Hello! Thank you for asking on HCM! I understand your concern and would explain that her symptoms seem to be related to dyspepsia (troubles with indigestion) and the accumulation of gas in her intestine, leading to a distension of the diaphragm and pain in this region. A gastric disorder ( gastritis or gastro esophageal reflux) can t be excluded. The fact that her symptoms are modulated by the body movement is another argument in favor of these disorders, including possible musculo-skeletal pain. If her symptoms persist, I recommend consulting with the GP for a careful physical examination, a chest x ray, an abdominal ultrasound and some lab tests (complete blood count, kidney and liver function tests, fasting glucose, blood electrolytes) to rule out any other disorders related to this symptomatology. A fibrogastroscopy may be necessary to exclude possible gastro-esophageal reflux. Hope to have been of help! Best wishes, Dr. Iliri