Hello, I am a 19 year old male I am physically

Patient

Q: Hello,
I am a 19 year old male. I am physically fit and highly active. The other day I got my heart rate checked and it was abnormally low at 48. I've been checked thousands of times and it has never been that low. I wasn't too worried about it but lately I have been getting some random chest pains and was wondering what this could mean?
Thank you,

Symptoms:  Chest pains, low heart rate
Doctor

A:   Hello. Welcome to Ask The Doctor. I understand your concern.

Such chest pains during stress occurs because of Anxiety only and we label then Non-specific Cardiac chest pains.
But we should always keep in consideration Cardiac Chest pain and Acid reflux.
It is important to differentiate between the all. However, the Cardiac chest pain is severe and crushing in nature. It increases on activity like walking, exercising. It also radiated to left arm.
In such scenario, you should get an ECG and Chest X-ray done, if they are normal, I would advise you to go for Treadmill test and ECHO. If they are also normal, then the pain is not due to Cardiac issues.
For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day.
For anxiety, you would be treated with anti-anxiety drugs like Etizolam.
If any abnormality is found, in Treadmill Test and ECHO, then an angiography should be performed.
Share my opinion with your doctor before acting upon it.

I hope it helps.
Stay Healthy

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