Hi there, and thank you for asking us on HCM! Have you done any medical test or examination for these concerns? Have you seen any doctor before? It s hard to believe and give an explanation for any organic disease when all the organs are feeling ill and chained like your fiance is experiencing. I would think that stress, anxiety or other psychiatric field disorders may be one reason for these symptoms. Please consider a consultation with a psychiatrist. Take care and hope you find helpful this answer. Best wishes! Dr Eriol.