I've had acid reflux for years and have family members with the same. Besides the normal symptoms of burning in your chest and throat especially when you excert yourself, and the hoarseness, I also have a constant feeling of tightness around my throat like I have a noose around my neck. If I talk too much, which I do frequently, it gets worse and actually my jawline will hurt. I went through the medication route to taking up to 2 Nexium a day and found it helped with the reflux but helped very little with the tightening of my neck. The doctor says it's because my muscles are contracting from the acid. I found Nexium and Aciphex to be so expensive so I opt for the otc meds such as Prilosec and Prevacid. They seem to help the reflux as well as the prescriptions and are a lot cheaper. There is a history of gerd in my family, my cousin ended up having surgery, Nissan Fundoplasty(not sure of the spelling). I am not overweight and avoid juices and products that produce a lot of acid. I was wondering if anyone has ever experienced the tightness around your throat that I do. It's can get a little scarey. Thanks for any help.