Patient presents with symptoms consistent with a gas-related condition.  Chief complaint includes abdominal discomfort, described as bloating, distension, and excessive flatulence.  Onset of symptoms began [timeframe] and is associated with [possible triggers, e.g., specific foods, stress, recent medication changes].  Patient reports [frequency and severity of symptoms, e.g., intermittent sharp cramping, constant dull ache].  Review of systems reveals [presence or absence of associated symptoms such as nausea, vomiting, diarrhea, constipation, belching, heartburn, borborygmi].  Physical examination reveals [objective findings, e.g., abdominal tenderness to palpation, tympanic abdomen, normal bowel sounds].  Differential diagnosis includes irritable bowel syndrome, lactose intolerance, small intestinal bacterial overgrowth, and gastroesophageal reflux disease.  Diagnostic workup may include abdominal X-ray, stool studies, lactose breath test, or hydrogen breath test to rule out other conditions.  Assessment points towards [specific gas-related diagnosis, e.g., aerophagia, flatulence, abdominal distension].  Plan includes patient education on dietary modifications, such as avoiding gas-producing foods like beans, lentils, and cruciferous vegetables.  Discussed the importance of stress management techniques and regular exercise.  Over-the-counter medications such as simethicone or activated charcoal may be considered for symptomatic relief.  Patient advised to follow up if symptoms worsen or do not improve within [timeframe].  ICD-10 code[s] [relevant codes, e.g., R14, R10.84] considered for medical billing and coding purposes.  CPT code[s] for procedures performed will be documented separately.