Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
There are many possibilities but considering your age, I would like to consider following possibilities in following hierarchy:
• Stress and Anxiety: need to be rule out by detailed interview by psychiatrist
. These conditions also increase acid reflux.
• Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
• Side effect of substance use, specially alcohol (so stop use if present)
• Thyroid related problem: get thyroid hormonal assay done
• Electrolyte imbalance
secondary to other condition like hormonal imbalance or kidney dysfunction
Symptoms of stress/anxiety which may or may not be present in your case: nervousness, restlessness
, mild irritability, excessive worry regarding own health, tremor, muscle spasm (present as twitch), heaviness in body, easy fatigability, headache, sleep disturbance, palpitation
and dry mouth. Let me know if you have some of these symptoms.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Dr Ashish XXXXXXX Mittal