Silent reflux, or laryngopharyngeal reflux (LPR), can indeed be quite troubling and it requires a holistic approach to manage it, particularly in light of your gallbladder removal. From a Siddha-Ayurvedic perspective, silent reflux often indicates an imbalance in the digestive fire or Agni, and may also involve disturbances in the vata and pitta doshas. Here is what you might do to address these imbalances:
1. Diet Adjustments: Focus on foods that are less likely to aggravate pitta. Avoid spicy, overly sour, or acidic foods as they might increase pitta aggravation. Opt for cooling foods like cucumber, aloe vera juice, and fresh cilantro. Since your reflux occurs even with homemade food, try eating smaller, more frequent meals to prevent overloading your digestive system.
2. Herbal Remedies: Certain ayurvedic herbs may help to balance digestive health. Try incorporating herbs like licorice root (Glycyrrhiza glabra) which has soothing properties, and amla (Emblica officinalis) for its cooling and digestive balancing effects. For specific formulations, consult with an ayurvedic practitioner directly as they need to be tailored to your constitution.
3. Lifestyle Modifications: Avoid lying down immediately after eating, and give yourself at least two to three hours before sleeping. Ensuring gentle exercise like walking post meals aids in digestion and reduces reflux symptoms.
4. Warm Herbal Teas: Sipping on warm ginger or fennel tea can aid digestion. These help in pacifying both vata and pitta doshas and can keep reflux at bay. Boil these teas without adding any sweeteners or lemon to avoid further acid production.
5. Mindful Consumption: Eat in a peaceful, calm environment and chew your food thoroughly - this can improve digestion significantly. Avoid multitasking while eating, giving full attention to your meal can ease digestion too.
Since the medications you’ve been taking provide only intermittent relief, it’s good to check if they align well with your body’s current needs. It’s crucial not to solely rely on remedies if symptoms persist or worsen. Sometimes more immediate medical attention is necessary, especially if symptoms are severe or accompanied by alarming signs like weight loss or persistent discomfort. Always keep a healthcare provider in the loop when experimenting with remedies, especially after gallbladder removal, as bile management is significantly altered in such cases.



