HI ! Good evening. I am Dr Shareef answering your query. The symptoms which you have described can be attributed to some kind of stress or anxiety, which gave rise to the painful pins and needles sensation followed by the symptoms of GERD. However, before I could label it to be of a psychological origin, I would like to rule out any organic cause for this, and to do this, some baseline investigations like a complete blood count, a blood sugar test, a physical assessment by a gastro enterologist, followed possibly by an endoscopic evaluation of your gastro intestinal tract, and an ultrasound abdomen. If any organic cause is detected, management could be done accordingly. Regarding the GERD aspect the following might prove to be helpful : 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flows down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily , fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor (Rabeprozole which she is already on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. 5) Reduce your weight if you are overweight or obese. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.