| | Re: BEST PPI for someone with IBS
I would say that it is a very individual issue. Everyone responds differently to PPI's. I've been on all of the PPI's on the market over the years. I didn't have digestive problems with most of them. There was one though that gave me horribly severe side effects (such as diarrhea averaging going over 20 times a day) even on it for just a week. From that one PPI, I developed IBS which I still have 3 years later. In my case, the PPI I reacted to was Nexium. At one point, I actually got my GI doc to fill out paperwork for FMLA that I could take intermittently. While I would have IBS symptoms all day, the mornings were usually the worst. The intermittent FMLA allowed my job to be protected when I need a day or morning off due to the IBS. It was hard because I had to be able to make the 20 minute drive to work without going. My commute is on a highway so I didn't have the option of pulling off if I had the urge to go.
It has taken a long time, but my IBS is not as severe anymore.
As for the best PPI's, in my case, Prevacid in the Solutab form and Dexilant work the best. They don't control all the acid reflux symptoms, but they do make them much less severe.
As for the IBS, I had to work on adjusting my diet for it and the GERD/LPR. I also ended up taking anti-diarrheal medicine as needed, adding Miralax and Metamucil to my diet and taking anti-spasmotics for a while. My GI doc upped my fiber to 40 g. per day as well.
By the way, I've had 3 endoscopies with biopisies that have included checking for celiac and h. pylori and they have all come back negative. I was also tested several times for c. dificile as well.
I hope you find what works for you soon.
Asthma, Allergies, severe LPR/GERD, Anemia, TMJD, Hearing Loss, Ulnar Impaction Syndrome, Shoulder Impingement--both shoulders, Benign Joint Hypermobility, possible Ehlers Danlos Syndrome
Last edited by MountainReader; 05-27-2011 at 11:38 PM.