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How is chest pain treated? Chest pain treatment depends on the cause of the pain. If a heart attack is causing your chest pain, you'll get emergency treatment as soon as you seek help. This can include medication and a procedure or surgery to restore blood flow to your heart.

Chest pain is a common medical symptom that paramedics attend to in the out-of-hospital environment.

Anxiety chest pain is a stabbing pain in the chest brought on or intensified as a result of a panic attack or other anxiety-related episode. If you're experiencing these symptoms, you can practice breathing exercises, eat healthier, avoid caffeine, and seek professional therapy to alleviate these symptoms.

Maintaining general health - Performing regular exercise, managing stress with proper techniques and coping strategies, getting enough sleep and eating a well-balanced diet may also prevent the recurrence of panic attack symptoms like chest pain.

What is the most common cause of chest pain in children?

Most children complaining of chest pain have musculoskeletal chest pain, which is pain originating from the muscles or bones in the chest, and their connections. There are three common causes of musculoskeletal chest pain:

  • A spasm or cramp of the chest wall muscles and nerves. These come and go and can be quite painful. These pains are sometimes referred to as “precordial catch syndrome".

  • ​Coughing really hard or often during a cold can also cause chest pains.

  • “Costochondritis" is pain caused by inflammation of the cartilage connecting with the bones of the chest.

Musculoskeletal chest pain is not due to any problem with the heart and is not dangerous. Pain medicines like ibuprofen can help relieve the pain and reduce any inflammation that is present. Talk to your pediatrician about how to safely use ibuprofen and any other pain medicines.

What else causes chest pain in children?

Other common causes of chest pain include:

  • Pneumonia (lung infection) can cause irritation around the lungs that can be quite painful, especially with breathing. This is sometimes called pleurisy.

  • Children sometimes describe their breathing difficulties from asthma as chest pain.

  • Acid reflux from the stomach up into the esophagus can burn and feel painful. This is called gastroesophageal reflux disease or heart burn.

  • Some children describe emotional responses to stress and anxiety as chest “pain". Others may complain of discomfort to gain attention. Your pediatrician may determine this as the cause of your child's chest pain by a process of elimination.

  • In rare cases, a heart problem will cause chest pain in children.

​Warning signs that should raise concern for a heart problem:

  • ​​Chest pain during physical exerti​​on, exercise or activity​

  • Chest pain and pressure that does not go away

  • Chest pain after an unexpected decrease in the ability to exercise over days to weeks

  • Chest pain that is followed by passing out or nearly passing out

  • Chest pain in children born with heart defects (congenital heart disease)

  • Chest pain in children who have had Kawasaki disease

  • Chest pain in children who have a genetic cause of high cholesterol

  • Chest pain in children with a family member who died of unexplained reasons

  • Chest pain in children with a family member who has cardiomyopathy

Reference:

  • basepointacademy.com/anxiety-chest-pain
  • magonlinelibrary.com/doi/abs/10.12968/jpar.2022.14.1.16?journalCode=jpar

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