Smoker on nicoderm; hard to breath sudden sharp chest pains if i swallow both sitting or reclining; all day my throat/sternum down to diaphragm sting.

See your doctor: You want to make sure that you are not experiencing symptoms of too much nicoderm (nicotine patch). So, it's best to go to your primary care physician, and have s/he look closer at what is causing your symptoms, and be able to monitor you closely. The last thing you want is to have gerd, or an ulcer developing. So, do not delay, and get the help you need.