Hello @artist01 and @kilh I am so sorry to hear of your troubles. I had about 29 vasovagal attacks over a period of nine months before I was diagnosed with PMR and GCA, autoimmune disorders. My attacks were milder than yours. Usually, when I was eating lunch. I'd get a "squiggly" pain behind my navel, watery mouth, run to the bathroom and then have gagging attacks, most often dry heaves. I never fainted, but the attacks were draining. If the gagging lasted a long time, I'd be wiped out for the rest of the day. I'd lie flat on my back with my feet up to try and stop the attacks and do deep relaxation breathing. I found vagus nerve reset exercises on You Tube; also gargled, hummed, sang out loud and took cold showers (as tolerated) to keep the attacks at bay. I read books by Dr. Stephen Porges, "The Pocket Guide to the Polyvagal Theory - The Transformative Power of Feeling Safe" and Dr. Navaz Habib, "Activate Your Vagus Nerve." The attacks stopped about nine months ago and haven't returned. My autoimmune disorders are being managed with Prednisone. Interestingly, my brother told me he gets gagging attacks so maybe there is a genetic component. There must be doctors who specialize in disorders of the vagus nerve - neurologists, maybe?. Dr. Porges is a psychologist and Dr. Habib is in functional medicine. If I find anything of note, I will post it. My thoughts are with you both.