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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain And Shortness Of Breath?

My 11 year old daughter is having episodes of stabbing pain at the center of her diaphragm and shortness of breath on occasion during swimming practice. This last time she was not even able to use her voice. At first we thought maybe she just needed to stretch more before swimming but the fact that the symptoms appear to be getting more complicated worries me. Any suggestions?
Mon, 21 Sep 2015
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  Anonymous's Response
's  Response
Hello and thank you for using HCM. I carefully read your question and I totally understand your concern. Don't Worry. I think it is nothing serious.
Starting with her very young age I exclude cardiac chest pains. The only cardiac problems that we might expect in this age would be valvular congenital disease, but they have other kind of symptoms, typically not stabbing chest pains. A chest pain might generate from different problems. As you have assumed it might be a musculus-scletetic pain. The fact that it generates when she is training might be related whit it.
But chest pain might generate even from abdominal organs like stomach, cholecystitis, pancreas ect. Each of them has some characteristics of pain but they might be irradiated to the chest, in diaphragmatic position as you explain.
But it might be a simple "nervous pain". They generates from nervous system, like stabbing, fulminate pains. They just come and go without any damage.
So if I was your treating doctor, if this episodes persist, just make a simple chek up with a physio-therapist for muscular problems and an abdominal echo. If every thing is all right, it will soon pas and she will not feel this pains any more.
Hope I was helpful. Best regards.

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What Causes Chest Pain And Shortness Of Breath?

Hello and thank you for using HCM. I carefully read your question and I totally understand your concern. Don t Worry. I think it is nothing serious. Starting with her very young age I exclude cardiac chest pains. The only cardiac problems that we might expect in this age would be valvular congenital disease, but they have other kind of symptoms, typically not stabbing chest pains. A chest pain might generate from different problems. As you have assumed it might be a musculus-scletetic pain. The fact that it generates when she is training might be related whit it. But chest pain might generate even from abdominal organs like stomach, cholecystitis, pancreas ect. Each of them has some characteristics of pain but they might be irradiated to the chest, in diaphragmatic position as you explain. But it might be a simple nervous pain . They generates from nervous system, like stabbing, fulminate pains. They just come and go without any damage. So if I was your treating doctor, if this episodes persist, just make a simple chek up with a physio-therapist for muscular problems and an abdominal echo. If every thing is all right, it will soon pas and she will not feel this pains any more. Hope I was helpful. Best regards.