Refractory gerd , esophageal spasms, chest pain, triggered by anti-platelet tx.now off prescription but symptoms remain despite ppi and h2. drs out of ideas. severe?

Anti-reflux surgery: You are experiencing medically refractory reflux disease meaning the medicines are not working for you and the natural anti-reflux valve at the top of your stomach has failed. Fortunately minimally invasive anti-reflux surgery, usually with a nissen fundoplication (and hiatal hernia repair too if necessary) can cure you and take you off meds forever. See a surgeon that specializes in reflux.

You need a GI: Consult and egd. Could be a ulcer from h. Pylori.