Thank you very much.
Well i can not access your NHS record, only an NHS doctor can.
At this point, it seems that the first thing you need to do is to get a consultation with a urologist, and ask for further evaluation of prostate.
Contiflo did help, but not completely. You should have a prostate ultrasound/ct scan done which will provide exact anatomical details about the prostate, its size and exact measurements. Also PSA (prostate specific antigen) should be done to rule out the possibility of a prostate cancer.
After a detailed imaging studies, you doctor might change your drug for prostate, may add another drug, or may advice surgery to get complete cure.
These days minimally invasive day care surgeries are available with extremely good results, and one can have the prostate problem solved easily.
As far as the heart burn issue is concerned, this is mainly because of stomach ulcers, reflux or combination of both.
Omeprazole is a good drug to control this problem, but if this triggers your IBS symptoms, a trial of other drugs can be taken including pantoprazole, rabeprazole or lansoprazole.
Other class of drugs that can help reflux and stomach acid include Cimetidine, Ranitidine and Famotidine.
Prokinetic drugs (that promote stomach emptying) such as metoclopramide or domeperidone are also very helpful.
Apart from this, there are certain life style modifications which provide a great relief.
Avoid large fatty and spicy meals.
Avoid alcohol, chocolate, citrus juice, tomato-based products, peppermint, coffee, and the onion family.
Do not lie flat immediately after meals (at least for 2-3 hours)
Raise head end of bed to 6 inches.
Daily exercise to lose extra pounds you have on.
And avoid tight clothings/belts around abdomen.
In refractory cases, yes there is another option, surgical repair of the hiatus hernia and reflux.
So you can see there is lot to be done, some options which you can yourself adapt to help you, and some which you need to discuss with the doctors treating you.
Wish you good luck.
It was a pleasure assisting you and i hope my answer was helpful. I will appreciate 5 Star Rating (Excellent Service) & a Bonus as this is the only way i get credit for my time & expertise.
Do not hesitate to ask any follow up questions/clarifications any time.
I would have been worried too if i were at your place but let me reassure you that this is a treatable condition and carry a good prognosis with appropriate management.