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

### input:
I had Mitral Valve prolapse since 20 yrs ago....I ve noticed that I need to think about taking long breathe....my husband told me lately that he feels I have a breathing problem because he says that he noticed I keep holding my breathe and finally letting it go with a big sigh. I get out of breathe easily.....I also have acid reflux and had it for a long time....I get mucous in my throat and I always feel that I need to cough it up....if I raise my voice, the mucous in my esophagus starts to build up and I then starts coughing to bring it up. Would the valve prolapse be associated with my breathing problem? Is it cause for alarm and should I go see my family doctor?

### output:

Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. You seem to suffer from -HERD. The rise in the voice-increases intrathorasic pressure, which causes increased acid reflux due to similar innervation as that of pharyngo-laryngeal region by Va gal nerves. This leads to breath holding to avoid aspiration in air track. So breath holding is from HERD and not due to MVP in your case. Treat with-PPI -Prilosec(OTC) with domeperidone and treatment of causes of HERD would resolve this difficulty in the breathing. Consult with Physician and if need be ENT surgeon to treat this laryngopharyngeal breath holding caused from HERD with which to prevent mucus collection spillage in to air track, breath holding is reflex done by you. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS