reach the area this will work in loosening the crap. Can also be reached by tilting head almost downward tucking it towards your stomach spraying saline while inhaling. It is not a cure. I am not cured but I'll be damned it if didnt give me some relief knowing I could get to it and bust it up anytime I wanted. The anxiety comes when its back the next day but I'm working in that. Keep ur heads up - literally - ever feel like when you bend down to pick something up the mucus comes rushing out. It makes sense considering our anatomy. Hope this helps. 

    • Posted

      You are so right Alex, i thought if id take a yeast infection pill id be cured. My last dose of antibiotics gave me so much gas, i had to eat a tremendous amount of yogurt, but after that came the lpr. I am trying to get to the root of the problem myself. This has just robbed me of my life. I am very depressed
    • Posted

      I have suffered from chronic LPR type symtoms for over 3 years now - spent a small fortune on a variety of different treatments for acid reflux, some helped, some didn't.  Endoscopies and other tests all came back normal.  More recently my reflux issues have improved - I have significantly cut back on gluten as my boyfriend who now lives with me is gluten intolerant and I've found this has made things more manageable.  My issues started with a virus sinus type infection that lasted over 2 weeks and 2 courses of antibiotics left me with permanent reflux problems.

      I have now decided to try the candida diet as whilst my reflux has improved, I have been suffering with severe chronic pain in all my joints for the last 3 months which my GP just gives me tramadol for and it hardly takes the edge off.  I have been referred to rheumatology but still waiting on an appointment.  It is seriously affecting my life, I am struggling at work and due to the pain and don't want to be hooked on pain meds but cannot afford to give up work.  I suspect my reflux and chronic pain are linked, blood tests for arthritis have come back negative but I have heard of many joint problems including hypermobility syndrome which can cause reflux issues.  I am hoping that following the candida diet will improve my pain levels and give me some kind of life back.  I will keep you posted!

    • Posted

      Hi Alex

      Thank you so much. I did read somewhere on another forum about someone being completely cured after taking high dose probiotics.

      This is such a nightmare - I am nearly at the 3 year mark, had the nissen and feel 10 times worse. Struggle to do anything most days. Seen dozens of doctors/consultants (none of which seem to have a damn clue. Its almost like you've had the op so you must be ok now).

      I remember just before this started I took a course of antibiotics (for what I thought was a sinus infection). I had not had this type before and I remember having chronic stomach pain while I was taking them.

      I have also been suffering from really smelly flatulence (sorry smile. This could all make sense. Bit like a blocked sink. Once you get rid of the blockage everything runs away OK.

    • Posted

      I think its been about 3 years for me too. I get so discouraged. The only medical professional that took me seriously was a dentist who could see the residual effect. Actually thought it was eroding my teeth. The rest stick a scope in and say doesnt look that bad. I can't convey to them that its because I havent gone 2 minutes without clearing my throat or blowing my nose. How it dominates my life. Or sit there for an hour coughing into my hand going "see look at this stuff. its ridiculous". They are Totally dismissive like get over it you have a stuffy nose? Could be way worse. And I want to scream that for me RIGHT NOW this is literally the worst thing in my life. This morning was brutal but I could handle that if I had to clear my sinuses as part of my wake up routine. Only if it wasn't back within minutes and equally brutal the rest of the day. I've forgotten what it's like to just wake up and be normal. I'm embarassed going to and at work - constantly clearing my throat / hacking up this glue. Lost a lot of self esteem. Don't even bother talking to women anymore even though I'm single and 28 because I know I wont even be able to get thru a conversation without it being an issue. Let alone the long term - i disgust myself god knows what a stranger would think. 

      Amazing how the common denominator amongst almost all of us was antibiotics probably when we didnt need them. At a certain point I think our internal balance of good flora becomes critically compromised and without replenishment opportunistic pathogens take over. That said I think probiotics are a good idea regardless. Although many are inferior. Always get the ones kept refrigerated. Anything on a shelf is freeze dried and these are supposed to be live cultures. They helped me but once again did not rid me of this daily struggle.

    • Posted

      Ah see I too was fooled by the lure of probiotic yogurt. Until you read the back and see its got as much sugar as a soda! I was huffing that stuff down too then one day I saw an alert posting on a forum like this and realized I was putting in my body most likely minimal amounts of probiotic (naturally found in yogurt) versus feeding the yeast beast large doses of its favorite food. Like adding fuel to a fire. Could have inadvertently exacerbated the imbalance.
    • Posted

      Can you or anyone else on this forum recommend some probiotics?  I've tried a few over the years but sure they are inferior.  Not got wads of cash but would like to at least find a decent probiotic to use daily.  Not really sure what I should be looking for
    • Posted

      I believe it will. I have noticed candida overgrowth manifesting itself in many ways all around the body. Personally, I developed psoriasis around my scalp brow area that when inflamed you could literally trace my sinuses along its track. So perhaps look into the possibility of it being PSORIATIC ARTHITIS. Maybe that would show up differently in a blood test. Essentially the same thing only under the skin affecting joints and bones etc. My mother has severe rheaumatoid arthitis but some days her pain would be unmanageable for no reason. Until we realized it may be diet related. Cerain no-no foods on the candida list clearly correlated to her being in more pain. Just a thought. Having a partner to go gluten free I would imagine is much easier to stay regimented. And start considering yourself gluten intolertant for the time being as well. At least until you can feel results

      PS - Tramadol is absolute garbage. Having too much... experience in the opiate world I can tell you it trips some weird sensors in your brain. Its known to cause seizures and it doesnt relieve pain whatsoever. If you are truly in pain there is no shame in getting thru the day with lower grade meds like Codeine or Vicodin. If you arent abusing it you can ween off at any time without much withdrawal to fear. 

    • Posted

      Hi

      I just got some 30 billion/capsule. They were quite expensive (£18 for a months supply). They have 6 different strains in them. Incidentally I did the candida test the other morning and if the test is accurate (which it is supposed to be) I have loads of candida. This may tie in with the gas.

      My biggest issue is breathing which seems to be a throat issue. I know this condition can cause problems with your vocal cords etc. I'm getting to the point I shall be off to A & E soon. Unfortunately as the so called experts don;t know what to do - I'm not sure that a visit to hospital would do any good smile

    • Posted

      Your post intrigued me, Moonbuggy... I am having more and more breathing problems and throat issues. But I can't find much on my throat issue.. What is yours?  Mine almost seems like is a burning at the very bottom of my throat. like windpipe area. It sometimes burns there when I take a deep breath, but other times doesn't - I wake  up worse. I know I don't snore and I am not a mouth breather. I remember back in the spring, summer and fall when I would feel a bubbly/acid feeling. it would alsmost seem like it was there
    • Posted

      I've tried codeine and paracetamol.  They have no effect whatsoever.  The best thing I was ever given was a low dose of stimulant but that was stopped in the UK due to addiction potential.  I work in a a drug counselling service so am aware of the issues with stronger opiate type drugs and would rather avoid them at least on a daily basis when they don't make significant difference.  Hence I'm trying alternatives like gluten free, pro-biotics, I do find magnesium and 5htp are both great for moderate pain and fatigue but not when it's severe and no side effects unlike anti-depressants which GP prescribed not for depression but pain and fatigue did nothing for.  Interestingly I have suffered fro psorisis of the skin for years although it doesn't bother me these days it does suggest my symptoms are all related.  I know I have hypermobile joints and there is a syndrome of this which can cause chronic pain, fatigue, inflammation, digestive issues and reflux amonst other symptoms so maybe it is all connected. 

       

    • Posted

      Where did you get the candida test?  I'd be interested in looking at this as many of my symtoms suggest I could have this as an issue ie fatigue, ongoing reflux issues, stomach aches, joint pain and skin problems.  Think I should look into intolerance and allergy testing also but GP won't refer me for such tests and having spent a small fortune on so many different things to try and resolve some of my issues, money is tight.  I really wish GPs would rule out potential problems rather than just treating us with PPIs and pain meds without knowing the cause of the symptoms and in my case making things worse rather than better
    • Posted

      Hi Alex

      My reflux always seems to be in my throat (albeit non acidic). It's not acid type reflux. I had the pepsin test done a while back and my levels were off the scale. The company who did the test said my problem is non acid reflux. My sypmtoms almost feel like my throat is closing. It's like I'm breathing in but not getting air past my throat. My voice is croaky too. The ENT people scoped my throat a few months ago and said it was red (like I didn't already know that). I know it can cause things like vocal cord dysfunction/vocal cord paralysis. 

    • Posted

      Cheers moonbuggy I'll give that a try tomorrow morning.
    • Posted

      Mine too is non acidic but omnipresent and got the same stupid response from ENT docs. Like yea of course its red I've been coughing for two years. Personally I think "Silent Reflux" is a cop out by the medical world in failing to identify the true causes of our affliction. Anatomy wise it seems to fall somewhere between a gastro & ENT and reflux is the easiest answer to give. I think its actually the reverse and we developed fungal overgrowths in our sinuses which are hospitable to them (humid,moist,protected). I think the lack of diagnosis of such allowed it to build and grow. Eventually the constant hocking down the back of our throat and post nasal drip leads it to your esophagus and stomach and eventually its can become systemic. Sometimes I can't tell whether what I bring up is coming from up or down. I don't think its neccesarily acid or reflux at all. But more so picture a long strand originating not from the stomach but the uppeR sinus region. Running down the back of our throats interfering with swallowing and eating. When we cough it comes flying out as if it was dangling. Im convinced LPR is WAY over diagnosed. Look at us all prescribed to Nexium type meds doing nothing. I dont know if you saw the small pic i linked in original post but truly look at our Upper respiratory and the pharynx which is divided into three ( Nasopharynx , Oroparynx, Laryngeal Pharynx). Now those ARE the pipes that I think are rife with colonization. And when trying to get air to your lungs it runs into that gooey dangling wall. When we eat I feel like food runs into the same blob. And latches onto it like velcro (especially anti-candida no-nos) bringing it down into the esophagus. I really dont think the majority of us have LPR. Ive never had reflux issues in my life. Its hard to convey how I clear myself out but once it gets moving I feel like those magicians that keep pulling knotted hankerchiefs out of their mouth. If you are up for it try the method I desribed in OP to clear out the upper areas and you will probably be shocked at what comes out when you hit the target directly. You want to basically let gravity do the work to reach the nasopharynx by tilting head down with mouthful of water and allowing it to empty by kinda half swallowing to let it "go the wrong way" and reach the pharynx. Let me know if anybody tries it. Feels weird the first time
    • Posted

      Hi Alex

      I think you have made a good point. I feel like screaming - why the hell doesn't anybody know what is wrong with us.

      Mine started with blocked ears,  stuffy nose and throat clearing. My respiratory system feels like its full of cotton wool. I've been round to ENT, GI back to ENT. On Omeprazole /off omeprazole - round and round. I did get diagnosed with reflux eventually. After making my GI surgeons life hell - he did the nissen which turned out to be a big mistake. After seeing other docs they now reckon that it wasn't reflux in the first place or the op would have worked to some degree- great!!

      I've been asking for food testing (been refused) asked for tests to see if I had some bacterial overgrowth (refused). I dont even think I will follow up on any more hospital visits.

      After your last post I filled in an online form to see if you have candida. My score was off the scale. I have said all along that it is something silly that everyone is overlooking. This would explain why all our tests seem to come back negative - then of course we get fobbed off with a paracetamol or a script for diazepam!!!! I try and look at things logically. I did mention in an earlier post I used the example of a blocked sink. Until the blockage is removed everything will back up the system. Having said that I agree with you. I'm not sure whether the thick goo is coming up or going down. I just want to feel healthy again not like I'm dying slowly smile

    • Posted

      Hi Alex

      Just spent 20mins typing and my reply is waiting to be checked smile

      In a nutshell - I agree with you (not sure if it is coming up or down). I've been going round and round for 3 years GI/ENT/GI and still struggling. All started with blocked nose/ears and thick stuff in throat. It has to be something stupid. Definately going to persue the candida

    • Posted

      Everyone is different what worked for you may not work for the next person, Of course the odds are in favor of anyone that is thin and doesn't sit around. There is nothing wrong with looking for a quick fix.  You don't have to be so crabby with everyone, If you had a bad day go to bed and get some sleep
    • Posted

      I am and always have been underweight and until recently was very fit.

      This forum is for people to help each other - so not sure why you have posted. As Debra says - everyone is different

    • Posted

      You were on these forums 7 months ago and upset a lot of people then seeming to think you have the answers to everyone's problems and striking down as ridiculous for suggesting that their symptoms were not what they say they were.  As stated at the time by myself and many others, we are all different, many of us are not overweight and until being struck with this vicious disease I had good levels of fitness hill walking every weekend and regular trips to the gym, it is however difficult to stick to fitness levels when you are struggling to breathe.  The world is not black and white, there are many grey areas and a lot of us don't fit into your answers. Please stop upsetting people with solutions that don't work for everyone, we are all here to help each other and suggest things that have helped which may or may not help others.  If it is candida then it is far from an easy answer anyway as the diet is quite restrictive, but having tried just about everything else I am prepared to give it a go.  People on these forums need to have an open mind about the various symptoms and causes, not be spoken to as if we are all stupid. 
    • Posted

      Well did test and it didn't stay on the top so that definately points to Candida.  I always suspected I had a candida issue due to recurrent thrush issues a few years back which meds from the Dr didn't help but caprylic acid removed the problem but clearly I still have the issue in other parts of my body.  Think I'll struggle in next couple months to stick to a strict candida diet due to work and social commitments but am definately going to try and pay more attention to what I am eating and take probiotics and start taking my magnesium calcium and caprylic acid tablets again as find magnesium and calcium help my chronic pain and bones and caprylic acid found in coconut oil but available in supplement form is a potent anti-fungal that kills candida cells and restores stomach acidity.
    • Posted

      Regarding the candida "spit test" users may also wish to Google candida spit test hoax. Below is one quote.

      There is a fake “test for Candida” circulating in the internet called the spit test.  Supposedly, first thing in the morning, you are to spit into a glass of water.  If after several minutes there are stringy tendrils going down into the water, then you supposedly have a yeast infection.  The truth is that if your mucus is thick, it will form these tendrils; it has nothing to do with yeast – and your mucus will be thicker if you are dehydrated with a dry mouth (as most people are first thing in the morning.

    • Posted

      And don't forget most important part is the biofilm that forms around any pathogenic colonization. Fungal bacterial or viral. Thats science not hocus pocus. I wouldnt take magnesium as they tend to use the heavy metals from our bodies i.e. magnesium,clacium,iron -  to the point where we will be deficient in those areas. But taking a supplement now again is just ading in its survival. The clear slime is the biofilm. The white foamy base within it is the yeast
    • Posted

      I have deleted a few comments from this discussion. If you do not agree with what someone posts just ignore the post and let other users discuss amongst themselves whether you believe in it or not. If someone does post a reply that causes offence use the Report link to let me know. Replying with personal insults and name calling is against the T&Cs and can result in accounts being deactivated. I do not read every post in these forums so I will not be aware of problems unless users let me know.

      Regards,

      Alan

    • Posted

      hey Purdie,

      Same here with joint pain. In fact, It might be caused by your gluten intolerance. One of my friends could improve his joint pain and muscular tension when he got tested and started a gluten free diet...

       

    • Posted

      Hi Sonya

      I'm completely gluten free now as my boyfriend is gluten intolerant.  It has helped but I'm finding that cutting out sugar is more effective so I'm thinking it may be more related to candida albicans as if I go out for a meal and eat something that could potentially have sugar in in, my symptoms worsen.  It's a very restrictive diet with no gluten or sugar but I'm hoping to do it for a few months to get my pain and reflux under control then allow myself treats on holidays etc and detox when I get back because otherwise it's not much of a life socially.

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