Hello! Thank you for asking on HCM! I read your question carefully and understand your concern. I would like to know if you have performed any fibrogastroscopy before? It is important to investigate the causes of blood vomiting, which could be probably caused by a gastric ucer. This could also be the cause of your chest pain. Gall bladder stones could also cause pain in this region. An abdominal ultrasound, besides liver function tests are necessary to exclude this disorder. I would also recommend performing a careful physical examination for the lumps under the xiphoid process and routine blood test for inflammation, blood electrolytes, a chest x ray to search for the possible cause. Hope to have been helpful! Greetings! Dr. Iliri