Hello,
1) Mid-
chest pain while swallowing and hiccups with prior history of GERD, suggest you might have GERD secondary to
hiatus hernia.
2) Hiatus hernia is hernia of small portion of upper part of stomach near
esophagus. This causes weakening of valve mechanism between the stomach and the esophagus and it allow gastric content to reflux into esophagus (which generally should not happen). Gastric content is highly acidic in nature and causes microscopic damage to inner layer of esophagus (
esophagitis).
3) Esophagitis secondary to hiatus hernia produces symptoms of mid-chest / throat pain, difficulty in swallowing, occasional hiccups.
4) Since you have prior history of GERD, it would be highly recommended to consult specialist for assessment and possible requirement of
endoscopy.
5) You can control severity of symptoms to certain extent with few non-pharmacological measures, which are avoid any form of
nicotine / caffeine, drink small quantity of cold milk before sleep, do not lie down immediately after taking food, take meals in small quantities multiple times.
6) In addition to above mentioned non-pharmacological measures, sometimes patients also require long-term treatment of acidity (to reduce
gastric acid output) which indirectly help to treat esophagitis.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Happykumar Kagathara, Gastrointestinal Surgeon