I'm sorry you're going through this.
Your IBS and panic disorder might be connected. In dealing with my own medical issues, I discovered how relevant and important gut health is to general health.
In addition to a probiotic, I also discovered the concept of a bacteriophage. It's a virus that goes after bacteria. The specific product I found and use helps reduce the bad bacteria in the gut, which stimulates the growth of good bacteria.
You might try these because they could help you.
Despite being labeled a prebiotic, this is a collection of bacteriophages. I take one of these daily on an empty stomach and not eating for at least 3 hours. The empty stomach without food allows more direct access to a wider portion of the gut, making it more effective. Food gets in the way.
I take this simultaneously with the following product that has good bacteria.
I'm not a doctor and this is not medical advice.
It seems like you're already somewhat informed on the issue of the gut microbiome. The probiotics you're taking may be helpful. But the bad bacteria in your gut may have taken over and thrown off the whole balance.
I take the following two products personally. You should consult your doctor before taking these.
The Dr. Tobias product is labeled as a prebiotic, but it's more accurate to describe it as bacteriophages. These are viruses that target bad bacteria in the gut. I take one of these daily on an empty stomach and not eating for at least 3 hours. The empty stomach without food allows more direct access to a wider portion of the gut, making it more effective. Food gets in the way.
I take this simultaneously with the following product that encourages the good bacteria.
I take two of these at the same time as the bacteriophages. I selected this specific probiotic because of the wide variety of strains.
Also diet can play a large role in adjusting the gut microbiome. You might consider the autoimmune Paleo protocol diet.
Seems like a derivative of the AIP Paleo diet. I don't have AS, but I do have autoimmune inflammation and ligament laxity. I have found in my case the diet has helped but not eliminated the problem.
What has been a game changer for me is bacteriophages. I learned about them in a Reddit comment. They are literally viruses that target specific bacteria. In the case of the products available right now, they target a few strains of e. coli. These strains are responsible for enabling other negative bacterial growth while suppressing many positive bacteria.
In my case, taking the bacteriophages has had a direct impact on my inflammation and ligament laxity.
Here are the two products I use:
Despite being labeled a prebiotic, this is a collection of bacteriophages. I take one of these daily on an empty stomach and not eating for at least 3 hours. The empty stomach without food allows more direct access to a wider portion of the gut, making it more effective. Food gets in the way.
I take this simultaneously with the following product that has good bacteria.
I'm not a doctor and this is not medical advice.
Your stomach problems could be coming from an imbalance in the gut microbiome. You have good and bad bacteria in your digestive system. If the bad bacteria becomes dominant, it can cause all kinds of problems.
I take the following two products. You might consider doing so.
The Dr. Tobias product is labeled as a prebiotic, but it's more accurate to describe it as bacteriophages. These are viruses that target bad bacteria in the gut. I take one of these daily on an empty stomach and not eating for at least 3 hours. The empty stomach without food allows more direct access to a wider portion of the gut, making it more effective. Food gets in the way.
I take this simultaneously with the following product that encourages the good bacteria.
I take two of these at the same time as the bacteriophages.