Costochondritus or GERD?

Help anyone please I need advice! I've had the craziest symptoms and don't know what to think anymore.

I'm 24 year old female, was 118 when this started now I'm 105 from not eating because of pain. At the end of July I started to get a dull achy pain on the right side of my chest under my boob and up the right of my sternum. It got worse more of a sharp pain over a week so I went to the doc they did a chest xray said everything looked fine sent me home with anti inflam. meds. Up to this point about 2 weeks went by I ha no acid reflux symptoms or heartburn just pain. Then after a week I was trying to eat and the pain changed to I couldn't swallow got the sharp pain on the right side of my chest only betwen my boobs and this is when i first felt heartburn and indigestion. I went back to the doc he said for me to have a abdominal ultrasound an possible upper endoscope. Well pain got so bad I had both, the scope was fine showed now damage from acid reflux. (Would he see if I had GERD)?

I've had a lot of tests done, abdominal ultrasound, bloodwork 4times, endoscope, chest xray, abdominal xray and ct scan b/c of a kidney stone.

I went back to my GP he told me anxiety could cause the esaphagua to tighten up so he put me on zoloft. Well the pain went away for about a month and now its back!! :(

I feel 50x less anxious than I did when this first started so I'm confused. Another doc told me I have costo but I haven't read anything g about swallowing pain. This time around feels like I can't breathe sometimes during the day and throat clearing, no heartburn though. It's weird e cause I usually wake up and go to be feeling fine but during the day is when I have acid reflux like sunrooms. The past 2 months I've been eating better drinking only water I just don't know..

I would think if I was having such sever pain swallowing some damage would show in my scope?! I'm so confused :( any advice?

Also been trying and taking Prilosec Prevacid Zantac and was even on protonix for a short bit

Hi Student 24,

Sounds like you may have LPR/silent reflux and perhaps oesophageal spasms as well. I would ask my GP for a PPi morning and night, and take Gaviscon Advance after eating to see if this helps. A hot water bottle on your sternum may also ease the pain.

Costco is an inflammation of the cartilage in the ribs - I also have this - if you can press your rib bone you should be able to replicate the pain that you feel - if you can't it's not Costco.

PPi's will take time to kick in if it's LPR and you do need to take them morning and evening half an hour before your meal.

Hope you feel better soon.