Conversation: The conversation between human and AI assistant.
[|Human|] my 18 year old son was companing that his heart was hurting. he randomly will complain about this. I felt his chest and counted 130 beats per minute. it felt like it was pounding outside his chest. I gave him some water and it slowed down a bit. hes on no meds or cafeine. should i tke him in to a doctor
[|AI|]  Hello! Welcome on Chat Doctor! I understand your concern and would explain that his symptoms could be related to anxiety or musculoskeletal pain. It is very unlikely (considering his age) that these symptoms are related to any cardiac disorders.  Besides, the increased heart rate could be related to anxiety and also muscular pain (normal autonomic reaction). But, if this problem repeats, I would recommend consulting with his attending physician for a careful physical exam and some tests: - a resting ECG- a chest X-ray study-complete blood count for anemia- inflammation tests (PCR, sedimentation rate)- thyroid hormone levels for possible thyroid dysfunction. If all the above tests result normal, you should consider anxiety as the main cause of all this clinical scenario. Hope to have been helpful! Kind regards,