Ultra cycling is actually rare.

Even Rapid cycling is more than 4 distinct episodes in a 12 month period ....

What some people perceive as rapid or ultra cycling is actually that the person hasn't found there personal "stable" honestly to be considered stable its at least 4 weeks of a level mood and the ability to go about your day doing what needs to be done.

Often people are having situational issues that can be confused with the randomness of Bipolar shifts ..

Yes Ultra and rapid cycling happens But so does typical situational shyt that causes everyone on the planet... MI or not to have trouble managing life.

Do you chart your moods? Thats typically a good way to see if your following a pattern.

Your complaints about chest feelings and puking ,, well thats most likely Anxiety .. Have you tried some breathing exercises or meditation too help? Mindfulness is very helpful also .

Good luck