I started having a lot of side effects from PPIs including water brash. I was taking 40mg of omeprazole in the morning and 40mg of famotidine at night. I started reducing the meds slowly over several weeks and I feel sooo much better. I am down to 1 famotidine in the morning!

I am being VERY careful with my diet. I found the Acid Watchers Diet (book by Aviv) very helpful. Reducing saturated fats, sugars, no onions or garlic, no carbonated anything, etc.

I hope you feel better!

Have you experimented with eating very lean meat? For instance, I can eat 93% lean ground turkey fine. But ground hamburger meat, even if 90% lean, bothers me, too much fat. I am fine with fish, which I hate but you do what you need to do. If you have tried that already and it doesn't work for you, yikes. My understanding is that the FODMAP diet is temporary, like three weeks, and then you add in items very slowly to see if you can stomach them or not. I did it a few years ago when I was in pain and it worked for me. Now I limit the amount of high FODMAP foods, but can do beans for instance as long as it isn't a regular item. Another possibility is digestive enzymes to see if they work for you. There are different types so again, experiment. Good luck! Finding what works is hard, and then it takes a few weeks to see progress so you need to be patient.