Thank you for the query.
The treatment of acid reflux
without gastroscopy is pointless. Its because acid reflux can be triggered by Helicobacter Pylori infection
. Moreover it cab be a symptoms of stomach cancer
treatment delays its diagnose.
H.Pylori infection needs to be eradicated what will remove acid stimulation factor.Chest pain
should be always checked with heart condition. Especially if the pain radiates to the left arm or jaw, shortness of breath
I suggest you to have gastroscopy done as well as heart ECG and stress test
. In case of H.Pylori infection, antibiotics course is necessary.
Hope this will help.