<s>[INST] Hello I m am 29yrs old male . Since last 3 months I m having excessive gas in my stomach .occasionally I have a cooling sensation or pain  around my chest and back. I also have my pain in my stomach near right rib cage.   Pain in my neck  and reddish windpipe, my mouth gets dry . Sometimes during bowel I have a thick white penile discharge but in small volume. Have met several doctors no reliefPlease explain Need help. [/INST] Thanks for your question on HCM. I can understand your situation and problem. In my opinion, you are mostly having GERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of gaseous feeling in stomach, burning pain with stomach pain. So better to start following steps for symptomatic relief. 1.  Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors. 5. Go for walk after meals. 6. Keep 2-3 pillows under head in the bed to prevent reflux. 7. Avoid smoking and alcohol, if you are having these habits. 8. Loose weight if you are obese. Don't worry, you will be alright. </s>