The feeling that there is something pressing under the heart may be caused by the vegetative nerve dysfunction, gastrointestinal discomfort or heart disease. It is recommended to go to the hospital for further examination and clarification of the cause if necessary. 1. Vegetative nerve dysfunction: If the regulation of the vegetative nerve function is abnormal, you may feel that there is something pushing against the bottom of your heart, but there is no abnormality in the examination result. 2. Gastrointestinal diseases: For example, gastritis, duodenitis, etc., when the gastrointestinal tract has poor digestive function, the stomach peristalsis and digestive function will be weakened, and the patient may feel bloating, and feel that there is something pushing under the heart. 3. Heart disease: if the patient has a serious myocardial infarction, it will be accompanied by stress digestive adverse reaction, and heart failure, gastrointestinal stagnation, the patient may feel that there is something under the heart. If the patient feels that there is something underneath the heart, he should consult the cardiology or gastroenterology department for further examination to clarify the cause of the disease and formal treatment.