I have had numerous tests, yet still experiencing severe abdominal pain which has become more frequent? I went to a Gastroenterologist last year who did an endoscopy and said that the opening from my esophagus to my stomach does not close properly, thus causing pain. He saw no sign of an ulcer. I managed it somewhat with a low fat diet, no soda, etc. I also get chest pains and trouble breathing sometimes, which he attributed to heartburn. I had a Barium swallow x-ray which showed nothing irregular, so it is not a hernia. I also had an ultrasound which showed no gallstones. I also have lower abdominal pain each day, which they attribute to endometriosis. But it seems to worsen after I eat. So the past 2 weeks, it has been extremely intense and constant. It hurts the most in the early morning when I am asleep and my stomach is empty, it wakes me up. Sometimes food soothes it somewhat, sometimes food just makes it worse and makes me nauseated, and I have never been one to experience nausea. I have not had any diarrea throughout this experience, the pain is the main symptom. I take methotrexate for my arthritis and so cannot take any Pepto Bismol or other salicylates. I have run out of ideas for tests and after the gastro sent me on my way last year with a PPI and said if this does not help there is nothing else I can do for you, I had no idea where else to turn. I don't believe I have lactose intolerance or allergy to gluten as I get this pain no matter what sorts of food I eat. I live in Holland and so it is not easy to be sent to a specialist nor receive tests as they try to keep health care costs down, so I hope I can come up with an idea and maybe they will send me to another gastro for a 2nd opinion. Any ideas?