Hi,Dear,Thanks for your query to HCM. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from- IBS C with GERD. Dear,You need to have physical check ups from Surgeon. Get EGD(Esophago-Gastro Duodenoscopy) to assess the Gatritis and vomitting in your case. Also assess for other causes of dypepsia -like Gall stones/ appendicitis which could cause such complaints. Remedy- Check up with Surgeon and get proctoscopy and rule out any Piles / proctitis / and fissure in ano and treat it accordingly with medicines and surgical care. Bland Diet with non fried / non spicy liquid diet for 3-5 days Skimmed Butter Milk. Rice soup / porridge x 3 days time would recoup from the Constipation and imbalanced fluid balance Cap Sporlac Ds- a probiotic-1 x 2 times a day x 2 weeks PPI like- Pantoprazole Domepridone- 1 x 2 x 2 weeks. Gradual changeover to solid food would recoup the present problems of hardness at motions. For to recover hard motions- Dulcolax suppositories. Acute nausea with right abdominal pain and right chest pain would be relieved once constipation gets relieved . Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS