Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical examination by your [gastroenterologist]and do few investigations like this [Colonoscopy, CT scan and stool RE/ME] 2)Try to avoid [carbonated beverages, vegetables especially cabbage, broccoli and cauliflower and raw fruits etc] 3)Discuss with your nutritional expert to make a diet chart by eliminating [FODMAP] 4)For prescription medications you can talk about a)[Dicyclomine] for pain b)[Alosetron]for loose motions c)[Fluoxetine]for depression d)[Rifaximin] for secondary bacterial infections Do follow few lifestyle modifications like this - 1)Try to eat a moderate amount of soluble fiber. 2)Don t eat foods at opposite temperatures, such as ice-cold water and steaming hot soup, in the same meal. 3)Drink water an hour before or after meals, not while you eat. 4)Do take a probiotic caps like [Lactobacillus] and [Lactase enzyme]caps regularly. Hope that helps