Weird Ongoing Ailment.

Hello - I've this problem now for around ten years and it started initially during what I thought was a panic attack though could have been related to excessive exercise. The symptoms usually starts with a twinge under my right ribcage. Immediately below it. No pain, just a weird, tight knot feeling. In the middle of my abdomen, to the right. This is followed by days of what feels like trapped wind; like I need to burp but can't. My chest is tight and I have a knot in my throat. It feels almost like anxiety but would that cause a knot under my ribcage? The trapped burps are the worst. It actually feels like they are trapped near my chest making it feel tight. Then relief after it escapes. There can be lots of acid reflux with the symptoms. I can have no symptoms for weeks and it then occurs to me I haven't eaten any bread, so I will completely omit that from my diet. But then one random morning after I've eaten the same breakfast I always eat, it starts again. It also seems to be occasionally irritated by a hot shower. Yes, the symptoms of trapped wind will start in the shower from time to time. Boggles the mind. My diet overall is quite good. No alcohol, no smoking. I am slim. 41 years old. No medication. Any help would be appreciated as it seems to recently be worse.

It may be trapped gas. Try over the counter Simethicone anti-gas tablets.

Any trauma to the abdomen or rib area slight or severe?