I've reacted multiple times to myself but of course not as much as the people reacting. I get a very clear idea of how people on the other end are receiving this. My reactions seem to be more severe than most as vomitting occurs in individuals as well as coughing, sneezing, etc. On a daily basis. I've caused myself to vomit countless times as well as sneeze everyday and coughing. But people react still far more. I am able to smell myself on most occasions and it's foul sometimes but bearable. Sometimes even I give off a pleasant odour that I myself are able to detect. Patm has been in my life since a young child but has become more apparent as an adult. There is no set cure for patm, I don't believe. What I mean is one thing that may work for a person may not work for another person. Patm in effect increases as other things come into the equation. My most effective solution has been breathing. I don't think this in itself is one solidified cure but it helps reduce other symptoms resulting from patm and allows you to get on with concentrating on other things as oppose to having full focus on patm.