Hi there and thank you for the question. I am a Registered Nurse and will be happy to help you today.
I was about to ask you if you had any cardiac history. In the case where the pacemaker has been implanted previously, I would suggest that you have a cardiac check up to be sure that everything is ok. It could be your pacer or could be your heart or even a muscular-type pain. But of course, its always best to rule out cardiac issues first then go down from there. Let me know if I can help you further.
Hi there, after you read this answer, you should be able to change the rating...no problem.
Even without insurance you can still call the office and ask them what they think you should do considering your past medical history. -they won't charge you for a telephone triage call. Also, if this is something potentially life threatening, the ER would be the next best place to go as they can't turn you away without insurance. They can see you and make sure you are ok then send you home....no charge. If this was your toe or something like that, I'd say not to worry to much about it and take some advil...unfortunately, at such a young age you have a cardiac history and you'll need to at least let someone know at your Cardiologists' office or just go to the ER and let them test your pacemaker and heart rhythm to make sure you are ok.