Hello, Thanks for your query on HCM As per your clinical history is concerned please follow like this - 1)Do a clinical exam by your Doctor [gastroenterologist]and run few tests like [GI endoscopy and Esophageal (manometry)] to confirm the diagnosis. 2)Discuss your Doctor about [pantoprazole and baclofen] Do follow few lifestyle modification like this- 1)Try to maintain a healthy weight. Excess pounds put pressure on your abdomen, If you are overweight or obese, work to slowly lose weight no more than 2 pounds a week. 2)Try to avoid tight-fitting clothing. 3)Try to avoid foods and drinks such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion etc 4)Try to eat smaller meals. Avoid overeating by eating smaller meals. Don t lie down after a meal. Wait at least three hours after eating before lying down or going to bed. 5)Try to elevate the head of your bed. If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 inches. 6)Try to avoid smoking Hope that helps