With relatives it's harder. Just because you're related, some people take that as an excuse to stop being polite.  I'll just pointedly say something like, "Look, if I didn't have to eat, I'd never have another stomach problem in my life. But I have to eat, so I have to deal with the consequences! Some foods are just not worth getting sick over!"
To strangers/co-workers I say, "I have a stomach problem which requires me to take medication. But the medication has side effects. So it's easier for me to just watch what I eat."
It's important for me to get across that the medication is not a "fix." Never mind what I take, just because it's over the counter does not mean it's less effective or what I have is not real! If they ask me what I take I just say, "Seven different medicines." (more like 10, but no need to be dramatic!!) 
If they pry, sometimes I'll just pick up my purse and give it a good shake so they can hear the rattle of pills! That will usually shut them up!! 
Good luck. Sometimes explaning is easier than other times. I've had the talk so many times, I just rattle through it now. 
~nelly~
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