Silent reflux I have no idea how to manage it.

Hi I went to the Dr a month ago as i was getting intense pressure in my throat and had a sore throat all of the time which has been going on since last December. She told me it may be gord and gave me nexium which really hasn't worked at all. It's not until I googled why isn't nexium working that I stumbled upon people with lerd who also have the same problem.

The thing is I don't know how to manage it? I've been reading about diet and there is such conflicting information. One person suggests alkalised water, another says there are side effects (without saying what they are) some say high fat no carbs, others say low fat and grains and I am at a total loss.

I haven't been able to eat anything without pressure in my throat and a raw feeling that come up to the back of my palate. Exercise exacerbates it (I'm a pilates instructor so I really need to exercise and use my voice). also too much liquid

I kept reading about how the liver, sibo and gut health in general can affect reflux has anyone had experience with this?

I've always had pretty lousy digestion. I had a blood test as a teenager that came up positive for the gene for coeliac but an endoscope came up negative. I was told I had IBS and I basically went through the next ten years just carrying imodium in my handbag. My digestion has actually improved since having kids since I eat a lot better now it's not fantastic, but not at all debilitating, except now for this! 

My liver function is also not amazing I have gilberts syndrome which gives me high levels of billirubin and pushed up my oestrogen but I am taking herbs for that.

If anyone can give me any advice I would be eternally grateful. I'm 33, I really thought stuff like this wouldn't creep up unitl after 40.

I am sorry for your troubles, personally if I was you I would go back to the Dr and ask to be referred to a gastro specialist even if you have to go through test again as much as it is horrible, they are the only one's who can give you a clear answer, it was interesting that you proved positive for coeliac, I think forums are helpful but has you said you get so many conflicting answers. Sorry I can't answer your question but I wish you good luck and hope you feel better soon and get some helpful answers.

Hi Sara,

There's such a lot of misinformation on the web, it's difficult sorting the facts from the fictions.

If you have reflux of acid, PPI drugs like Nexium will help reduce the acid but they won't reduce the reflux. That requires lifestyle modifications or surgery.

Diet does not help with acid hypersecretion (which is controlled by te brain) nor reflux (which is due to a malfunctioning lowe oesophageal sphicter) .

Forget anything about alkaline water, it is a hoax originated by bottled water companies in the States.

Visit the free book / website www DownWithAcid org uk for full advice on acid, reflux, complications and management. Or PM me an address and I'll send you a free printed copy.