Hello Welcome to HCM. Epigastric pain for two years is suggestive of gastroesophageal reflux disease - GERD, also could be caused by stomach or duodenal ulcerations or gastritis. The report you are presenting is a report of so called upper endoscopy - EGD = Esphago gastro duodenoscopy. The report states that your esophagus and duodenum are normal, but the muscle between esophagus and Stomach is loose - not tight - so it does not prevent the corrosive acid from the stomach from entering the esophagus. This will cause your symptoms of GERD. The treatment includes dietary modifications: avoiding spicy foods, alcohol avioding smoking not eating late into the evening before going to sleep keeping the head of the bed elevated/ on pillows medication treatment for GERD includes so called H2 blockers and proton pump inhibitors like omeprazole or lansoprazole - some of them are available over the counter. If your symptoms persist after these modifications, you should consult with your doctor. Hope I answered your question. If you need additional information I will clarify further. Regards and best of health.