
How Is GERD Caused By Anxiety ?

Thanks for your query.
Important points of your case:
• Presence of GERD, SVT, anxiety and panic disorder
• Normal stress test, echo and holder monitoring
• Current reason of query: feeling of tight throat
First it was nice to see good briefing of case.
As you mentioned about the presence of anxiety and panic disorder I would like to mention common problem faced by these patient apart from common symptoms of anxiety:
• Increase pulse rate (tachycardia)
• Hyperarousal state: enhanced sensitivity for normal body sensations like experiencing palpitation leading to fear of heart disease in spite of normal investigation reports.
• Excessive worry related to health, finance and family members
• Increase acid secretion: In your case it may exacerbate GERD
• Multiple pain complaints (somatic symptoms)
• Dryness of mouth: in your case it can lead tightness of throat during exercise.
Your problem of tightness of throat can also because of GERD which is exacerbated by anxiety.
I would like to advice to seek psychiatrist help for anxiety and continue GERD treatment.
Hope this will help you. In case of any doubts, I am available for the follow up.
Wish you Good Health.

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