<s>[INST] Having trouble breathing (shortness of breath) went to an emergency doctor a few days ago and was not diagnosed for heart problems but more likely acid reflux. Reading symptoms of Asthma, it seems that its syptoms match of how I am feeling. Anticid (Tums) is not working, Anything I can do? [/INST] Hello!Welcome on HCM!Regarding your concern, I would like to explain that it is necessary to perform a comprehensive differential diagnosis of your breathing problems.After a careful physical exam, additional medical tests are recommended as follows:- complete blood count,- chest X ray study,- BNP and NP-proBNP,- fasting blood glucose,- resting ECG,- cardiac ultrasound,- functional respiratory tests,- arterial blood gas analysis,- cardiac enzymes (CK-MB, Troponin),- fibrogastroscopy,- renal function tests,- thyroid function testsAfter excluding several potential reasons (anemia, cardiac, thyroid, pulmonary, renal, gastric, obesity hypoventilation syndrome, etc.), then a probable anxiety disorder (panic attack) should be considered.You should discuss with your attending doctor on the above mentioned issues.Hope to have been helpful to you!Kind regards,Dr. Iliri </s>