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she could be having bad panic attacks.
she should talk to her doctor about anti anxiety medications.
severe anxiety symptoms can cause chest pains, cough, tight chest, shortness of breath, throat tightness
she could also be having acid reflux issues.
she should have her thyroid levels checked.
hyperthyroidism is very common, but most likely would not be causing all of her symptoms.
she should talk to her doctor about generalized anxiety disorder or panic attacks or anxiety attacks
and see if she may be better on some anti-anxiety medications which could help.
those could all be normal for her.