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Irritable Bowel Syndrome/Painful afternoons with IBS & Acid reflux


QUESTION: I have diagnoses of IBA & Acid reflux but am still having real trouble with bloatedness & pain even though taking PPIs and gaviscon. I have moved from omeprazole 40mg to lanzapromole 30mg with gaviscon three times a day.

There is so much in the way of dos and dont diet wise and feel overwhelmed and upset.

I dont eat fried or fatty food, I have plenty of fibre, dont eat much in the way of bread and pasta and run/jog 5k between 4 and 6 times per week.

I really dont know what to do anymore and its getting me down now.

ANSWER: Hi Karen - I'm so sorry for all that you're going through. I hope you're feeling better soon.

Please check with your docs about the drugs - all of those can actually cause GI side effects, so they may want to tweak the dose or try a different version of the same type of drug.

I'm going to send you to an IBS diet cheat sheet that will give you easy lists to follow for safe foods, trigger foods, etc. Learning the difference between soluble and insoluble fibers will really help you. And the breads and pastas you're avoiding may actually be good soluble fiber staples that will help keep your gut calm.

It's not complicated, so don't worry! Check here for getting the diet cheat sheet.

The jogging is great exercise, which is very helpful for IBS, so stick with that.

For bloating check here for a quick list of helpful ideas.


---------- FOLLOW-UP ----------


I have tried to obtain your free diet sheet and compelted the details but when I try to open it, nothing appears - can you email me directly?

I always found bread/pasta really put weight on and made me feel bloated, I have started trying to eat wheat free bread, maybe that and wheat free pasta? I don't want to cut what from my diet as I am not aware of any issues with that, just the likes of bread & pasta.



Hi Karen - here's a direct link to the cheat sheet

It's a large doc formatted for printing so if your computer or connection speed aren't really fast it might take a while to load. And you do need Adobe Acrobat (a free program that is probably already on your computer) to open it.

You can certainly go wheat free or gluten free and eat safely for IBS as well. Just choose soluble fiber supplements without wheat/gluten. Rice, oatmeal, root veggies, quinoa, buckwheat, applesauce, bananas, mangoes, tapioca, cornmeal, etc.


Irritable Bowel Syndrome

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Heather Van Vorous


I can address questions regarding diet, cooking, recipes, and non-pharmaceutical supplements (soluble fiber, herbal, probiotics, etc.) for IBS. I can supply information sources about diagnostic guidelines, symptoms, and the medical pathology of IBS, but I cannot give a diagnosis or analyze test results a patient has obtained. I would prefer not to answer questions about prescription drugs and diagnostic tests. PLEASE DO NOT TELL ME YOUR SYMPTOMS AND THEN ASK ME TO DIAGNOSE YOU!


I'm the founder and CEO of, an organization dedicated to serving people with Irritable Bowel Syndrome. My goal is to offer education, support, and help that allows people with IBS to successfully manage their symptoms through lifestyle modifications.

I'm the author of Eating for IBS, the only explicit dietary guide and cookbook for people with bowel disorders. Eating for IBS then led to my second book, The First Year: IBS, a comprehensive view of the disorder and every way to successfully manage it. Together, these works have become the two best-selling, best-reviewed IBS books in America.

My writing has led to an ongoing Canadian clinical research study of the groundbreaking dietary guidelines for Irritable Bowel Syndrome in Eating for IBS; this work also led to my inclusion in the 4th edition of Who's Who in Medicine and Healthcare. Today's Dietitian has featured my IBS dietary guidelines, and my work has reached gastroenterologists and internists. I'm the author of "Heather's IBS Newsletter", which is free to subscribers and is published twice monthly. As a result, I've become recognized as the foremost patient-expert on IBS in America. I've personally had IBS since age 9.

I now teach classes on managing IBS through lifestyle modifications, I developed the Heather's Tummy Care line of organic medical foods for the dietary management of IBS, and I'm planning to work with corporate HR departments to offer employee IBS education programs. I host Heather Cooks!, the Seattle television cooking show for good digestive health, which is now available on DVD and also on the HelpForIBS YouTube Channel.

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