Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms seem to be related to anxiety. GERD could also mimic this clinical situation. I would recommend performing some further tests to determine the possible cause: - a fibrogastroscopy to examine your digestive tract - some blood lab tests (complete blood count, thyroid hormone levels, cortisol and aldosterone plasma levels for adrenal gland dysfunction, blood electrolytes). - urinary metanephrines to exclude possible pheochromocytoma A head CT scan may be necessary if abnormal physical examination. If all the above tests result normal, you should consider anxiety as the main cause of your problems. In such case, you should consult with a specialist of the field and discuss the best treatment options. Hope to have been helpful! Best wishes, Dr. Iliri