Chris: I'm so sorry you had such a negative experience at the competition. I feel your "pain"! Here are thoughts on reflux and another possibility:
Caveat: "I'm not a doctor, nor do I play one on TV!"
Reflux symptoms can vary drastically in their severity and in their effect on individuals. Some feel common symptoms of heartburn and others feels symptoms that may be incredibly subtle and seemingly not related to gastric sources (those are the scary ones!).
In my own case, my FIRST symptoms were vocal hoarseness, a slightly reduced singing range and an almost infinitesimal twinge in the throat on occasion. I was incredibly lucky to attend a vocal health presentation given by a speech pathologist at UNC in which less well-known symptoms of reflux were mentioned. When I saw my doctor the following day, I brought up the possibility of reflux. We agreed that trying an antacid would be a sensible thing to try, and he also sent me to see an ENT. He said that he would NEVER have suspected GERD from my initial symptoms, especially since I was a voice professional and the possibility of vocal over-use seemed a more likely suspect. Sure enough, the ENT confirmed swelling and redness of the cartilage around the chords.
It took several months of Prevacid to get things under control;it actually got worse before it got better as I was a nervous wreck and afraid to eat much of anything. I now know that stress is a major contributor to my particular case of reflux, that a too empty stomach is just as bad as one too full, and that a busy teaching schedule, in which I am using the abdominal muscles for singing and speaking each day can aggravate the condition. In my research, I found that there are two types of reflux, one in which the acid stays primarily in the lower esophagus, and another (mine) in which the acid rises habitually to the larynx and above.
www.bgsm.edu/voice This is a site which I have found to be extremely helpful in understanding reflux.
One other thought! I know that once I had difficulty performing up to my usual standard because I was simply trying too hard. This was earlier on in my quest for the perfect technique (!) but I found I was subtly trying to manage everything with a bit too much control. Once I thought about "doing" nothing, everything started working again in the easy way my training had taught it to. I know you're experienced enough that this probably isn't the case, but I think that competitions can sometimes hit even the best of us in strange ways.
Best of luck, Sharon Szymanski
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