<s>[INST] hi. i am experiencing pain around belly button for a week. it comes n goes, just above belly button part is very tight n hurts when i press my belly there and i can hear a heavy pulse. and this happens mostly when i lift up heavy weights and back pains. Theres this burning sensation in the abdomen with grumbling sounds [/INST] Hello and welcome to Chat Doctor, Pain around the belly button and hearing heavy pulses at the same site is suggestive of a vascular pathology. Aorta is the big blood vessel which runs from the thorax to the abdomen before dividing into renal arteries. Any abnormality of the vessel especially aneurysm will cause turbulent blood flow and loud audible pulsations. You need to get an MRI of the abdominal area to know the status of the aorta and other structures. Consult a cardiovascular expert for clinical examination, ordering investigations and hence management. Thanks and take care Chat Doctor.  </s>