I have a lot of the same symptoms you are having. In February I started getting episodes of tachycardia, and it slowly progressed from happening a few times per day to pretty much constant. I have difficulty swallowing and the veins in my arms bulge and my palms start sweating profusely. A few months ago I couldn't sleep because it felt like if I did, I would stop breathing because I felt like I had to consciously move air in and out of my lungs. That lasted about a week then I felt very sick and nauseated for about a month in a half. I have had the whole work up of blood tests, echocardiogram, ekg, holter monitor, etc. Everything has come back negative so far. The doctors can't seem to figure it out. I just don't know what would be causing this. At first they thought I just had anxiety, but I tried Lorazepam and Lexapro and neither one has worked and has not decreased my heart rate. Also I was put on beta blockers and they didn't help with my heart rate either.
Excerpt from "Beat acid reflux naturally" by Dr David Jockers...
"The most common risk factors for GERD include anything that obstructs the esophagus or stomach region such as hiatal hernia, pregnancy, and scleroderma. Other proven risk factors include obesity, smoking, and alcohol usage. Many prescription medications list GERD as a common side effect so this should always be considered.
The popular belief is that acid reflux is due to an excessive amount of hydrochloric acid in the stomach. New science has revealed that this is not the case. GERD is most often caused by too little hydrochloric acid being secreted by the stomach.
During digestion the stomach secretes acid to lower its pH to around 1.5-2.5 range. More protein in the meal results in a greater need for stomach acid. Individuals with non-obstructive acid reflux are often not able to get their pH low enough. The LES is known to be a pH sensitive valve that initiates closure when pH drops under 3.0. When the stomach does not have enough acid, the LES remains open and acid can spill into the esophageal region and damage the tissue."
Acid blockers are short term drugs for a very good reason. You need stomach acid to absorb nutrients and kill off bacteria, fungi, and parasites.
The black box warning on proton pump inhibitors including prilosec (omeprazole) is magnesium deficiency. Symptoms of magnesium deficiency are numerous and include heart rhythm problems, shortness of breath (cannot breath in enough air no matter how hard you breath in) and lump in throat/gagging issues/difficulty in swallowing.
My mother is now free of all acid blocking drugs and is now free of her severe GERD, severe LPR and is 95% improved with gastritis. I threw away all acid blockers and started her on betaine HCI with pepsin to increase stomach acid, digestive enzymes to help with digestion and 5 years of severe GERD and severe LPR were gone in weeks. After a year, 25 years of gastritis improved 95%!! The proteases (enzymes that digest proteins) heal gastritis.