Hello!
Welcome and thank you for asking on HCM!
I passed carefully through your question and would explain that your symptoms could be related to anxiety.
Have you performed a cardiac stress test? It would help investigate for coronary artery disease and reassure you that you are not going to get any
heart attack.
If you already have performed this tests and it is normal, I would recommend considering other possible causes that may mimic this clinical scenario:
gastritis or gastro-esophageal reflux, a cervical column radicular
nerve pain or anxiety.
For this reason, I would advice performing a
cervical spine X ray study and making some trials:
a- try taking an antiacid or
omeprazole. If it helps improve your situation it would indicate possible gastro-esophageal reflux or gastritis. In such case a fibrogastroscopy would be needed.
b- try taking alprazolam 0.25 or 0.5 during those episodes. If this helps improve your situation, it would indicate anxiety as the main cause of your complaints.
You should discuss with your doctor on the above issues.
Wishing good health,
Dr. Iliri