I've had several Endoscopies and besides having my hiatal hernia and GERD my GI has had to dilate my esophagus twice. I don't know how this factors into the PPI use but I've tried weaning off of it before and I get sick.
We have enough problems with our j-pouches as it is and I can understand your concerns. Maybe you can discuss them with your doctor and s/he can figure out a different route to take or figure out how to take a smaller dose to find the minimum amount you need. I use to be on a stronger PPI. I have not had any problems since starting the probiotic, is that why, I doubt it but it could be. I would have been taking it from the beginning if I realized there was a specific one to fight c.diff. I would have been taking it back when I had my colon. I take VSL#3DS too, I'm all for prevention. I take B12 as well and run on the high end of normal when my blood is tested.
There are long term consequences of not treating acid reflux so it could be damned if you don't too
