Background: I have Crohn's Disease and on August 1, 2009 started eating ZC/VLC. I was pretty strict meat only for a month or two and then started adding in some dairy such as cheese and heavy cream. My goal was zero starch, zero fiber, zero carb, but I accepted the carbs that came along with cheese and cream as tolerable pragmatic concessions, even if lactose is probably a bad idea given my goals. Since early November I've been largely subsisting on a pasture-raised, grass-fed/finished cow I got from a local farmer.
Fast forward to Sunday, April 18, 2010. I'm driving home from a weekend of paintball in Virginia. I see a sign advertising cheap porterhouse steaks and force my convoy to stop. Turns out it was some sort of truck stop/meat buffet. Awesome. I ate a bunch of steak and some porkchops, and a couple of bites of some random meat from a stew.
Within hours I was burping like crazy, and by the next day swallowing anything but water hurt like a bitch. I ignored it for Monday but on Tuesday capitulated and went to a GP. They gave me a prescription for Nexium and referred me to a gastroenterologist nearby. The pain essentially disappeared in the next few days (I never did fill the Nexium prescription), but the constant burping after meals remained (and is still with me).
I ended up getting an endoscopy last week, and just got a phone call telling me that I have GERD and need to start taking Nexium right away. I'm going to make an appointment to talk face to face before I start doing that.
Presumably it's not possible to suddenly, magically get clinical GERD from one meal, so this must have been brewing for a while, with me either not noticing or ignoring the symptoms.
So after all that, my question is:
Has anyone else had GERD/Reflux get worse/appear on a high fat diet?
(I noticed another question on here referencing coconut oil specifically, but I have been strictly meat, eggs, butter and cheese with cream as a fat supplement for the past nine months.)
Editing this with some research/self-test findings, since there don't appear to be a lot of GERD topics on here.
1) If you have low stomach acid, taking HCl pills may help you. If you don't have low stomach acid, taking HCl pills makes you nauseous and gives you diarrhea. At least, that's my conclusion after three days of HCl therapy. Something wasn't right there. Listen to your body or convince your doctor to get a test!
2) Another approach, which has the benefit of an actual clinical trial, is to take 6mg of melatonin every night before bed. Dr. Eades attempted and failed to market a supplement based on these studies:
If you google around you can see some conversation about this elsewhere as well. I'm presently giving this a shot and so far so good. I'm burping a little less but it's very difficult to tell if I'm actually helping anything, since I wasn't very symptomatic to begin with. I'll probably have to wait until my next endoscopy.