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Chest Pain in Infants and Children

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This problem isn't reserved for adults only, but may occur in a child as well. Most of the causes aren't serious, but may require a doctor's attention. Follow this chart for more information when your child has chest pain.


 

SYMPTOMS   DIAGNOSIS   SELF-CARE
Begin here        
1. Does your child have a fever? Yes --> These symptoms may represent BRONCHITIS, or if there is a higher fever, PNEUMONIA, or if there is shortness of breath, BRONCHIOLITIS. --> Bronchiolitis and pneumonia are serious infections that should be seen by your doctor right away.
No, go down        
2. Does your child have a sharp pain in the chest when he or she takes a deep breath? Yes --> This may be from PLEURISY, an inflammation of the lining around the lung. --> Have this checked by your doctor. Often, aspirin or ibuprofen will cure the problem. Do NOT give aspirin without consulting your doctor (see warning below).
No, go down        
3. Does your child have pain in one side of the chest with shortness of breath? Yes --> Rarely, air will leak from a lung to fill the chest cavity, making it difficult to breathe. This is called a PNEUMOTHORAX. --> Have this checked by your doctor right away. Treatment may require hospitalization and a tube placed in the chest to remove the air.
No, go down        
4. Does your child have shortness of breath with chest discomfort and numb hands, or does the breathing sound wheezy or choked? Yes --> HYPERVENTILATION (overbreathing) can cause shortness of breath, numb hands and chest pressure. ASTHMA or EPIGLOTTITIS may cause a wheezing or choking sound. --> Asthma and epiglottitis can be medical emergencies. See your doctor right away. Hyperventilation isn't serious. But it may be a result of asthma.
No, go down        
5. Does the child have a blistering rash with a red base that is very painful? Yes --> This rash is often from CHICKENPOX, a viral infection that will affect other areas of skin as well. --> Analgesics, such as acetaminophen or ibuprofen, may help the discomfort. If the redness seems to be spreading, see your doctor.
No, go down        
6. Is the pain in the front of the chest, along the border of the breastbone and ribs, especially after activity? Yes --> This may be from COSTOCHONDRITIS, an inflammation of the joints in the chest. --> Heat, aspirin or ibuprofen is the treatment of choice. Do NOT give aspirin without consulting your doctor (see warning below). See your doctor if the pain is severe or if it doesn't improve with these medicines.
No, go down        
For more information, please consult your doctor. If you think the problem is serious, call right away.       WARNING: Don't give children aspirin without your doctor's approval due to the risk of Reye's syndrome.
 

This tool has been reviewed by doctors and is for general educational purposes only. It is not a substitute for medical advice. The information in this tool should not be relied upon to make decisions about your health. Always consult your family doctor with questions about your individual condition(s) and/or circumstances. Source: American Academy of Family Physicians. Family Health & Medical Guide. Dallas: Word Publishing; 1996.

Copyright © 2006 American Academy of Family Physicians


 
 
 

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