What to eat?

For me it has been cooked food that causes least problems - stewed apples and pears, plain boiled white rice and steamed vegetables, such as carrots and courgettes. Raw melon and banana seem OK. Salad leaves and other raw salad foods particularly tomatoes are a problem. In hot weather, eating cooled cooked food works. I don’t eat meat from choice, but eat fish, eggs, just minimising any fat in cooking. And I avoid high fat foods, very acidic foods, pickles, vinegar, citrus fruits and drinks. Also carbonated drinks, white wine and spirits. I’ve kept a food diary, noting down everything I eat and symptoms. Sometimes symptoms are instant, sometimes come the following day.  Keeping a very simple diary has helped identify problem foods. Hopefully you are taking some medication too.

I had a perforated ulcer a cpl of years ago and ended up in ICU for a cpl of weeks. Whem recovered was told I'd probably end up with IBS. Was fine for 6 - 12 months but then stomach and bowels were horrible. Took a while but figured out no bread (rye bread a decent sub) no pasta (wholemeal pasta works) no tomato sauces (Bolognese etc)

And get probiotic tablets i got ones for ibs worked brilliant for me. Apparently no coffee. I dont drink coffee but apparently a lot of caffeine doesn't help either

You could try eating yogurt to promote healthy gut bacteria.

I worry that as you are a "non meat eater" that unless you can eat eggs, and dairy produce you will become Vitamin B12 deficient especially now that you are taking PPI's  which artificially reduce the acid level in your stomach which B12 needs to be high to be processed properly.. Animal products are the only natural source of B12.

Low stomach acid is also bad for digesting  your food so it's a vicious circle.

IBS can also lead to a Vitamin B12 deficiency.

Symptoms of B12 deficiency tend to develop slowly and may not be recognised immediately. As the condition worsens, common symptoms include:

Weakness and fatigue

Light-headedness and dizziness

Palpitations and rapid heartbeat

Shortness of breath

A sore tongue that has a red, beefy appearance

Nausea or poor appetite

Weight loss

Diarrhoea

Yellowish tinge to the skin and eyes

If low levels of B12 remain for a long time, the condition also can lead to irreversible damage to nerve cells, which can cause the following symptoms:

Numbness and tingling in the hands and feet

Difficulty walking

Muscle weakness

Irritability

Memory loss

Dementia

Depression

Psychosis

You don't mention eating any vegetables in your diet.  Leafy green vegetables such as sprouts, broccoli, asparagus,spinach etc are the natural sources of Folate (Vitamin B9) and this works together with B12 to help you produce red blood cells.

I am not a medically trained person but I've had Pernicious Anaemia (a form of B12 deficiency) for more than 46 years which was eventually caused by a perforated ulcer which required the removal of two thirds of my stomach by gastric surgery at the age of 17 in 1959.  However, I've survived and am still "clivealive" aged 77.

Apart from prescribing the PPI what else is your doctor "doing" for you?

I wish you well. 

What I do is add a few drops of lime juice to a glass of water to take with my meals.  This will slightly increase the acidity in your stomach whilst you are eating.

As to the muscle relaxers - was there not a leaflet with them?  If not do an internet search on their name and look for "Side effects"  or "counter - actions".  Either that or have a word with your pharmacist for free advice.

I do hope you can get your health insurance back soon.

Take care now.