Suggest Treatment For Sinus Bradycardia
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Detailed Answer:
Hello,
I've read your text and I understand your concerns. A low pulse rate is common among good athletes but a rate lower than 40 is too low. Keep in mind that some professional athletes like NBA players were reported to have also very low heart rates (35/minute) without any problems in their life.
A consultation with a cardiologist would be more appropriate in his case since he had an unusually low heart rate.
Despite that, I do not believe that his heart rate is the source of this exhaustion. Perhaps he's just too active and training all the time!
His eating behavior can be easily assessed with blood tests. You haven't mentioned how many calories he eats per day. But if he's not eating meat and he has a problem with that, he should have a low ferritin or vitamin B12 for example. If his blood tests are normal then you shouldn't worry too much about it. As your doctor pointed out, he's grown so tall and he's so active and trained. It would be a XXXXXXX if he'd developed any nutrient deficiency.
Regarding the blood in his stool: bright red blood is usually caused by a bleeding site close to the anus (hemorrhoids, anal fissure, bleeding site inside the intestine). Judging from your description, is seems like a bleeding internal hemorrhoid which is painless but can bleed a lot! An endoscopic assessment by a gastroenterologist would be appropriate. The gastroenterologist will be able to identify the bleeding site and rule out more serious diagnoses.
I hope I've helped you understand his situation!
If you have more questions, please ask. I'll be glad to answer.
Kind Regards!