Asking for pacemaker implant medical consultant

Question

Asking for pacemaker implant medical consultant
Dear Mr. Dr. Yazdan Khah,
Please be informed, I contact you from Iran to have your medical consultant, if possible.
This means that I would be grateful and thank you, if you consider below paragraph and let me know your opinion in response to questions as a heart special expert, if possible.
Patient Age: 50 
Patient Sex: Female
Patient Surgical operation type: pacemaker implant (2 chambers)
Patient Surgical operation date: 6 months ago

After 6 months, she has experienced some pain of body yet, as described below:
1- Repetition of pain: Have not any regular pattern
2- Severity number of pain: 5 (1-10 score)
3- Most feeling time of pain: In most case, when doing a physical activity
NOTE: sometimes in rest time position
4- Affected position of pain: Hand up position, sleeping on the left side
5- Affected body location of pain: the location of implant on chest (pain with temporary hot feeling), from left arm to left hand (pain with temporary hot feeling) 
6: Duration of pain: 10 minutes (temporary)
Note: No having any reportable problem, except for above item

Questions:
Q1: Is it a normal pain?
If it is not, so she needs to call Doctor, please inform me. 
Answer?
Q2: Could she expect to have a normal life without any pain after this kind of surgical operation?
Answer?


At the end of letter, let me thank you for time spending to provide response, consideration, guidance and helping in advance.
Best regards,
Hamed Khoshniat
hamedkhoshniat@yahoo.co.uk

دکتر سعید یزدانخواه · Accepted Answer

Thanks for your consultation there is no any normal pain so any pain is abnormal and should evaluated for its cause and treated properly I suggest that first step refer her to physical medicine expert or an internist for evaluation and diagnosis. According to pain description It is unlikely that this pain be due to pacemaker implantation perse and most probably it has another .etiology It is very likely that she has a normal life if there was not another major disease.

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