<s>[INST] Every night I lay down I have a tight burning sensation in my stomach/bowels that goes up to my hand and chest even up into my throat and in my pelvic area, I also get a twitchy feeling in my nerves that wakes me up and it makes my heart start pounding. I was wondering what you thought it could be? [/INST] Hello dear, The symptoms as mentioned in your post is attributed to accumulation of gas secondary to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods2.  Chat Doctor.  </s>