It sounds like you are dealing with several challenging digestive and mental health symptoms that often overlap and can affect your quality of life. Managing conditions like gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), esophageal inflammation, and ulcers typically involves a combination of medication, lifestyle changes, and sometimes mental health support.

Possible next steps to consider:

• Medications such as proton pump inhibitors (e.g., Pantosec) can reduce excess stomach acid and help heal esophageal inflammation and ulcers.
• Dietary adjustments, like avoiding spicy, fatty, or acidic foods, and eating smaller meals can reduce heartburn and indigestion.
• For anxiety and depression, consulting a psychiatrist or psychologist can provide appropriate therapy or medication.
• Difficulty swallowing and persistent esophageal symptoms should be evaluated by a gastroenterologist to rule out complications.
• Regular follow-up with your gastroenterologist is important to monitor your conditions and adjust treatment as needed.

If symptoms worsen suddenly, such as severe chest pain, difficulty breathing, or vomiting blood, seek emergency care immediately. Otherwise, scheduling an appointment with a gastroenterologist and a mental health specialist would be the best course of action to address your symptoms comprehensively. If you want, I can explain how proton pump inhibitors work or suggest lifestyle tips for symptom relief.To narrow down potential causes, we will need some more information.Please tell me your age and gender.