Every time I smoke weed, I start feeling this pain in my left shoulder and arm. It began in early February, and I've been smoking marijuana since January 2016. I know I have generalized anxiety disorder, and I'm anxious about heart attacks because I heard weed can speed up heart rate. I've been to doctors many times and had several EKGs, Cardiac Enzyme Tests, and even a resting Electrocardiogram. They all said my heart's fine, and so did my cardiologist, though I never mentioned my weed use to them. The pain sometimes happens when I'm not high, but it definitely seems worse when I am. I get really in my head about this stuff when I'm high. Im aware that sudden heart attacks from weed are super rare and that lots of people over 50 use it, but I'd still like some advice on how to feel more at ease. I'm a 17-year-old male, not very active, weighing 240 lbs, and my resting heart rate is between 65 and 80 BPM.

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Dr Chandra P

General Practitioner

MBBS
5+ Yrs

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It sounds like you may be experiencing musculoskeletal pain exacerbated by your anxiety when using marijuana. Given your history of generalized anxiety disorder and the fact that your shoulder and arm pain worsens when you smoke weed, it's important to address both the physical and psychological aspects of your symptoms. To help alleviate your symptoms and manage your anxiety, I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for your shoulder and arm pain. Additionally, considering your anxiety, you may benefit from therapy or counseling to address your worries and fears related to using marijuana. In terms of your anxiety about heart issues, it's reassuring that your cardiac tests have come back normal. However, it's essential to consider the impact of marijuana on your symptoms. To address your concerns about heart health while using marijuana, you may want to consider reducing or avoiding its use. It's also crucial to focus on maintaining a healthy lifestyle, including regular physical activity and a balanced diet, to support your overall well-being. If your symptoms persist or worsen, it's important to follow up with your healthcare provider for further evaluation and management. Remember, taking care of your physical and mental health is essential. If you have any concerns or questions, don't hesitate to reach out for support.

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Understanding the Effects of Marijuana on the Heart
- Marijuana can temporarily increase heart rate, which may cause concern, but serious heart issues are rare in young, healthy individuals.
Interpreting Your Test Results and Symptoms
- Your normal EKGs and cardiac tests suggest your heart is healthy. The shoulder and arm pain could be anxiety-related or due to muscle strain.
The Role of Anxiety in Physical Symptoms
- Anxiety can heighten awareness of physical sensations, causing discomfort. This is often more noticeable when high.
Recommendations to Feel More at Ease
- Discuss marijuana use openly with healthcare providers.
- Use relaxation techniques, mindfulness, or counseling to manage anxiety.
- Consider reducing or stopping marijuana if it worsens symptoms.
- Focus on a healthy lifestyle, including exercise and weight management.
When to Seek Medical Help
- Seek immediate help for severe chest pain, shortness of breath, or fainting.
Support and Resources
- Consult a mental health professional for anxiety management.
- Your heart health appears good based on current evaluations.

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