Hello dear, thanks for your question on HCM.
I can understand your situation and problem.
In my opinion you are having GERD (
gastroesophageal reflux disease ) mostly.
Since your CT thorax is normal, no need to worry much for pulmonary causes.
You are having mostly GERD. 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 burning
chest pain in center of back.
You need to follow these lifestyle modifications along with drugs for better symptomatic relief.
1. Avoid hot and spicy food.
2. Avoid
stress and tension.
3. Avoid large meals, instead take frequent small meals.
4. Go for walk after meals.
5. Keep 2 - 3 pillows under head in bed to prevent reflux.
6. Avoid alcohol and
smoking, if you have these habits.
7. Loose weight if you are obese.
Don't worry, you will be alright.