Raspy like an 80 year old smoker

I have had laryngitis since B was born. I had no drainage or soreness, so I didn't really do anything about it until recently because I was overwhelmed with newborn life. At my two week checkup, my OB said the rest my voice and drink peppermint tea with lemon and honey and hopefully it would go away in about 2 weeks. When that didn't happen, I got a referral to an internist. He thinks that I could have had silent reflux toward the end of my pregnancy as the cause of my laryngitis. He has put me on Prevaci.d for 3 weeks (in addition to Nasacort) and will reevaluate. He thought it might also be allergies, but it is really hard to tell. It seems my OB refers all his patients with issues to this guy, so it seems to be something he has seen a little of. He has said that he has referred patients to an ENT before, and they have scoped, told them they have reflux and put them on a proton pump inhibitor. So, hopefully skipping a $300 charge here. If it doesn't resolve, then he'll refer me to an ENT.

The internist also has an interest in insulin resistance, diabetes and weight control as it leads to heart disease. He also cross-trained in Med/Peds. It is possible I may be insulin resistant. He asked abut my glucose during pregnancy, and I let him know that I flunked the first glucose and passed the four hour. He said that I have some cherry hemagiomas (small pinkish-red ill-defined spots) on my chest that are a sign of insulin resistance. Of course, he has ordered labs drawn and all of that to see if that really is the case. He would like me to follow a moderate carb diet, 130 grams a day. He said that breastfeeding moms can follow the diet, but I am curious as to what my OB says. Truth is, I'd love to lose weight. I have 15 lbs to go from my pre-pregnancy weight. And that isn't counting the 20 lbs of marriage weight I have gained in the past 5 years. Scary, isn't it?

With these prescriptions comes paranoia. Everything I have googled on the internet says not to take Preva.cid while breastfeeding. My OB wasn't available, but I called my ped's office, and they have said that both meds prescribed are fine for breastfeeding. In fact, they prescribe Prev.acid for infants with reflux sometimes. Still, I can't help but worry.

Hope you all had a wonderful Christmas (if that is what you celebrate) and begin a wonderful New Year!