In January/ February 2016 I started to get a bad taste in my mouth in the morning, hoarseness, a few instances of swallowing difficulty and occasional heartburn.
I first went to my PCP in March 2016 and he agreed it could be GERD and suggested an OTC PPI for a month. The meds helped with the bad taste and the heartburn, but nothing else. I experimented with stopping and starting the PPI. I also eliminated tomato, citrus, onion, mint, etc. I cut back to 1 cup of coffee per day. Nothing really helped with the hoarseness.
I went to an ENT last July and he confirmed the GERD diagnosis and had me continue with OTC PPI. I continued to read and experiment with a pillow wedge, no late evening snacks, etc. No real help. The ENT referred me to a gastroenterologist.
I bought Dr. Koufman's "Dropping Acid" book. I highly recommend it. She bases her advice on scientific evidence and clinical experience. She strongly recommends not drinking any type of soda - EVER. Her dietary advice is low fat, no fried foods, elimination of some high acid foods (at least initially) and avoidance of highly processed foods.
When I continued to have issues, I saw a gastroenterologist. He did an endoscopy and found I had gastritis (inflammation of the stomach lining) but no Barrett's. I was put on a prescription PPI in November and stayed on it until early April. Getting off PPI's can cause a rebound effect. I can attest to the fact that it is no fun! I also had an esophogram which showed a bit of reflux and a small hiatial hernia. There isn't much more the GI doc can do for me as most of my symptoms are in the throat/esophagus.
Since I continue to have symptoms and the bad taste has returned, I have decided to see another ENT. I read Dr. Aviv's "Acid Watcher" book. His book has similar advice as Koufman's. Although he seems to emphasize fiber a bit more. I just made an appointment with Dr. Aviv for later this month. ( I checked on Dr. Koufman and she does not take insurance!!
) . I am hoping to get some more answers. In the meantime, I'll continue to experiment with diet and lifestyle.
To those who are suffering with GERD/LPR, my research has lead me to conclude that reflux can seriously damage the esophagus, mouth, etc. The PPI's taken long term can cause osteoporosis and other issues. This is not something to take lightly.