<s>[INST] I have been having panic attacks and take Zanc but every now and then I have this fluttering or flapping in my chest right above my breast bone. It feels like something is opening and closing.It makes lose my breath and i get very upset and have a real weird feeling down my body. I then get light headed. I get acid reflex immediately after and burning sensation in my upper back and throat. Is this something to worry about or is this due to panic attacks. i am 55 years old, weight 121 and 4ft 10in. I quit smoking 3 years ago. On no other medications except for Vitamin D [/INST] HIFI admire you for positive outlook. Yes the symptoms itself suggestive of panic attack. But before it, we have to rule out cardiac problem, so please consult physician and if all reports come normal then we stamp it as panic attack. Require treatment to control panic attack. I prefer SSRI mainly paroxetine and clonazepam combination for better control. Apart from medicine following will helpful. Fix daily schedule and stick on it. Exercise meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence Apart from all need to treat your acid reflex also. Rabeparazole is the best way to control hyper acid reflex. Take care. Get well soon. </s>