Hello, For the last 18 months I have had the following symptoms near constantly day and night: - Severe to moderate pressure-type  pain in the middle of my chest from my throat to my upper stomach- Pain and sensitivity to pressure (like when I press on it, lean forward, or when I eat) in my upper stomach- Nausea In September 2008 I tested positive via Hida Scan (34.9%) for low gallbladder function. Later that month, my gallbladder was removed, but my symptoms have remained. In February 2009 I underwent an Endoscopic Ultrasound, which revealed that I was born with a Pancreatic Divisem. Doctors ruled out that this was the cause of the symptoms due to the fact that my amylase and lipase levels are normal. To date doctors have been able to rule out the following as possible causes: GERD/Bile RefluxEsophageal Spasms Gallbladder Stones/ DysfunctionPancreatic DysfunctionCardiac Related Problems (Angina, Coronary Spasms, Pereicarditis, etc). Hiatal HerniaAchalasia Celiac DiseaseSphincter of Oddi DysfunctionThyroid ConditionCancerGastroparesis Since my symptoms started in May of 2008 I have been to the ER almost 10 times and  have had multiple blood draws for  (among others)  amylase/lipase, sprue panel, thyroid levels as well as CBC rate and hepatitis  and a H. Pylori stool sample. I have also had the following tests all which turned up negative: 07-08-08 Gallbladder Ultrasound07-23-08  Endoscopy 07-28-08 EKG Stress Test/Pulmonary SVC09-12-08 Barium Swallow09-17-08 Hida Scan09-26-08 Gallbladder Surgery01-09-09 Chest MRI01-19-09 EGD with MRCP02-02-09  EGD with Ultrasound02-06-09 Barium Meal (Gastric Emptying Study)02-12-09 Small Bowel Follow-Through02-17-09 EGD with Bravo Placement06-15-09 Colonoscopy03-16-10 EGD with Sprue Biopsy  On May 19th 2008 my wife and I took a day trip to Tijuana, Mexico while on vacation in San Diego, CA.  Before crossing back over to the US, I stopped ate at taco stand close to the boarder eating two chicken tacos and two pork tacos along with two bottled Cokes. There were no immediate negative effects, but 24 hours later I was having signs of  food poisoning in the form of severe cramps, dehydration, nausea and diherria.  After a visit to the doctors office I was given some anti-biotics and felt better generally except for a persistent gnawing at the top of my stomach. Another trip back to the doctor and I was diagnosed with gastritis, tested for H. Pylori and parasites and given a prescription for  general Protonix and anti-parasitic medicine. After a few weeks I began to feel better generally and went for a run. This proved to be a mistake because after the run the gnawing sensation returned. I went to the doctor again and this time was checked for gallstones through an ultrasound whicChatDoctore up negative. I was told to continue taking the Protonix and limit my diet to things containing low fat and low acid. That same day I began having severe chest pain, but being only 28 and in good condition assumed that it was nothing serious and after calling the doctor was told that it was most likely acid reflux or esophageal spasms. After a few more weeks of pain and no results from the Protonix I decided to switch to another general practitioner and was able to get in to see a GI specialist. After a barrage of tests ordered by both physicians in late September I had gallbladder surgery. When my symptoms didnt clear up after a few months I was subjected to more testing and tried various drugs to combat smooth and then skeletal muscle tension including nitro glycerin. My GI doctor has ruled out the need for an ERCP, claiming that because my amylase and lipase levels are steady and the risks for the test are too high. The doctor also claimed that I most likely had Heightened Viscera Noceception (which from what I can tell, means absolutely nothing) and that I should get onto an SSRI to correct the problem. This idea was fast-tracked following an emotional breakdown after the death of my brother.  I was put on Paxil and Ativan for anxiety and told by my newly prescribed psychiatrist that my pain could be a constant series of anxiety attacks. I was on  these medications for eight months and even at maximum dosage  both saw no  significant improvement. In January 2010 I received the results of a blood draw from a third-party 200 Food Panel testing for  IgG. The test indicated that I had an alarmingly high intolerance for wheat, gluten and yeast. To confirm the results I saw a local allergist  who performed 50 panel skin prick test. This test came up negative along with subsequent blood-work and a biopsy taken from another EGD. I am currently looking into the viability of IgG food allergy testing and have been on a gluten-free diet for 2-weeks (with no results), with plans to remain on the diet for a least 8 weeks.  What is wrong with me?
HelloAccording to the history I think this is a gastrointestinal problem I mean gastric reflux. Regards Chat Doctor.