In my case, some of the few things that didn’t seem to trigger the attacks bread, pasta and I liked them way too much.
Another unrelated thing was I lived on Prilosec since it was a thing.
I couldn’t go more than three days without no matter what I did. That went on until about two years ago. That was when I came home from nearly dying from diverticulitis.
The medical types theory was Prilosec masked some kind of infection.
At that point I didn’t care. I was in enough misery from surgery but I was free of Prilosec.
All I can guess I had been out of kilter all along.
I had the pain attacks since my early teens but not diagnosed until much later.
I quit Prilosec about 6 weeks ago after being a daily user since 2004. Nearly 20 years, is a long flippin’ time. I listen to Drs about how you cannot get health benefits from eating “for example beets”. You need acid in the digestive tract, and of course DON’T USE mouthwash, as it sterilizes the mouth. You need digestion from saliva to intestines. I still get heartburn sometimes, but I can make it go away by eating some leafy greens.