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These symptoms accompanying acid reflux (or any time) should always mean a trip to the emergency room: Squeezing/tightening in the chest Feeling out of breath Pain, aching, or discomfort radiating from the chest to the arms, back, or neck Sudden fatigue, dizziness, or feeling lightheaded Cold sweat Shortness of breath Arm pain Feeling confused or sudden weakness When the reflux moves/relocates from how you typically experience it Fainting/loss of consciousness, even briefly Vomit that has blood in it or is black Stool that is black and/or accompanied by blood Even if it is not a heart attack, it could be angina or another issue that needs to be addressed quickly

I have an older bottle that dates back at least six or seven years, and it's the eau de cologne concentration, which I sometimes use as an aftershave

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