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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45195
Experience:  Board Certified Physician
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, am 31 years old a male with no past history of any

Resolved Question:

Hello,
am 31 years old a male with no past history of any health issues. I play football once a week. Recently I played football a few days ago and had previously not played for a month. The weather was quite cold. After playing I had some pain in the chest it was very localised pain and also a sort of shooting sharp pain in the chest. I did not have the time to warm up before the game. My question is could this be a muscular issue because I did not warm up and had not played for a long time? Or something else. I did not have any symptoms no shortness of breath no dizzyness or any other symptoms just the localised sharp pain which stopped about 30-40 minutes after I finished playing. I went running the next day and did not experience this pain. Please let me know your thoughts.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

it sounds like your chest pain was from not warming up and playing football on a cold day.

Dr. David :

that is good you didn't get the same pain the next day on your run.

Customer:

hi Doctor

Customer:

How would I know if it was something to do with the heart?

Customer:

Also what would be causing the pain?

Dr. David :

you could see your doctor and get blood and ECG testing to check your heart.

Dr. David :

the pain could have been due to not warming up properly, or anxiety can cause chest pain, or playing in the cold weather.

Customer:

i had an ECG done in 2012

Customer:

all was fine

Dr. David :

do you have a history of excessive anxiety?

Customer:

no

Customer:

I had not played for 3 weeks

Customer:

and also did not warm up

Customer:

but how would I know if it was from the heart?

Customer:

Do you think I need to be concerned with this?

Dr. David :

you can't tell if it is in your heart from just your symptoms.

Dr. David :

at your age, it would be unlikely you are having heart related chest pain.

Dr. David :

I don't think you need to be worried about this.

Dr. David :

if you had heart related chest pain, you would have pain when you did strenuous activity and you went running the next day

Dr. David :

and were fine, so it is not from your heart.

Dr. David :

let me know if you have questions.

Customer:

but what about when sitting normally

Customer:

i have read with heart pain it can be during activity and also when sitting

Dr. David :

that is not when you have heart related pain.

Dr. David :

your heart has to be very very damaged to have heart related pain when just sitting.

Customer:

okay

Customer:

this pain was very localised and a shooting pain

Customer:

i have read heart pain is more dull and squeezing sensation

Dr. David :

you are too young to be worried about heart related pain.

Customer:

really?

Dr. David :

yes.

Customer:

do you think I should see my GP?

Customer:

or no need for now

Dr. David :

if you are playing soccer and running and being active, that is the best way to keep your heart strong.

Dr. David :

sure, go see your GP doctor.

Customer:

i see

Customer:

i dont

Dr. David :

I bet your ECG again will be normal

Customer:

smoke

Customer:

I drink only occaisonalluy

Customer:

do you think I need an ECG?

Dr. David :

keep staying healthy and I bet you will be fine.

Dr. David :

no, I don't think you need an ECG.

Customer:

i mean perhaps i am panicking a little bit

Dr. David :

I never said you need an ECG.

Dr. David :

you are displaying a lot of anxiety symptoms in your questions.

Customer:

okay so what would be your advice at this point?

Dr. David :

I would suggest you forget about it

Customer:

i havent had any pain in the chest since that day

Dr. David :

if you continue to worry and have panic type symptoms, you should see your GP doctor about this.

Dr. David :

you might need treatment to help decrease anxiety and panic symptoms.

Customer:

so i normally play every week and had not played for 4 weeks and then played without warming up and exerted myself which resulted in a localised sharp shooting pain

Customer:

the pain stopped about 40 minutes after i finshed playing

Dr. David :

yes, I know.

Customer:

but it gradually reduced once i had finished and completley stopped after about 40 minutes

Customer:

do you think it was muscular then?

Customer:

I am just trying to understand what could have caused it

Customer:

are you still here?

Dr. David :

it was most likely due to muscle strain from your lungs and diaphram straining from not warming up and playing in the cold.

Customer:

i seee

Customer:

okay would I have experienced other symptoms if it was heart related?

Dr. David :

you would have sweats and you would have chest pain the next day when you were running.

Customer:

i was sweating the next day when i ran

Customer:

how would the sweating be different?

Dr. David :

older patients who have heart related chest pain have nausea and radiating pain to their jaw or left arm

Dr. David :

and crushing chest pain.

Dr. David :

it really sounds like your anxiety is getting out of control with worry here.

Dr. David :

you are not having heart related chest pain.

Dr. David :

you are too young to have heart related chest pain.

Dr. David :

your GP doctor will tell you this as well.

Dr. David :

it sounds like you are focusing too much about this

Dr. David :

if you continue to worry, you should see your GP doctor.

Dr. David :

but I bet your heart testing will all be normal.

Dr. David :

I bet you are having excessive anxiety making you worried.

Customer:

i am a little worried

Customer:

i have had this pain before but it seemed a little sharper this time

Customer:

but then i didnt warm up and had not played for some time

Customer:

i do have to say that the next day when i went for a run i felt very good

Customer:

and did not have pain and ran a long distance

Dr. David :

yes, you have told me that before.

Customer:

okay

Customer:

i am repeating myself

Dr. David :

you wouldn't be able to run long distance if you have heart problems.

Customer:

i would be out of breath?

Dr. David :

it is normal to be out of breath when you run.

Customer:

i have one more question

Customer:

if it was a heart issue and i ran a long distance you say that would not be possible but what would one feel if they try to run a long distacne if they have heart issues?

Dr. David :

patients who have heart problems can't run

Customer:

okay can you please summarise if you dont mind

Customer:

what you think it was

Customer:

or what it sounds like to you

Dr. David :

I think you over did the football playing without warming up and playing in cold weather. this can strain and cause cramps in your intracostal and diaphram muscles and cause chest pain which goes away.

Dr. David :

if done, please leave positive feedback below

Dr. David :

we only get credit for helping clients after positive feedback.

Dr. David :

http://www.justanswer.com/medical/expert-dr-david/

Dr. David :

is my website if you need to reach me again.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

you might have to scroll down to see the ratings area below.

Customer:

thanks

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45195
Experience: Board Certified Physician
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