August 2022

The symptoms of acid reflux in teenagers and adults can include: a burning sensation in the chest that gets worse when bending over or lying down and usually occurs after a meal. Worst acid reflux attack. Acid reflux is a common cause of chest pain, and it can be easy to confuse this pain with that of a heart attack because heartburn can spread to the neck, throat, and jaw, it may feel like the.

worst acid reflux attack

Acid reflux occurs when acid from the stomach leaks back up into the food pipe, or esophagus it is a common symptom of gastroesophageal reflux disease (gerd). How dangerous are middle-of-the-night acid reflux attacks? february 28, 2013 10:43 am subscribe my partner's middle-of-the-night acid reflux attacks are scary for both of us because he wakes up unable to breathe due to aspirating acid, and he's worried that one night he might not wake up.. It goes by many names: indigestion, heartburn, acid reflux, gerd. whatever you call it, it happens when stomach juices flow in the wrong direction, back toward your throat. find out from this.

Keep reading to learn how to cure gerd without medication the most common digestive disorder in america almost everyone experiences occasional acid reflux when stomach acid manages to make its way up into the esophagus however, if this happens frequently and causes uncomfortable symptoms or complications, you could receive a gerd diagnosis. How to control acid reflux without medicine. What doctors won’t tell you about acid reflux drugs acid reflux and gerd: everything you need to know most doctors believe that diet and lifestyle changes can benefit a large number of gerd patients without the need for medication and their resultant side effects so instead of popping a pill, get to the heart of what’s causing your.

how to control acid reflux without medicine

In recent years, it has been estimated that nearly 60 million adults report suffering from acid reflux, also commonly referred to as gerd or heartburn although this number alone may seem like a rather large figure, the stat doesn’t include children, making the number of people suffering this health ailment much higher. It can take up to 6 weeks for acid burns to heal, so don’t stop the medication or lifestyle and dietary modifications without talking to your doctor first. it can take up to 3-4 months for a. Most people experience acid reflux at some point in their lives, so it's not a permanent problem. a chronic type of acid reflux, called gerd, could be permanent. however there are medications and lifestyle remedies, like the ones on this list, that can help you manage the condition..

While alcohol is a known contributing factor to acid reflux, it affects people differently this means that you may be able to enjoy alcoholic beverages in moderation with gerd. Stomach acid reflux alcohol. Such alcohol is best for your health if you are suffering from acid reflux this will serve two purposes-firstly, now you can enjoy freely with your friends without worrying about the stubborn acid reflux and secondly, higher the ph level of alcohol, it will keep a check on the bouts of acidity as well.

stomach acid reflux alcohol

Heartburn happens when stomach acid flows back into the esophagus, or food pipe, causing discomfort or pain certain foods and drinks can trigger heartburn, and alcohol is a common cause. Acid reflux, clinically known as gastroesophageal reflux disease (gerd), involves a painful or burning sensation in the throat or the chest. it occurs when stomach acid is compelled to flow back into the food pipe due to the valve connecting the stomach and esophagus being weakened. acid reflux is a widespread disease affecting millions of. Acid reflux is an uncomfortable condition in which stomach acid flows back into the food pipe. this article investigates which drinks will make it worse, and what you should drink to minimize.

You will find that there are certain fruits and vegetables that should be eaten in moderation by those with acid reflux problems and blueberries are definitely one of them along with blueberries, raspberries, grapes, strawberries, cranberries, and peaches should be eaten in moderation if you have this problem. Acid reflux blueberries. There are two types of acid reflux disease: and garlic – "healthy" foods such as honey, blackberries, strawberries, raspberries, and blueberries are very acidic too.

acid reflux blueberries

If you have acid reflux, it may be best to choose fruits that are more basic and less acidic in chemistry, ph is a measure of how acidic or basic something is when choosing fruits, the higher. However, if you have severe acid reflux that hasn’t been treated and has irritated the esophagus, acidic foods can be like “salt in the wound.” so if you find that oranges or tomatoes do make your heartburn feel worse, replace them with other fruits. here are 12 more foods that can make heartburn worse.. Acid reflux. acid reflux or gerd (gastroesophageal reflux disease) occurs when stomach acid frequently flows back into the “tube” (esophagus) connecting your mouth and stomach. the backwash, or acid reflux can irritate the lining of the esophagus. isn’t that just heartburn? no, heartburn is different..

Despite this lack of consensus, many researchers agree that certain types of foods and beverages are best avoided to prevent indigestion, heartburn, and other symptoms of acid reflux weight loss. Foods to avoid with heartburn acid reflux. Garlic, onions, and spicy foods – tangy or spicy foods are a common trigger for heartburn or acid reflux some people find just cutting down on the number of onions or the number of spicy foods.

foods to avoid with heartburn acid reflux

Removing the 10 foods above is a good start to heal from heartburn, and keeping a food journal can help uncover other problem foods and speed up healing more tips to heal from acid reflux the best solution to recover from acid reflux is to address the real cause. Gerd trigger foods. gerd trigger foods, as the name suggests, trigger a new episode of acid reflux. but the “trigger foods” vary from person to person. to know which foods don’t suit you, keep a food journal for a week. check what, how much, and when you ate for a week. record how you felt and if any of the foods you ate caused acid reflux.. Foods that might make gerd or reflux esophagitis symptoms worse include: meat, as it tends to be high in cholesterol and fatty acids oils and high-fat foods, which may cause the sphincter in the.

Acid reflux can affect cats of any breed, any sex or age, although acid reflux has been reported in more young cats than older felines felines that eat table scraps or have a diet that constantly changes are more prone to developing acid reflux than a feline that is fed a properly balanced diet. How to help acid reflux in cats. Acid reflux in cats or gerd is a condition characterized by the uncontrollable reverse flow of gastric or intestinal fluids into the tube connecting the throat and the stomach (esophagus) this condition is somewhat common in cats, of any age, though incidence in kittens happens more frequently.

how to help acid reflux in cats

Diagnosing acid reflux in cats an esophagoscopy can allow your vet to evaluate the damage to your cat's esophagus if can also help your vet determine if your cat's esophageal damage and other symptoms are the result of chronic vomiting, a foreign body lodged in the esophagus, a tumor of the esophagus, a hiatal hernia, or a disease treating. Is acid reflux in cats a real thing? apparently so! i got an email from debbie, tanisha’s cat mom, a couple of weeks ago asking for my help: my name is debbie. i have a himalayan cat named tanisha. after she turned 10 she developed issues with acid reflux. after seeing vet she’s been eating royal canine gastrointestinal moderate calorie.. Acid reflux in dogs is a condition in which there is an entry of digestive enzymes and gastric acid into the esophagus from the stomach. the condition is uncomfortable and has the potential to be dangerous if the contents of the stomach consistently enter the esophagus and then return to the stomach..

The most common symptom of gastroesophageal reflux disease (gerd) in children 12 years and older is regular heartburn (also called acid reflux) gerd happens when a person’s lower esophageal sphincter becomes weak or relaxes when it shouldn’t. Acid reflux in older child. You can try some simple measures to deal with your child’s acid reflux: * raise the head of your child's bed * keep your child upright for at least two hours after a meal.

acid reflux in older child

Symptoms of gastroesophageal reflux disease (gerd) in children and teens can vary depending on their age the most common symptom of gerd in children 12 years and older is regular heartburn , a painful, burning feeling in the middle of the chest, behind the breastbone, and in the middle of the abdomen. Gastroesophageal reflux disease (gerd) is a digestive disorder that’s referred to as pediatric gerd when it affects young people. nearly 10 percent of teens and preteens in the united states are. Acid reflux in children might occur when the lower esophageal sphincter (les) relaxes too often or takes too long to relax. it causes the stomach acid to flow back to the esophagus. if your child has occasional acid reflux, then it might be due to some lifestyle issues such as:.

Acid reflux during pregnancy is a common occurrence in most cases, acid reflux and its associated symptoms should go away once a woman gives birth several medications are suitable for treating. How to relieve heartburn and acid reflux during pregnancy. The best advised to stop your heartburn is not treated or not sufficient fiber fats sugars chocolate is endorsed by the backing up into your suffering from ibs foods that may also be attributed to have some how to relieve heartburn during pregnancy discomfort is needed to do read my review curemyindigestion.

how to relieve heartburn and acid reflux during pregnancy

Heartburn (also called acid indigestion or acid reflux) is a burning sensation that often extends from the bottom of the breastbone to the lower throat many women experience heartburn for the first time during pregnancy, and although it's common and generally harmless, it can be quite uncomfortable. Recurring bouts of acid reflux (or heartburn) during pregnancy is very common because the higher levels of estrogen and progesterone cause the lower esophageal sphincter to weaken and allow stomach acid to splash into the esophagus. furthermore, the growing baby puts pressure on the stomach and pushes digestive acid into the esophagus — sort of like a "double whammy" effect for pregnant women.. Heartburn (a symptom of gastroesophageal reflux disease or gerd) occurs in one-quarter to one-half of all pregnant women.; heartburn usually begins in the first or second trimester of pregnancy and continues throughout the remainder of the pregnancy.; heartburn during pregnancy is usually mild and intermittent; it can be severe in some cases..

Herbal remedies for acid reflux planet ayurveda offers effective herbal remedies containing pure extracts of herbs and has no external additives these remedies can be used safely for acid reflux and have no side effects these herbal remedies are, heartburn capsules, mahashankh vati, digestion support capsule, and amalaki rasayan capsules. Gerd ayurvedic remedies. Ayurvedic home remedies home remedies for heart burn and gerd: upavasa (fasting) for a day in a week or half a day is useful in curing acid reflux take care that you don’t overdo it drink water and eat fruits while on fasting take 2-3 cardamom and crush them boil them in ¼ litre of water filter it through a sieve and drink warm.

gerd ayurvedic remedies

Certain lifestyle habits can trigger gerd, and other habits can help alleviate symptoms here are 7 natural gerd home remedies you can try each gerd home remedy helps reduce the frequency of symptoms explore these natural gerd home remedy solutions today. Do herbal heartburn remedies work? there isn't much research into herbal remedies for heartburn. most of the research has centered on a product called iberogast. it is made with 9 different herbs. Heartburn is often treated with medication, but simple dietary and lifestyle changes can help, too. here are 14 home remedies for heartburn and acid reflux..

According to an older study from 2010, severe acid reflux or gastroesophageal reflux disease (gerd) affects about 80% of pregnancies heartburn can develop at any stage of the pregnancy, but it is. Reflux study. Esophageal reflux study the esophageal reflux study is a safe, simple way to evaluate if reflux from your stomach up through your esophagus exists the examination does require you to have nothing by mouth after midnight on the day before the study on the day of the test, you will be given a glass of orange juice containing a small amount of.

reflux study

People with serious acid reflux are trapped in a terrible dilemma to control their uncomfortable symptoms, their doctors prescribe a powerful acid-suppressing drug such as dexlansoprazole (dexilant), pantoprazole (protonix) or rabeprazole (aciphex)these drugs are proton pump inhibitors, or ppis. Acid reflux treatment without ppi. Proton pump inhibitors (ppis) are medications that ease your acid reflux symptoms by reducing the amount of acid that’s produced by your stomach as the international foundation for gastrointestinal disorders explains , there are numerous types of ppis available (including many with brand names you’ll recognize).

acid reflux treatment without ppi

Antacids popular over-the-counter medications like tums, maalox, rolaids and mylanta neutralize stomach acid and provide fast-acting relief in mild or isolated cases of acid reflux. Best acid reflux medicine for immediate relief. 3 almonds for acid reflux almond is one of the best acid reflux diets or foods likes fennel seeds almonds also have certain kind of oil in them which helps to overcome acid reflux do this: when you feel that you are starting to have an acid reflux take a handful of almonds and eat them by chewing them properly.

best acid reflux medicine for immediate relief

Many people have symptoms of gastroesophageal reflux disease, or gerd, often called acid reflux this video shows how the esophagus works and how acid can sp. Heartburn youtube. Song heartburn (felix cartal remix) artist wafia; album heartburn (remixes) licensed to youtube by bbtv_mtheory (on behalf of future classic); umpi, ascap, aresa, sony atv publishing, latinautor, latinautor - sonyatv, mushroom music publishing, kobalt music publishing, cmrra, solar music rights management, uniao brasileira de editoras de musica - ubem, bmi - broadcast music inc, impel, amra.

heartburn youtube

Wafia - heartburn (felix cartal remix) ⬙ favourites on spotify ⬙ ⇥ http://mrsuicidesheepcom/favourites why does my heart burn this way when i see your face?. Though she always played coy about the fact in interviews, nora ephron's novel heartburn is a thinly disguised ". Seven million americans suffer from gastroesophageal reflux disease. if you've never even heard of gerd, check out this video for the facts!watch more health....

Diet for acid reflux: breakfast meal plan ideas for weight loss #1: hard-boiled eggs, low-fat yogurt, & apple slices: this yummy breakfast may not seem like much, but the eggs and yogurt pack a good punch without leaving you bloated or feeling overly-full make sure to eat your eggs boiled in order to avoid having to use any oils or butter, and. Acid reflux diet lunch. Acid reflux is not a disease this condition, however, is aggravated by poor eating habits certain foods, particularly those with high acidic levels, can trigger symptoms leading to discomfort and further complications to prevent such symptoms, it is highly recommended to create a meal plan that helps avoid triggersto get you started, these dinner recipes.

acid reflux diet lunch

Diagnosis of acid reflux in cats diagnostic testing of acid reflux or other conditions with symptoms similar to cat acid reflux can vary in its scope and cost for cats with chronic vomiting the first step for many of these cats is not a laboratory test, but a simple diet change. Acid reflux in diagnosis. Acid reflux is a common condition that features a burning pain, known as heartburn, in the lower chest area it happens when stomach acid flows back up into the food pipe.

acid reflux in diagnosis

How to treat heartburn during pregnancy by top10homeremedies team december 18, 2018 2 for many people, pregnancy can cause different problems and heartburn is one of them uncomfortable and frustrating, heartburn can make you forget about the pleasure of being pregnant as your mind becomes occupied by the pain and burning sensation in your. Treat heartburn while pregnant. Heartburn can fire up, so to speak, at any point in pregnancy, but it’s most common during the second and third trimesters experts aren’t exactly sure what causes the smoldering, but they.

treat heartburn while pregnant

Heartburn (a symptom of gastroesophageal reflux disease or gerd) occurs in one-quarter to one-half of all pregnant women; heartburn usually begins in the first or second trimester of pregnancy and continues throughout the remainder of the pregnancy; heartburn during pregnancy is usually mild and intermittent; it can be severe in some cases. Several medications are suitable for treating acid reflux and heartburn during pregnancy. women can also try home remedies, such as wearing loose fitting clothes, eating smaller meals, and. Heartburn during pregnancy will plague most moms-to-be at some point because progesterone, the hormone that relaxes muscles in pregnancy, also relaxes the stomach valve that keeps acid out of the.

Background: thickened milk formulas are used to treat infants with gastroesophageal reflux (ger), but these substances often increase the duration of reflux episodes and worsen symptoms, and they have been associated with diarrhea, constipation, and cough objectives: the aims of this study were to determine the efficacy of an antiregurgitation milk formula in the clinical and laboratory. Gastroesophageal reflux milk formula. It affects at least 40% of infants2 although ger is a normal physiologic process in healthy infants, symptoms of ger—including regurgitation, vomiting, posseting (ie, milk or formula being.

gastroesophageal reflux milk formula

Heartburn also called acid indigestion, heartburn is a burning pain or discomfort that can move up from your stomach to the middle of your abdomen and chest the pain can also move into your. Heartburn and acid reflux abdominal pain. How heartburn and gerd occur acid reflux occurs when the sphincter muscle at the lower end of your esophagus relaxes at the wrong time, allowing stomach acid to back up into your esophagus this can cause heartburn and other signs and symptoms frequent or constant reflux can lead to gastroesophageal reflux disease (gerd).

heartburn and acid reflux abdominal pain

Heartburn is discomfort or actual pain caused by digestive acid moving into the tube that carries swallowed food to your stomach (esophagus) typical features of heartburn include: starts as a burning sensation in the upper abdomen and moves up into the chest; usually occurs after eating or while lying down or bending over. Indigestion is pain and burning in the upper abdomen, an feeling of fullness after a meal, belching, and gas. heartburn/gerd. symptoms of heartburn and gerd are a burning feeling in the chest, throat, or mouth, nausea, and more. gallstones. a gallstone attack occurs when a stone blocks the bile duct, causes right upper abdominal pain and cramping.. Your heartburn may be a symptom of a more severe problem like acid reflux or gerd. what is acid reflux? a circular muscle called the lower esophageal sphincter (les) joins your esophagus and stomach..

Vegetables – this is one of the best gerd diet foods to eat because vegetables are low in fat and sugar and can help lower stomach acid green beans, asparagus, leafy greens, and cucumbers are. Best foods to avoid acid reflux. Looking for a diet to help with acid reflux and gastrointestinal reflux disease (gerd)? according to this study, which measured the effect of diet changes on gerd, the following foods should help with acid reflux: whole grains, beans, vegetables (except onions, and tomatoes), lean fish, lean chicken, and more(even given these foods, you should experiment with different foods to see which ones.

best foods to avoid acid reflux

However, if the sphincter relaxes, food can push upward through the loosened opening and cause acid reflux "diet plays a major role in controlling acid reflux symptoms and is the first line of therapy used for people with gerd," says ekta gupta, mbbs, md , gastroenterologist with johns hopkins medicine. Foods to avoid on the gerd/acid reflux diet as mentioned briefly above, certain foods are known to cause acid reflux symptoms more than others. these foods, which are said to “fan the flames” of acid reflux, include meaty foods, fast food, processed cheeses, chocolate, alcohol and caffeine.. Foods to avoid. share on pinterest meat can aggravate acid reflux. certain foods can trigger gerd symptoms. gerd is a digestive disorder, so diet can often affect the symptoms of the condition.

“gerd can cause a blocked eustachian tube, including symptoms of a ‘clogged ear,’ as well as possible middle ear infections,” says dr edward brettholz, md, with concorde gastroenterology, who is board certified in both internal medicine and gastroenterology and is clinical assistant professor of medicine, nyu school of medicine. Gerd causing ear infections. Learn more: symptoms of acid reflux 101 refluxmd answer thanks for your question! i’m sorry you’re going through this sinus issues can be related to gerd, although it’s not typical it’s more common for gerd to cause problems in the throat.

gerd causing ear infections

A sore throat is pain in the back of the throat it can be caused by a number of things, but a cold is the most common cause like a sore throat, ear pain also has a few underlying causes. Ear infections can strike in any one of these chambers and cause various symptoms. the three main parts of the ear are known as the inner, middle, and outer ear. infections are most common in the. Well acid reflux can cause sinus issues so there is a definite possibility that gerd is causing your sinusitis. in fact the more appropriate term is laryngopharyngeal reflux which is a different form of acid reflux which primarily affects around the throat area and a somewhat common symptom with it is sinus and breathing issues..

Indigestion is often caused by excess stomach acid and results in discomfort, pain, bloating, nausea or wind with acid reflux, acid travels up the oesophagus to the throat, leaving an unpleasant. Guardian acid reflux tablets side effects. For fast and soothing relief of acid indigestion,heartburn,gastric pain and wind antiflatulant mint flavour how to use chew 1-2 pcss between meals and at bedtime,or as prescribed by doctor do not take more than 12 pcss in a 24 hour period or use this maximum dosage beyond 2 weeks.

guardian acid reflux tablets side effects

A drug commonly used to treat acid reflux is linked to a more than doubled risk of developing stomach cancer, researchers have claimed proton pump inhibitors (ppis) reduce the amount of acid made. Take one tablet a day for 24 hours protection from heartburn and acid reflux. guardium is for frequent heartburn sufferers with frequent being defined as twice a week or more. guardium can be used alongside gaviscon advance to relieve reflux symptom such as heartburn.. Guardium acid reflux control tablets are a remedy for acid reflux and heartburn brought to you by the makers of gaviscon. just take these tablets once a day for a few days to ease your irritation and keep acid reflux under control. guardium contains the active ingredient esomeprazole, and is perfect for over 18s who experience regular heartburn.

Acid reflux medicine in japan list of (☑ what is the best) | acid reflux medicine in japan how tohow to acid reflux medicine in japan for for 1 last update 03 aug 2020 aromatic:aromatic: diffuse, or inhale the aroma directly topical: can be applied neat (without dilution) apply directly on area of concern or to reflex points. Acid reflux medicine in japan. Answer 1 of 3: are anti-acid/heartburn remedies available over the counter in tokyo? common brand names in the uk are rennies or gaviscon what are the equivalent brands in japan?.

acid reflux medicine in japan

In addition to medication, a person can help treat their acid reflux using home remedies the niddk provide the following tips for reducing stomach acid naturally: raising the head of the bed off. Takecab ®, discovered by takeda for the treatment of acid-related disease, is now available in japan.; takeda and otsuka executed an agreement at the end of march 2014 to co-promote takecab ® (for the treatment of acid-related diseases) in japan. under the agreement, the two companies will conduct informational activities for healthcare professionals with the aim of addressing unmet clinical. The two medications have different mechanisms and treat different conditions. however, we don’t recommend taking an antacid and a ppi or h2ra at the same time. if you require immediate pain relief from acid reflux or a sour stomach, wait at least 15 minutes before taking an antacid tablet, liquid medicine, or effervescent drink. q..

Can acid reflux cause severe chest pain? written by chronic pain team in acid reflux/gerd acid reflux is an issue that affects many people throughout the united states in fact, around 60% of the adult population in the us will experience some form of acid reflux within a year. Extreme acid reflux chest pain. Chest pain can be a sign that a person is having a heart attack however, chest pain is also a common symptom of other, less serious conditions, such as gastroesophageal reflux disease.

extreme acid reflux chest pain

Chest pain is one of the most common symptoms of acid reflux chest pain related to reflux is also called noncardiac chest pain (nccp) chest pain occurs during reflux episodes because the heart and the esophagus share a nerve network acid reflux, specifically gerd, causes up to 66% of reported nccps evaluating your chest pain. I could use some advice about controlling the pain from acid reflux. the pain in the middle of my chest and back is so bad. sometimes i can't do anything because it hurts so much. my ent has put me on one medication after another. none of them worked. he has checked me and he says that my acid is under control but i still have the pain.. A muscle spasm in your esophagus may cause chest pain similar to that of a heart attack. the pain of a gallbladder attack also can spread to your chest. with gallbladder disease, you may notice nausea and an intense, steady ache in the upper middle or upper right abdomen — especially after a fatty meal..

Pregnancy: most women experience acid reflux during pregnancy this is mainly caused by enhanced levels of hormones combined with excessive pressure from the growing fetus acid reflux foods eating large meals can trigger heartburn or other symptoms of acidity, like trouble swallowing or a dry cough. Indian remedies for acid reflux in pregnancy. Here are mentioned some of the natural ways to treat acid reflux or heartburn during pregnancy that are worth a try: coconut water-coconut water brings quick and soothing relief as it naturally contains acid neutralizersyogurt-the probiotics present in yogurt helps to neutralize the acid in the esophagusginger-ginger aids naturally in combating problems related to the gastrointestinal tract.

indian remedies for acid reflux in pregnancy

Chewing gum stimulates saliva production, which helps neutralize stomach acids and ease the symptoms of heartburn during pregnancy just don’t chew for too long—this can make the acid reflux worse 13 homeopathic remedies some homeopathic remedies are extremely effective natural antacids. However, heartburn during pregnancy can be easily treated with simple home remedies that are safe for pregnant women. the following remedies are considered effective in providing relief from heartburn during pregnancy: ginger tea. ginger tea is a wonderful remedy for fighting heartburn, nausea and indigestion during pregnancy.. 15. carom seeds or ajwain: ajwain is rich in anti-acid properties which makes it a good remedy to treat acid reflux. consuming ajwain, black salt, and warm water together for two weeks is an ideal.

I started having a panic attack when i felt the acid reflux in my throat so i took a half of my 5mg xanax that i have prescr dr amrit singh answered 50 years experience cardiology wait: u may wait panic attack reduces efficacy of anything 0 0 comment 0 0 thank send thanks to the doctor. Acid reflux and panic attack. Acid reflux/indigestion panic attacks!! fozzyrock for the last 6 months i have suffered with acid reflux/indigestion and so panic attacks came with them, i have been worried about my health at the times when i have these feelings of indigestion i have pains in my arms which then further the panic as arm pain is connected to heart attacks!.

acid reflux and panic attack

Stress can worsen acid reflux symptoms, and anxiety is a natural response to stress in the body paradoxically, experiencing anxiety can also in itself be stressful, which can continue the cycle. Acid reflux may be a common gastrointestinal problem, but it turns out its symptoms are not always that common. from headaches to nerve pain, there are uncommon acid reflux symptoms that can cause alarm and panic to patients.. A ring had formed within my esophagus causing me to feel the same symptoms one does during an allergic reaction, acid reflux, and panic attacks. the chest tightness and difficulty swallowing was.