What causes pressure in chest and back relieved by burping?
Patient: I keep having preasure in my chest and back I get some relief when I burp.  Don't want to be stupid and just think gut stuff is going on if my heart is trying to get my attention.  I slept well last night but it is coming back now.  I even did 30 minutes on my excercise bike this morning. I am a woman 50 years old.  No insurance   What do you think? Doctor: Hi, thanks for posting your concern in the HCM.I think the pressure in your chest and back are symptoms of bloating. This may be due to peptic ulcer disease or non ulcer dyspepsia, or some intestinal or gall bladder or liver pathology. History regarding your bowel habits, is very important in this regard. 1. Do you have irregular bowel habits? If yes, is it predominantly constipation or diarrhea?2. Have you ever had blood in your stool or colitis?3. Are you having nausea and/or vomiting?4. Do you have abdominal pain?5. Do you have any known comorbittYou also need to have the following tests done-Complete blood count, urea, creatinine, electrolytes, fasting TSH, LFT, amylase and lipase.USG of whole abdomenFor the time being I would suggest you to have low fat diet, avoid spices, alcohol and carbonated beverages.I also recommend my patients to have Simethicone 60 mg tablet 3-4 times daily after meals and at bedtime for 7 days,and Enterogermina oral suspension twice daily for two weeks.Please also consult your local gastroenterologist for further evaluation.For any further questions,please write back to me.Regards,Dr. Kaushik