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I have this problem, it comes and goes. Constipation seems to bring it on, or I may have diarreah followed by constipation. It feels like my rectum is going to fall out onto the floor, so much heavy pressure. I have trouble swallowing too. My jaw gets tight also. I do have other health problems, so it gets pretty confusing. I thought I had symptoms of Myasthenia Gravis, Lyme Disease, ms, als, tetanus,etc... Ihave muscle pain & weakness too.i have herniated disks in my c-spine with nerve root compression.I had lumber disks surgery recently for ruptured disks. I suffer from Meniere's disease and am nearly deaf in my left ear. I had 2 polyps removed from my colon and have been diagnosed with ibd (ulcerative colitis) fibromyalgia, anxiety depression,etc. This vagal syndrome is a different feeling. It's a clamy,sweaty,weak, hypoglcemic feeling. The dizziness is a swooning feeling. I had some blurry vision too. One day I had to leave work, all I had eaten was an apple that day, but I went home and gave myself an enema and felt better soon afterwards.