Thanks for your question on Healthcare Magic.
I can understand your concern.
By your history and description, possibility of stress and anxiety induced GERD (
gastroesophageal reflux disease) is more.
Your palpitations are due to stress and anxiety.
Your
chest tightness, pressure, worsening symptoms with alcohol etc are due to GERD.
So we should first treat your stress and anxiety.
So
consult psychiatrist and get done
counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too.
For GERD, follow these steps.
Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take
pantoprazole tablet on empty stomach.
Don't worry, you will be alright with all these. Avoid stress and tension, be relax and calm.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.