<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hello,I am 38 yrs. old ang weighs 60 Kg and anaemic. I am having pain in my chest for last few days. It happens only when I am climbing stairs or walking or lifting heavy object. It lasts for 2-3 minutes. Sometimes it spreads on my left shoulder and arm. I went to GP and she said it can be muscle pain but she gave glycerol trinitrate spray and said that i will be referred to the hospital for ECG etc. Later on she called and said that as I am under 40, hospital has not accepted my reference. I used the spray and it helped me. Can angina pain happen at this age?  <response>: Respected user, hi I evaluated your query thoroughly. Anginal pain can happen at this age. But still I consider to be more in relation to Anemia rather than cardiac origin. It is your bodys low immunity to handle certain level stress due to low Hemoglobin level. Correct your Anemia with proper medicines, high iron containing diet like green leafy vegetables, cereals, beet root, Jagger etc. if it is resolved that means it was not cardiac. Hope this clears your doubt Thanks for using Chat Doctor giving me an opportunity to assist you. Wishing you healthy life ahead. Welcome for any further query. Regards dear take care. 