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What Causes Pressure In Chest, Excessive Belching And Slight Nausea?

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Posted on Wed, 26 Aug 2015
Question: Hi. I'm 31 and female. I have a pressure in my chest (about where you would do chest compressions) and I've been belching alot with slight nausea. I also noticed some black sand-like particles in my urine. Should I be going to the doctor/hospital?
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Answered by Dr. Noble Zachariah (38 minutes later)
Brief Answer:
Better to see the doctor if symptoms do not settle with antacids and antisp

Detailed Answer:
Hello,

Welcome and thanks for your query.
I understand your concern.
The pressure sensation is more likely to come from the esophagus rather than from the heart. It may be due to a esophageal spasm or from esophageal inflammation from acid regurgitation. Antacids and antispasmodics may be helpful. If these are not helpful and if there is any sweating or breathlessness, it would be better to go to the ER and have an EKG done to exclude the less likely cardiac pain.
If you have access, it would be good to get an upper GI endoscopy done and also check for a bacteria named H.Pylori.
The black sand like particle is likely to be crystals and it would be good to have your urine examined.
Best wishes,
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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What Causes Pressure In Chest, Excessive Belching And Slight Nausea?

Brief Answer: Better to see the doctor if symptoms do not settle with antacids and antisp Detailed Answer: Hello, Welcome and thanks for your query. I understand your concern. The pressure sensation is more likely to come from the esophagus rather than from the heart. It may be due to a esophageal spasm or from esophageal inflammation from acid regurgitation. Antacids and antispasmodics may be helpful. If these are not helpful and if there is any sweating or breathlessness, it would be better to go to the ER and have an EKG done to exclude the less likely cardiac pain. If you have access, it would be good to get an upper GI endoscopy done and also check for a bacteria named H.Pylori. The black sand like particle is likely to be crystals and it would be good to have your urine examined. Best wishes,