<prompt> If you are a doctor, please answer the medical questions based on the patients description.I ve been having lots of heart pounding, just sorta out of it feeling. Not pain, just pressure, comes an goes. I constantly feel jittery. Massive amounts of air belching up.. Some cold sensations, a hot flush feeling going through my body... It s all pretty much got me on edge...  <response>: Hi welcome to Chat Doctor. I understand your query and concern. Heart issues usually stem from anxiety related panic attacks. In all such cases its always safe to have organic heart lesions ruled out. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6gday. Regular physical exercise in the form of brisk walk for 20 min is helpful. Chat Doctor. Reduce the intake of fatty and fried food. 