Hi, Thanks for your question on HCM & I do understand your concern “As” per your clinical history is concerned you have GERD and to confirm it do an endoscopy and do a clinical examination by your local gastroenterologist. Regarding treatments you need a PPI like [pantoprazole]and it is a prescription drug which will be prescribed by your doctor. Do talk with your doctor to add [baclofen] and if you have already done conservative treatments so you can talk with your treating doctor regarding surgical therapy. Besides, you may need some life style change like this:- 1)Maintain a healthy weight 2)Try to avoid tight-fitting cloths 3)Make a list of foods that make chest pain and try to avoid it 4)Try to eat small meals and avoid overeating 5)Wait for 3 hours before going to bed 6)Do not drink alcohol or smoking 7)Raise your bed at least 6 inches Hope that helps