Thank you for posting. I have the perfect storm too, hernia the whole ball of wax, and I am on Pepcid as well. The only thing I have been able to think to do further than what you have mentioned is elimination diets to see if food allergies are playing any part. What got me thinking along this line is I am also taking psyllium soluble fiber, but noticed the brand that I was taking is manufactured by a company that also markets bee pollen. So I got to wondering if there were traces of bee pollen in the psyllium. I am very allergic to bees. I feel at a loss, but am reassured reading your post, and look forward learning more on this topic.