Chest Pain

Chest pain in children can be a concerning symptom for parents, but in most cases, it is not related to a serious condition. Unlike adults, children typically experience chest pain due to factors like muscle strain, respiratory infections, or gastrointestinal issues, rather than a heart attack.

Old man having chest pain illustration

Common causes of chest pain in children include: 

  • Musculoskeletal pain, often resulting from intense cough, physical activity or injury during play, 
  • Respiratory infections- pneumonia, pleural effusion
  • Gastroesophageal reflux disease (GERD) which can cause heartburn-like sensations and pain typically in the center of the chest
  • Chest tightness due to asthma may sometimes be perceived as pain
  • In some cases, stress or anxiety can also manifest as chest discomfort, especially in older children and adolescents.
  • Less commonly- heart diseases (birth defects or acquired later)

It is important for parents to be aware of red flags that might indicate a more serious condition. If a child experiences severe, sharp chest pain, difficulty breathing, dizziness, or fainting, immediate medical attention is necessary. Children with a family history of heart disease or those who have other concerning symptoms, like a persistent cough or unexplained weight loss, should be evaluated by a healthcare professional to rule out any serious underlying conditions.

Treatment for chest pain depends on the underlying cause. Parents should always consult a pediatric chest specialist if they are concerned about their child’s chest pain to ensure proper diagnosis and treatment.