I would like to bring up the topic of acid reflux again and ask for some advice. I have always suspected that this is one of my TMS symptoms. The reason is that I have had recent, on and off bouts with it. I have been to doctors many times for it, but would never consent to medications which I think are dangerous. I don't get heartburn, but rather acid in my throat, sinuses and ears. When I have it, I often have a sore throat, plugged sinuses, lots of mucous, and constant tickling in my ears. It can drive me to distraction. I recently visited a ENT doctor who does think my problems are psychological and says my throat is ok. I do have Hashimoto's thyroiditis, but my thyroid is fine. Also, at times when I don't have GERD, I can eat almost anything I want and not have problems. At other times I have to avoid dairy and gluten and other food items. This just does not make sense. Now I have had on and off bouts with it for the last 4 months. Recently, I became over medicated on Synthroid and became hyperthyroid for several months, which can really make one crazy, but now have the dose adjusted. There is something that I think may have triggered it. As an aside, my mind is really weird. I can do something that I am perfectly ok with consciously, like scheduling a trip (more on that in a moment), but I can feel my unconscious in the background just seething with anger and flipping out about it. This takes some time, but I will eventually start to get physically sick. This sickness is telling me emphatically NOT to do what I am planning. Case in point: I have horrific travel phobia. My parents eventually stopped taking me on vacations because I would cry and scream that I did not want to go and if they made me, I would always get very sick on the trip. I never got over this. I have no idea about what bothers me about travel, except to say that I dread it, hate it wherever I go, and count the days until I get home and almost always get sick. Even if I don't get sick, I am in an extremely anxious mood the whole time. Funny thing though, I enjoy the memory of a trip, in hindsight. I have no ability to enjoy traveling in real time. And yet, the idea of enjoying a vacation appeals to me. However, that is never the reality of it for me. So I planned 2 trips. one to Phoenix, AZ (I live in Panama), and another one in August to 3 destinations in the US. I did not want to go to 2 of them and my husband did not want to go to 1 of them. But it was cost effective to plan them together. So we compromised on that one, but I would be going to Phoenix alone, which really terrifies me. For about 2 weeks after planning these trips, I was pretty much ok as long as I avoided thinking about the trips. But I could tell that the explosion was building inside. I got worsening back pain and gastric reflux, my worst TMS symptoms. I followed the usual routine of seeing the doctor, but I think they have me pegged as a hypochondriac. They did order some tests which were unremarkable. My husband is always annoyed when I want to go to the doctor for one of my recurrent TMS symptoms, because he doesn't think that medical attention is warranted for these. He is a doctor. I agree with him, but am always tempted to think that maybe this time there is really something wrong. Anyway, I think that suppressing my real feelings about going on these trips has caused the symptoms, but if I acknowledge my fear and anger about the situation, I will probably never go anywhere again. It is funny because as I write this, expressing my real feelings of extreme fear and anger, I can feel my symptoms subsiding. Looking back and I know this is a terrible thing to say, but it was probably never that I hated vacations, what I hated was the dysfunctional dynamics in my family situation. The idea of being stuck with them in cramped quarters on vacation was more than I could take, so I got sick so that I could stay with my grandparents or neighbors who I loved. At home, I had many more opportunities to get away from them. I guess my unconscious still associates negative emotions with vacations. Of course, now, this coping mechanism is interfering with my enjoyment of life. Anyway, my original question is how do people cope with GERD when it is TMS related? I know that going on meds will just cause me more problems down the road. Diet restrictions will help in the short term, but are difficult when traveling. Is tissue damage a real worry. I am pretty good at ignoring back pain, but GERD is another story. I am tempted to cancel the first trip, Any ideas??