Hi, If I were your treating Doctor for this case of severe , I would come up with these possibilities, these include: The first possibility is of esophagitis. Diagnosis can be confirmed by upper GI endoscopy. Try raising the head of your bed about four inches with blocks. It also might help to avoid eating or drinking for two hours before you lie down. To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods. Also take some antacid but if the symptoms are severe, then you may need drugs like proton pump inhibitors (omeprazole). The second possibility is of esophageal spasm as it may l pain which is worse when you swallow something.To help control esophageal spasms you cause do all above described measures. it is diagnosed by Esophageal manometry testing. If you will not get better than i suggest you should visit your physician to have these tests to confirm the diagnosis. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate to ask. I will be happy to answer your questions.