My wife has started having some pretty intense (6 on a 10 scale) pains in her upper chest. Pain also radiates into her neck and chin. No pain when laying down, only when up and on the move. She's had all heart testing done with nothing showing, chest and cardia CT scans, with notheing. Went to gastroenterologist, got scoped, and found very little that would cause the pain. Test results for h-pilori still out, but she was treated for this previously. She has been on aciphex for two years for GERD. She has a hiatal hernia, and her esophagus is somewhat twisted, which may be causing some swallowing difficulties. But nothing which would cry out that 'this is causing the pain'. Anywhere more specific to look?