Update...i have been on Protonix for 2 weeks now and it has been 95% back to normal. Not only have I taken the medicine, but I have changed up my diet. I still feel at times a lump in my throat. I will have my ultrasound this Thursday of my thyroid to see if it is pressing on my esophagus. ALL my labs including thyroid panel are normal. I have notice when I eat certain things such as meat or spicy foods I start to feel the lump more prominent and the urge to take a deep breath. My next step after my ultrasound will be to follow up with an ENT because the protonix has helped tremendously so maybe he will need to scope me to confirm the diagnosis of silent reflux. I understand how all of you guys feel because I was there and found myseld becoming depressed. I will keep you informed, so maybe I can help someone else. I have come to a conclusion through all this that when I had to constantly take a deep or yawn, I thought I will just have to live with it. NO...dont live with it because it is not normal! Read about it, research it and educate yourself on what it may be. EVERTHING stems from your gut. For me I read so much about acidic food and how it effects reflux and started eating better and started to notice when I ate certain things I could feel the dyspnea creeping back up. I hope what I post can help you guys and let me know if you have any questions.