A 49-year-old male asked:
my 19 year old has chest pain. the pain started in last august. he end up in emergency room. they told us they found nothing wrong with heart. he saw a cardiologist after that in august and december. the cardiologist did ekg and stress test. he told us my
3 doctor answers
Dr. David Greuner answered
19 years experience General Surgery
A : A rare cause of chest pain in this age group is anomalous coronary artery. Although typically this will be detected by an astute cardiologist, it might be worth bringing up in discussion.
Answered on Oct 3, 2016
1
1 thank
Dr. Stephen Christensen answered
35 years experience Family Medicine
I'm : I'm sorry your son is having so much trouble with this chest pain.
Since he was diagnosed with a "valve problem, " and beta blockers were recommended as a potential treatment, i presume he's dealing with mitral valve prolapse (mvp), which is usually a benign condition. However, it can sometimes cause significant chest pain, and beta blockers might alleviate this discomfort. If other causes of your son's chest pain have been ruled out (his cardiology workup should have accomplished that), then a trial of preventive beta blocker therapy is reasonable. He doesn't necessarily need to return home for that; his cardiologist might be able to arrange appropriate treatment after consulting with the physician in north carolina.
Keep in mind that beta blockers -- like nearly all medications -- can cause side effects, such as dizziness, fatigue, slowed heartbeat, and poor exercise tolerance.
Talk to the cardiologist about the risks and benefits of beta blocker therapy. If he feels comfortable prescribing medications without seeing your son again, then your son can continue his studies. Otherwise, you can bring him home for reevaluation.
I've attached a link that provides more information about mvp.
I hope things go well!
http://www.Medicinenet.Com/mitral_valve_prolapse/article.Htm.
Answered on Oct 4, 2016
Dr. Oscar Novick answered
58 years experience Pediatrics
Thin chest wall: If he has a thin chest well he may be feeling his heart hitting up against his chest wall like a ping pong ball.Nothing serious.
Answered on Mar 26, 2013
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Dr. Rick Koch answered
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Esophageal: Spasm could cause such symptoms...Unlikely cardiac.
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