Most of the literature is based only on self-report questionnaire [4, 16], with findings being extrapolated to reflect psychiatric diagnoses, whereas we were able to investigate sub-threshold psychopathology as well as diagnosed psychiatric disorders. There are many possible explanations for the association between psychopathology and GORD-related symptoms. As suggested by Kamolz and Velonovich , the relationship may be attributed to changes in oesophageal motility and LOS function in response to stressors.
But did you know that anxiety can also contribute to the condition? Being stressed or anxious causes an increase in stomach acid, which in turn can trigger acid reflux. The reverse may also be true as your GERD symptoms, such as chest pain and trouble swallowing, can be worrisome and increase your anxiety or trigger a panic attack.
Our doctors here in Africa don’t have much experience in diagnosing these problems. Hyperventilation is breathing in excess of what the body needs.
I am 63 yrs old and 8 months ago I started having problems with swallowing. I could not even drink liquids, consequently I lost over 40 lbs in a period of 4 months.
Close to 20 percent of people in the United States have GERD. While heart attacks are a life-threatening medical emergency, heartburn is not. Therefore, being able to recognize the difference between cardiac and noncardiac chest pain is essential. Then the attacks started. With a sore tummy, painful to eat or drink, and constant heartburn, I had gone back to the doctor several times.
I never had reflux, I never had panic. My primary doctor things I have a panic disorder. He tried pills (zoloft and prozac) but they made my mental state worse. Zoloft made me feel so high that I sat and ate a bag of grapes.
I do believe that after so many years of this confusion of stress and fear of MVP it wrecked havoc on my body. As the years went by and still not understanding, more and more physical things would happen to me.
I wake up coughing choking and vomiting. Not a pretty sight. I find myself becoming more and more despondent.
They put me on esomeprazole but it did not help. Are these patients exaggerating the symptoms they feel, or feeling symptoms more acutely?
GERD is usually treated with changes to diet and lifestyle and medicines to reduce the amount of acid in the stomach. Esophageal spasm is not common. Often, symptoms that may suggest esophageal spasm are the result of another condition such as gastroesophageal reflux disease (GERD) or achalasia. Achalasia is a problem with the nervous system in which the muscles of the esophagus and the lower esophageal sphincter (LES) don’t work properly. Anxiety or panic attacks can also cause similar symptoms.
The doctor can perform it through a laparoscope (small holes through the belly) or through open surgery. Some doctors believe a hiatal hernia may weaken the LES and increase the risk for gastroesophageal reflux. Hiatal hernia occurs when the upper part of the stomach moves up into the chest through a small opening in the diaphragm (diaphragmatic hiatus).
By the way, she is an ER doctor who said she was used to being in stressful situations ALL the time and never had an anxious reaction. Some suggested to her to try H2 Blocker and anti acids because it could be reflux. She said that she did NOT have the typical symptoms of sour taste or issues after eating so she was skeptical but the H2 Blocker worked. No more panic/anxiety. I have been dealing with GERD now for 8 months.
I was able to calm myself down and I got some sleep but it freaked me out. I had been doing so well and this is really the first episode I have had in over a month. Even with acceptance, I seemed to have developed this nasty case of GERD/Reflux beginning in January that is very noticeable with extreme belching.