Tryptomer is adviced for decreasing your stress and ancxiety. Rabeprazole is used to decrease your acid output. Both can be used

Amitriptyline can help alleviate symptoms of IBS by acting on certain neurotransmitters in the brain and gut, which may help to reduce pain perception and improve bowel function. It is thought to be particularly helpful for individuals with IBS who experience significant abdominal pain, cramping, and discomfort. However, it's important to note that amitriptyline should only be used for IBS under the guidance of a healthcare professional, and it may not be suitable for everyone. Like all medications, it can have adverse effects as well.