Hi Thanks for posting on HCM The symptoms you present may not be related to the problem you had 3 years ago.The cause of your present symptoms could be of respiratory or digestive origins.I would have appreciated if you told HCM the results of the x-rays and echo.However, your Doctor should investigate you for a respiratory/lung infection, and digestive infections.A stool exam/culture with your x-rays and echo results may help identify the cause of the problem. I will suggest you try the following -Take an ant-emetic like vogalene if vomiting persist -Eat well and healthy and food rich in fibers -You may take enough fruits like pawpaw to facilitate digestion and avoid fruits like bananas which may instead constipate -You may also take an anti-secretory like omeprazole if any chest burns or signs of acid reflux. From the diagnostic orientation of your Doctor and from the results of the tests, a more objected management may by prescribed. Hope my answer will help you Best regards