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Background: I am 26 years old. I have autoimmune disease, diagnosed with rheumatoid arthritis. About 1.5 years ago, I began having both acid reflux and indigestion symptoms for the first time in my life. As my symptoms worsened and became more frequent, I developed Gastroesophageal Reflux Disease. I have been taking 120mg Omeprazole continuously everyday for about 8 months, though there has been no relief. I have tried every antacid you can name, both medicinal and natural methods with no relief. I have cut most acidic foods from my diet. I don't drink alcohol or smoke. As I have arthritis, I was put on a short 6 week dose of Prednisone a couple of months ago. Prednisone relieves inflammatory pain, and I found that for the first time in 1.5 years, I had no esophageal pain while taking Prednisone. The day after I stopped, the pain returned.
In December, I ended up in emergency hospital as I was unable to eat for 10 days, and could barely swallow water (or my own saliva for that matter) due to the extent of pain that I was in. Both food and liquid would get stuck in my esophagus. I had lost a considerable amount of weight, and I was dehydrated. I was scheduled for both a barium swallow and an esophageal endescopy with biposy. The results came back clear, there was no sign of esophageal erosion, there were no issues with my swallow, and the biopsy came back clear. I was discharged with a prescription for Domperidone and Omeprazole.
Four months on, and the pain is just as severe. The pain feels as though a sharp knife is slitting down my esophagus every 15-30 seconds. I am unable to sleep some nights due to the agony. I have been unable to eat for 5 days, though I have been drinking some water. I get cold sweats from how much pain I am in. I am at a desperate loss for what to do. If anyone can provide any insight into what could be going on and/or possible further tests that could be carried out, that would be greatly appreciated.
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