Hi.
Thanks for the query.
Noted the history and understood the concerns.
Since you are a known patient of IBS taking
Librax, IBSet and
Econorm, there are other concerns that are not attended by these medicines, particularly the fullness on lunch that you do not feel like having dinner and going for toilet twice in the morning.
I would advise you the following:
PPI like
Omeprazole to enhance control of acidity.
Control of stress and/or
anxiety is the mainstay of management in IBS as also for acidity.
Add-on
Domperidone to enhance gastric motility, emptying and assist in evaluation.
May need adjustment of the dosages of Librax and other medications.
Identify the medications, foods and beverages that cause, enhance or instigate the problems and stop altogether.
Sleep well.
Identify the other factors , worries, things which you dislike and keep away from all these.