Have you gotten testing done from a gi doctor? I’ve had many. The very last one was a monometry test. They found that the muscles in my esophagus are ineffective. Not working properly. Lots of pain and on soft diet. Have had several trials of meds to relax the muscles. None successful yet. I also have dysautonomia with the Mals. Gotta take life one hour at a time. Advocate for myself and be grateful for the good days. I would try my gi doctor. Good luck!hope you feel better real soon and get some answers.