Visit a gastroenterologist. for the esophageal issues. Lots of us with autoimmune issues have continuing issues with all that goes on with that part of the body. I have MCTD/Scleraderma, etc. I am on Pantoprozole, had the tip test. I often carry hard copies of reports as my doctors are part of two different electronic systems and there's fear of viruses. Some of the busy doctors have to accept you into their practice, and so it is a sort of triage, unfortunately. https://www.uclahealth.org/esophageal-center/achalasia