I saw the GI consultant today. He really is a lovely man and the fact that he gave up some of his time to see me before his over-full clinic began makes me like him even more. And even better - I now have a firm diagnosis. Put simply, the pressure in my oesophagus is too high. When this happens further down the the GI tract, one has Irritable Bowel Syndrome, which I also have symptoms of, as it happens. This was all shown by the manometry tests that I had 2 weeks ago. I also had a pH test done at the same time and this was also worth the trauma and having it in situ for 24 hours since this has shown that I also have acid reluxing into my oesophagus where it just shouldn't be.
So, treatment options. First is lifestyle - I have to contimue avoiding the things that make it worse. Mr X said that chocolate and cheese before bed really is a bad idea since they containe tyramine which has adverse effects. The good news is that he has said that I don't have to avoid tyramine-containing food completely, just be sensible about what I eat and when. I also need to continue with the positive changes inr espect of stress reduction. He feel that in cases such as this complementary treatments are potentially of benefit.
But he said something else which made me like him even more - just in case I was worrying that he thought all in my head he said emphatically that this is a very real problem and is not 'all in my mind'. Now I also want to point out that I am not denigrating psychological/psychiatric problems, which are also real in every true meaning of the word. It is simply that that since others health professionals could not come up with a diagnosis I had to suffer their condescension as a result - there was no acceptance of the fact that my problems were real and that they simply couldn't find out the cause - so I just feel better being able to wave this in their face. It would be great if others' prejudices/assumptions about different types of illness didn't exist, but they do.
As well as the lifestyle I will continue to be treated with what is actually an anti-depressant. Again, Mr X pointed out that this is not due to the psychiatric properties (I am 'scunnered' but definitely not depressed) but for the side-effects which act on the autonomic nervous system, affecting the muscles of the GI tract. It can take several months for the full effect to bcome apparent so this is a bit of a long haul. I will also need to take a Proton Pump Inhibitor such as Nexium to deal with the ongoing acid reflux.
And....on the cardiac front, the medic that I saw on Friday is fairly sure that the SVT is caused by the meds I take for the migraines.....so, bit of a viscious circle going on with this.