Our expert says:
Yes, somach reflux into the lower oesphagus ( food pipe ) can fel unpleasantly like a heart attack. If there are medical aid problems, it's worth checking out whether there are generic ( identical but cheaper ) meds, or even over-the-counter meds, that could help as much. Giving up smoking was an excellent idea, both in general, and in terms of this condition, too.
At night, it could be that you'd sleep better if you could find a way to change the angle / slope of your bed, so you were resting with your head "up-hill" as it were. maybe even something as simple as putting the legs at the head-end of your bed up on wooden blocks. That way, its more difficult for the acid to trickle uphill into your foodpipe.
Explore what you can do in varying diet, as some foods seem to create more irritation, and others can be more soothing.
I wonder whether the cardiologist was actually speaking of a "lazy" heart muscle, a term I've never yet heard used, or a lazy muscle at the botom of your food pipe where it joins the stomach. Normally, this "sphincter", a circle of muscle, woks efficiently, relazing when necessary to allow the food you swallow to pass into the stomach, but tightening closed so as to prevent stomach contents including digestive acid, to leak back and irritate the lining of the food pipe.
Go back to your psychologist, and focus not only on learning to relax deliberately when you need to ( a good idea ) but at ways of taking greater control of your life and getting back to the best aspects of your old life. You may be able to become free from the need to use meds, or at least to use just some mild antacids of the gaviscon type. And as art says, positive thinking can help a lot, just as negative thinking can hinder.
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