u/HobokenJ

I've tried just about everything I can think of (well, everything others have thought of... I just followed instructions). Anyone have any success fixing this issue?

I've learned that my go-to toothpaste is a massive trigger for me--any recs for non-mint toothpaste (WITH flouride)? Thanks for your insights!

UPDATED 05/26: Been about three months since our last update, so let's see what's new at 224-226 Newark Ave...

1. Anytime Breakfast Burritos
2. Bad Ass BLTs
3. Bag-n-Which
4. Bedhead Burritos and Bowls
5. Bernie's BBQ (Dickie's arch rival)
6. Best Waffle Company
7. Big Bob's Bakers
8. Big Chomp Cheesesteaks
9. Big Deal Burger
10. Big Edna's Breakfast
11. BlackJack BBQ (place your bets, place your bets... on your health)
12. The Breakfast Spot
13. Breakfast Burritos and Bowls
14. Breakfast Beauties
15. Bunny and Ray's (good people)
16. The Burger Co.
17. Burger Blvd
18. BurgerDog
19. Burrito del Sol
20. Butterflake Breakfast Sandwiches
21. Cheesesteak Daddy
22. Chicken Sandwich Loft
23. Citrus Brew
24. Crust and Ember (Wait. What?)
25. Crispy Chick
26. Dawg Pound Hot Dogs
27. Daydream Breakfast Burritos
28. Del Sol Breakfast Burritos
29. Dickey's BBQ (hates Bernie)
30. Dixie's Diner
31. The Don's Deli
32. Eggy's Omlettes
33. Finger Lickn Chickn (great tagline--someone should trademark this)
34. Foxy's Fine Fries & Tots
35. The French Toaster
36. Fresh Seafood House (get the oysters!)
37. Fries Guyz* (*Updated from "Fry Guys," so kind of new)
38. Galaxy Burger Loom
39. Garbage Pizza (truth in advertising, finally!)
40. Golden Griddle Pancakes
41. The Grilled Cheese Spot
42. The Grilled Quesadilla Company
43. Handheld Heroes
44. High Burgers
45. Hot Skillets
46. Hot Wing House
47. In the Pocket*
48. Juicy Patty Perfection
49. Just Wing It
50. Knuckle Sandwiches
51. Leadoff Breakfast Burrito
52. Lofi Boba
53. Mac Mac Cheese
54. Meat & Heat Deli
55. Munchwrap Market
56. Neon Burger & Grill
57. Nonna's Pasta
58. Nonna's Table (I wonder if they serve Nonna's famous pasta?)
59. Olivia's Breakfast cafe
60. The Overboard Pita
61. PB & Jelly's
62. Panini Point
63. The Panini Press
64. The Patty Shack
65. Philly's Best Steak Co. Cheesesteaks
66. Philly Cheeze
67. The Pizza Obsession
68. Retro Revival Subs (awesome music)
69. Rocky's Cheesesteaks
70. Rotoli Stromboli
71. Salt & Rye
72. Sam's Scrumptious Subs
73. Sanford and Son Sandwiches (love the jingle as you enter!)
74. Saucy AF Pasta
75. Siesta Fries
76. Smash Shack Burger Bar
77. SmashCraft Burgers
78. South Dogs & Buns
79. Stuff'd Calzones
80. Sub Haus
81. Sunnyside Sammy's
82. That's a Wrap
83. Twisted Mac
84. The Usual (I never know what to order here...)
85. Village Wraps Snob
86. Wham-O Burger
87. Wingman
88. Wrap God
89. Yolk Theory

Note: It looks like they've changed up their approach at the ol' Paradise Deli--they've learned they should remove older fake brands as they add new ones, so only about 50 or so of these are currently active. If you find any I've missed, let me know and we'll add to the list. Enjoy!

Had an interesting conversation with a GI yesterday. The reason for my visit is recent worsening of LPR symptoms (I had seen an ENT back in January). A couple of things of note:

• He confirmed that the current thinking is LPR is usually caused by aerosolized pepsin, which makes it, in his words, "a lot more annoying to treat than typical GERD."
• Alkaline water is, in his words, "bullshit." There is no clinical data supporting any benefit in real-world settings. "The amount of time the water would have to sit in your larynx for it to have any effect? You'd drown." (He did say there's no harm in drinking it, and if you feel like you're getting relief, then go for it).
• PPIs aren't effective for LPR--H2s can be helpful for many people.
• Diet does indeed help (much less effective for GERD management). He said Aviv and Koufman's diets are essentially interchangeable--and you can only find what works for you through trial-and-error.
• He was a big fan of alginates in general, and Gaviscon Advance in particular.
• Raising the head of the bed can be helpful for a lot of people.

Now, none of this will come as news to anyone in this sub. But I actually found myself reassured that an actual doctor reinforced most of the tried-and-true approaches we all seem to try.

As for me, my next step is an endoscopy next month to rule out a hiatal hernia and to check for esophageal damage.

Edit: Added that he supported use of H2s (fomatidine) and raising the head of the bed.