So sorry you are still dealing with this after 10 years too. I will think of you on March 1, hope this sheds new light on the cause of your situation.

I just reviewed my laundry list from beginning thread April 2023, and notice I neglected to mention that I had esophageal manometry, which provides info about how the esophagus muscles work together. It didn’t lead to any significant new treatment at the time about three years ago, but might be a valuable tool for some people to consider.

Good luck!