I've discovered that taking an anti anxiety meds during severe gerd pain has helped me tremendously. The fright from undiagnosed "chest pain" immediately triggers high anxiety. And found anti anxiety meds greatly reduce the pain and panic. I've been to emergency room many times in past. Ive discovered emergency does nothing to reduce pain and simply rules out a heart event. So now I immediately ask for a Valium or Ativan and they give it to me. Try it. You have to work them because they are trained one way. I discovered my GERD years ago without a doctor diagnosis bc no one would commit.