### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi. I have combination of symptoms which tend to worsen together, usually as the day progresses. They are: chest and abdomen spasm , utterly unlike asthma, which make me feel I can t breathe in, although my o2 sats are normal; the sensation of neck being wrenched forwards; odd pinching in the nose; and tingling in the feet. I am a middle-age man with a history of asthma and, more recently, mild/moderate obstruction, probably caused by smoking, which I gave up 3 years ago. My best FEV is about 75% of normal and I am hyerinflated (up to 110% of normal). ECG and an exercise test have shown nothing wrong with my heart; and although I am a bit overweight, have a hiatus hernia and sometimes get reflux , the gastroenterologist does not think I get oesophageal spasms. Sometimes, these symptoms simply diappear, and although highly uncofortable, they do not prevent me from walking briskly for long distances, cycling, or walking up stairs. A while ago I was thought to be suffering from anxiety, but I doubt it. I was on citalopram and lorazepam , but they did not seem to help, and I am no longer taking them. I take an inhaled corticosteriod and a salbutamol-ipotropium (?) preventer. Could my level of obstruction be causing thing this (my specialist and GP do not think so)? I am not happy and tend to drink too much. Would liver damage do this? Thanks for any replies.

### output:

These AR food related and when nothing helps food theory helps there are chances of milk wheat potato Chaney causing this all your problems are interlinked and allergy increases from one part o other like chest abdomen liver in your case suggest testing blood serum test for specific antibodies for milk wheat rice potato Chaney nuts egg or other daily items you use after eliminating the foods you will recover, and all problems will be controlled slowly you can take supportive therapy initially till the elimination effect comes