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Hello from JustAnswer.
It is appropriate for you to be concerned enough to pursue evaluation to determine the nature of any autoimmune disease that may be present, but since it apparently is only causing reflux symptoms, it is unlikely that it is of a severity to be of concern beyond the proper evaluation and ongoing monitoring.
If initial blood tests do not indicate a specific autoimmune disease, the a more thorough evaluation for autoimmune disorders is usually better done by a Rheumatologist.
If I can provide any clarification, please let me know.
If I can provide any further information, please let me know.
I was seen by a rheumatologist at a university hospital. He ran over 20 blood tests and checked nail bed folds and said all was normal. Could it be just GERD?
If the rheumatology evaluation was done within the last few years, then it does not need to be repeated, but if it has been a long time, then your doctor may recommend that it be repeated.
If an endoscope is completely normal, then it is less likely that it is due to reflux. However, the most sensitive test to look for reflux is a 24 hour esophageal pH probe, which is better at detecting small amounts of reflux.
I had a rheumatology evaluation 6 months ago. My endoscope showed acid reflux and mild esophagitis. can this be from stress?
If the evaluation was 6 months ago, it would generally not be repeated at this point.
I was only able to go by your original statement, when you said that the endoscope showed nothing significant.
Stress can make every disease worse.