Patient: I had more than a few in ’09 and got better after a week of Ritalin, but recently I’ve been having them again, and they only last 24 hours. I would prefer not to take this kind of medication which is a bit supine to the nerve, is there any basis for a doctor to say that if you cut the diaphragm off you won’t fight again? Suggestion: Your symptoms are erratic. It is caused by involuntary contraction of the diaphragm. The underlying etiology is to look for any irritation on the phrenic nerve pathway Your gastroscopy showed reflux esophagitis as one of the possible causes. Regular treatment is needed. In addition, the injection of Ritalin, which has a limited duration of action, is not a fundamental solution. If it is convenient, please come to our office and I will help you to analyze it carefully and develop a treatment and observation plan.