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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Chest Pain And Nausea In A Teenager?

My daughter is 14 urs old. I had to take her to the er last Wed. She said she was having chest pains. This isn t the first time shes felt it. She was also vomiting in the er. Tonight again her chest is hurting I asked if she wanted to get checked she said no, that they wouldn t do anything for her. They did do a chest x ray and blood work, even did an ekg and said everything looks normal. But yet her chest is hurting again. What should I do?
Wed, 2 Mar 2016
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General & Family Physician,  's  Response
Thank you for your query

Would you please clarify a few things?
1) has she attained menarche (onset of menstrual cycles)? Does it happens just before her cycles begin? When was her last period
2)does it hurt right after having a meal, especially a spicy one?
3) does she fall sick often? Any other health problems.? Any fever?
4)does she heart burn or breathing difficulty, giddiness?
5)did they looks for infection and check liver function when they did the blood work.?
6)is she overweight? Bulimia?
Problems related to the stomach, liver, can also cause chest pain and sometimes heartburn. If this is the case, avoiding caffeine, spicy and oily stuff, having cool milk (natural antacid) helps
Hepatitis (infection of the liver) can also cause upper abdominal pain that radiated toward chest.
Panic attacks can mimic chest pain.
I recommend taking her to her pediatrician /gastroenterologist who could look for specific causes for the pain based on their clinical findings.
In the meantime, stay calm, try to note down what makes It better or worse, when it occurs during than days and other associated symptoms.

If she has severe pain,. Sweating, giddiness, protracted vomiting or loss of consciousness take her to the ER right away.
Hope this helps. Please get back to us if you have further queries.
Wish you both good health.


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What Causes Sudden Chest Pain And Nausea In A Teenager?

Thank you for your query Would you please clarify a few things? 1) has she attained menarche (onset of menstrual cycles)? Does it happens just before her cycles begin? When was her last period 2)does it hurt right after having a meal, especially a spicy one? 3) does she fall sick often? Any other health problems.? Any fever? 4)does she heart burn or breathing difficulty, giddiness? 5)did they looks for infection and check liver function when they did the blood work.? 6)is she overweight? Bulimia? Problems related to the stomach, liver, can also cause chest pain and sometimes heartburn. If this is the case, avoiding caffeine, spicy and oily stuff, having cool milk (natural antacid) helps Hepatitis (infection of the liver) can also cause upper abdominal pain that radiated toward chest. Panic attacks can mimic chest pain. I recommend taking her to her pediatrician /gastroenterologist who could look for specific causes for the pain based on their clinical findings. In the meantime, stay calm, try to note down what makes It better or worse, when it occurs during than days and other associated symptoms. If she has severe pain,. Sweating, giddiness, protracted vomiting or loss of consciousness take her to the ER right away. Hope this helps. Please get back to us if you have further queries. Wish you both good health.