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Continue to suffer from breathing difficulties from middle of stomach, constant stomach pains, panic attacks. Is breathing related to acid reflux ?

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General & Family Physician
Practicing since : 2005
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34year old female 5'4 130, recent blood work came back negative, I have suffered with panic attacks over five years ago after the death of my father. Refuse to take medication, eventually had no choice got so bad. Took Zoloft for two years, moved to a new state have not found a DR. that will listen to my concerns, since taking the medicine(zoloft) I begin smoking cigarettes to calm me down so I think. Went to the Dr. told them I wanted to stop smoking he told me to stop the Zoloft and gave me Wellbutrin. I tried this for a couple of days didn't like it so was completely off meds for about two months all of sudden stomach pains as if I couldn't breath from my lower stomach, took respitory exam came back negative, then started have excessive yawning to catch a XXXXXXX breath otherwise felt as if couldn't breath. Went to GI docotor had the upper GI exam came back with acid reflux and gastritis. He prescribed me ranitidine and align, to no avail still suffering from difficulty breathing, now on Celexa which I took briefly in February of this year, it helped with the excessive yawning, still had stomach pains so I stopped the celexa bc the yawning went away stomach pains remain i thought this was due to the acid reflux to make a long story short I continue to suffer with breathing difficulties from the middle part of my stomach, from what i know the top of my lungs are working fine, but have the need to constantly take a XXXXXXX breath which I can't capture no matter what. When I take a gas pill over the counter it helps a little. Just don't know what to do. Is the breathing related to the acid reflux and if so what do I do. Or is it really just anxiety even though xanx or nothing seems to help just calm me down for a little. Alot of research on the internet about excessive yawning to take XXXXXXX breath with no answers please please help this is ruining my life, and by the way I'm a licensed medical social worker that knows anxiety is a fear, that's why I don't think this is the problem. Also I lost my eldest brother age 39 on my sons birthday. Overall I'm a strong person put can't find the solutions to this problem that is ruining my life.... P.S. Help Should I continue to take the Ranitidine and celexa I read its not safe to take the two. One Dr. prescribed celexa for excessive yawning and not being able to receive a satisfing XXXXXXX breath, the GI Dr. prescribed ranitidine 150mg and align probiotic. My main two symptoms are excessive yawning to get a XXXXXXX breath and not always being able to get the full yawn out, and the other symptom is my lower stomach feel like my bronical tubes are not fillling completly to get a satisfying breath, I keep sighing alot as well to breath. Its a vicious cycle. I really don't think its anxiety, I think like you said I bringing the anxiety on by not knowing what's wrong with me. Is there anything I can do for immediate relief? I took the omeprazole before but not accurate, so acid reflux can cause difficulty in breathing. It happens all day long with out warning is this normal? It's really debilitating. Currently I have been taking Celexa for four days today I took the ranitidine and after this I read its a drug interaction so I'm not taking the celexa tonight could this be a withdrawl from the celexa two months ago when I just suddenly stopped one Dr. say it stays in your symptom for a couple of days the GI said it can take up to three months and the GI DR. told me he didn't think it was related to the acid reflux but I seem to disagree so I guess what I'm asking the two could diffently be related acid reflux and this breathing issue. Should I have my bronical tubes looked at as well?

Posted Mon, 7 May 2012 in Medicines and Side Effects
Answered by Dr. Shanthi.E 6 hours later

Thank you for posting your query.

I am medical doctor, an associate in Department of Gastroenterolgy, working with an experienced Gastroenterologist. I answer on his behalf.

I have to mention about the ambiguous nature of your query.

I presume your query is about

1) Excessive yawning to get a XXXXXXX breath and not always being able to get the full yawn out.

2) Lower stomach feeling like bronchial tubes are not filling completely to get a satisfying breath, you keep sighing a lot as well to breath.

Hence I answer accordingly. If my presumption is wrong, please let me know so that I can correct during my reply.

Your problem seems to be very simple and easily treated. I have to say you this, Celexa causes you to yawn excessively. You may just try stopping this medication for the moment and you may notice that your problem with yawning may completely disappear. Again, please confirm if you already stopped taking Celexa 2 months ago.

You have a pre-existing Gastric acid reflux and gastritis. Of course, this causes difficulty in breathing and may be troublesome for you to handle.

My suggestion to you would be to continue taking Ranitidine now, discuss about stopping Celexa for some time with your treating doctor. Let the gastritis subside, meanwhile your problem of excessive yawning will also subside. You may talk to your Psychiatrist regarding other drugs for treating the panic attacks which cause less sedation and less yawning.

3) Is there anything I can do for immediate relief?

Excessive yawning cannot be stopped immediately, but you may consider continuing on Ranitidine for the gastritis to subside.

4) Should I have my bronchial tubes looked at as well?

Yes, it is better to get it checked.

Finally, I would suggest you to consult a good Psychiatrist who can help you out with a better medicine for panic attack and he will also treat you for gastritis which is very minor problem.

Please do get back to me in case of clarifications and further queries.

Above answer was peer-reviewed by
Follow-up: Continue to suffer from breathing difficulties from middle of stomach, constant stomach pains, panic attacks. Is breathing related to acid reflux ? 2 hours later
Thank You for your response:

1. Excessive yawning to get a XXXXXXX breath and not always being able to get the full yawn out. This has occurred twice every time I stop taking the celexa or zoloft these symptoms reoccur after two months of me stopping these medication. I tried taking the zoloft again and it did not work as well as the first time I took it two years ago for the panic attacks. Currently I'm not having panic attacks, just alot of anxiety over the whole breathing issue. Yes I started on the celexa maybe three days ago. Since I read there is an interaction between the randitine and celexa I have not taken the celexa last night. AGAIN I DO NOT HAVE PANIC ATTACKS. I have constant worry about how to stop this issue with the breathing.

What I don't understand is why the Gastroenterolgy who completed my upper GI procedure informed me he didn't think the breathing problem was related. That's why I'm getting a second opinion.

Correct:Lower stomach feeling like bronchial tubes are not filling completely to get a satisfying breath, you keep sighing a lot as well to breath. I am assuming its bronchial tubes I don't know all I know is it feels as if my lower stomach are have some type of spasms causing me not to breath properly. So can mild gastritis or acid reflux causing breathing problems.

Answered by Dr. Shanthi.E 13 hours later
Thank you for writing back.

It is very good that you no more have panic attacks; it is just the anxiety over the whole health issue. This is quite normal.

Ranitidine definitely decreases the efficacy of Celexa. A common side effect of both Ranitidine and celexa is muscle pain, when they are taken together the muscle pain obviously increases.
A study done on the interactions between these two drugs, say that patients on both these drugs are at high risk of getting type 2 Diabetes mellitus, chest pain, obesity, nausea, backpain and pyrexia.

Your Gastroenterologist may be right in that the breathing difficulty and the gastritis are not related to each other.

Mild gastritis or acid reflux does not cause breathing difficulty. However, a moderate amount of Gastritis with acid reflux, causes a vague discomfort in the upper abdomen and sometimes, breathing difficulty too.

I would suggest you to do lifestyle modifications by altering your diet to a bland one, taking lot of fluids orally, keeping yourself well hydrated, consuming more of fresh vegetables and fruits.

You may continue to take Ranitidine, consider stopping Celexa or Zoloft as you no longer have panic attacks. Indulge in relaxation techniques like XXXXXXX breathing, yoga and meditation. These will help you in both reducing the gastritis and breathing difficulty and also anxiety.

Please discuss regarding my suggestions with your treating doctor.

Hope, this answers your query. Please accept my answer in case you do not have further queries.

Wishing you a speedy recovery and a healthy life.


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