This is Dr. David
sounds like most likely it is from excessive stomach acid production
if you drink alcohol or have a bad diet or fatty diet this can cause worse stomach acid production.
and this can cause tightness in your stomach and more burping.
you need to avoid alcohol and eat a blander diet and void spicy foods and start to take acid blocking medications to decrease stomach acid.
I think you do have gastritis again
gastritis is inflammation of the stomach from excessive stomach acid.
don't let your anxiety paralyze you.
it sounds like you have bad anxiety symptoms as well
severe anxiety symptoms can also cause your stomach to produce more stomach acid.
are you able to avoid alcohol and eat a blander diet and take stomach acid medications
like malox or mylanta or zantac or pepcid or prilosec ?
you should take omeprazole 30-60 minutes before meals every day
and eat a bland diet.
no spicy food and no fried or oily foods
avoid tomato sauces
and no alcohol or sodas.
and your stomach should get better.
no, I don't think it is anything more serious
but you should see your GP doctor if your symptoms don't get better
and you should be getting some treatment for your health anxiety symptoms.
you should be seeing a therapist regularly
and you might need medication to help decrease anxiety for you.
let me know if you have other questions
if done for now, please leave positive feedback below the chat box
we only get credit for helping clients after positive feedback
is my website if you need to reach me again.
thanks for using JustAnswer.com
do you see the ratings area below?
you are welcome
do you have any other questions?