Im experiencing really bad acid reflux, bloating, nausea, and chronic constipation due to ibs. the worst part is controlling the nausea and and bloating. i frequently feel fluid come back up. im on protonix twice a day. idk what else to do?

Lifestyle changes may be helpful. Reduce/avoid caffeine in any form or nicotine (these loosen the stomach closure for hours). Avoid reclining for at least an hour after any meal or large intake of fluids. (Full stomach increases backwash in that position). Keep a food diary and decide what foods/sauces aggravate your symptoms. If this doesn't help in a few weeks talk with your doc.

It requires ongoing care. Visit these sites for information and talk to your doctor: Flatulence: https://www.niddk.nih.gov/health-information/digestive-diseases/gas-digestive-tract/eating-diet-nutrition. Fodmap diet: https://www.hopkinsmedicine.org/health/wellness-and-prevention/fodmap-diet-what-you-need-to-know Wish you good health!