What causes heaviness and discomfort on the Xiphoid?
Patient: Hi. I have been experiencing a really full feeling below my xiphoid process.it feels as if there is a baseball sitting there. It is very discomforting to me because of me being short chest & waisted. Just started like 3 days ago. I m very concerned but I wanted to see if I could out answers first before taking the next step. Doctor: Thanks for your question on HCM. In my opinion we should first rule out cardiac cause for your symptom.  As cardiac issue can present with problem, below xiphoid process. So get done ECG to rule out this.  If ECG is normal than no need to worry much. This can be due to gaseous distention of stomach. So try to follow these steps. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7.  Avoid smoking and alcohol if you have this habits.8. Loose weight if you are obese.