I have very painful gas(burps/flatulence) all day long everyday I'm

Patient : I have very painful gas(burps/flatulence) all day long everyday. I'm almost always constipated or have diarrhea. The gas pains are mostly in my upper abdomen to my shoulder and chest. I'm not lactose intolerant. What could this be? Doc says gerd? But I think he's wrong prescription heartburn pills not helping at all.
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