Can having gerd and a small hital hernia cause panick symptoms?

GERD: Patients react to gerd and symptoms of hiatal hernia in different ways. Anxiety is generally not a symptom but esophageal spasm from the acid or tiny bits of acid aspirated into the airways could give the sensation of anxiety. I would recommend a history and physical examination by primary care physician in a trial of a proton pump inhibitor. If the anxiety persists after this medication trial then it may be a separate issue.