The pain in the heart that feels like it’s digging out can be caused by angina pectoris, it can also be caused by anxiety, and it can also be caused by gastroesophageal reflux. 1. Angina: Angina is a clinical syndrome caused by myocardial ischemia due to a temporary imbalance between myocardial oxygen deprivation and oxygen supply. Angina can lead to a hollowing out pain in the heart, which is usually relieved within 10 minutes. 2. Anxiety disorders: During acute attacks of anxiety disorders, patients may experience symptoms related to severe autonomic dysfunction, and therefore this disease may also cause patients to experience pain in the heart that feels hollow. 3. Gastroesophageal reflux: Gastroesophageal reflux is a disease caused by the reflux of gastric contents. When gastric acid and refluxed material in the stomach refluxes into the esophagus and above, due to the location of the esophagus and the heart being adjacent to each other, the patient may also experience a gouging pain in the heart. In addition to the above diseases, other factors can also cause the heart to feel gouging pain. It is recommended to consult a doctor in time to find out the cause of the pain and ask the doctor to take care of it.