Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you are having mostly GERD (
gastroesophageal reflux disease ).
But better to rule out cardiac cause first for your
chest pain as you are obese, diabetic and hypertensive.
So get done ecg and 2d echo to rule out cardiac cause .
If these are normal then no need to worry much for cardiac cause.
You are having GERD mostly.
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 gaseous feeling, burping and burning chest pain.
And
depression and obesity worsen the GERD.
So better to follow these steps.
1. Avoid hot and spicy food, stress and anxiety.
2. Avoid large meals, instead take frequent small meals.
3. Start
Proton pump inhibitors.
4. Go for walk after meals. Loose weight by exercise and dieting.
5.
Consult psychiatrist and start appropriate treatment for depression.